Case Report Single Visit Apexification Technique by Root End Barrier Formation With MTA
Case Report Single Visit Apexification Technique by Root End Barrier Formation With MTA
Case Report Single Visit Apexification Technique by Root End Barrier Formation With MTA
j 2015;5(1):21-25
Case Report
Single visit apexification technique by root end barrier formation with
MTA
*Tazdik G. Chowdhurya, S. M Abdul Quaderb, Tasnim-A-Jannatc, Shirin Sultana Chowdhuryd, KM Rowank Jahane, Fahd A. A. Karimf
a. Assistant Professor and Head, Dept. of Paediatric Dentistry, Update Dental College and Hospital
b. Associate professor, Dept. of consevative dentistry & Endodontics, Update Dental College and Hospital
c. MPH (on course),Department of Health promotion & Health Education, Bangladesh University of Health Science
d. Associate professor, Dept. of consevative dentistry & Endodontics, Update Dental College and Hospital
e. Lecturer, Department of Paediatric Dentistry, Update Dental College and Hospital
f. Assistant Professor, Dept. of Conservative Dentistry & Endodontics, Update Dental College and Hospital,
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Clinical photograph Access cavity preparation Dressing with Ca(OH)2 After sinus healing
On second appointment, calcium hydroxide moist cotton was placed in the canal .Finally
was removed using H- files along with normal sealed with IRM.
saline irrigation and MTA powder (Dental Two days later patient was recalled and
Tulsa Dentsply, De Tray, Germany) and temporary filling was removed to check the
distilled water were mixed in 3:1 ratio and hardness of MTA. Obturation was done using
placed in the canal by cement lifter.MTA was lateral condensation technique and permanent
condensed with the help of castom made restoration was done. Size of the periapical
pluggers made with no.60 Guttaparcha which lesion decreased significantly and tooth was
snugly fitted to the desired length. After clinically alright after one year of follow up.
placement of MTA, radiograph was taken and
Preoperative radiograph Working Length Determination MTA Radiograph Post Obturation Radiograph
23
Discussion the root dentin to Ca(OH)2,13.Torneck14 and
others have indicated that when apical closure
It is essential to choose a treatment plan that is takes place clinically with Ca(OH)2, there is
best for patient and dentist in complicated not complete bridging of the apex
cases. Apexification is a method by which histologically. Thus there is increasing
artificial barrier in the root apex is formed in popularity with one visit apexification
such a way that obturating material can be techniques using Mineral Trioxide Aggregate
filled in the canal space16. Calcium hydroxide (MTA) as osteoconductive apical barrier.8
has been extensively used to accomplish apical MTA has a compressive strength equal to
closure due to its ability to induce hard tissue intermediate restorative material and Super –
formation, but it is more time consuming,which EBA but less than that of amalgam. It is
may between 3 and 21 months17,18,25,26.MTA commercially available as ProRoot MTA
was used in immature premolars of dogs and (Dentsply Tulsa Dental, Tulsa). MTA has the
was concluded that it induced apical plug more ability to induce cementum like hard tissue
often with less inflammation.19 MTA has when used adjacent to the periradicular tissues.
shown good sealing abilities and MTA has its superior sealing property, can set
biocompatibility to the periradicular in the presence of blood and It is
tissue.20,21,22MTA has been successfully used as biocompatible. Shabahang15et al examined hard
an apical barrier.23,24 In this case maintaining tissue formation and inflammation
sterilization of root canal, intracanal histomorphologically after treating open apices
medicament, good apical seal using MTA and a in canine teeth with osteogenic protein-1, MTA
three dimensional obturation has contributed to and calcium hydroxide. MTA induced hard
the success of the cases. tissue formation with the most consistency, but
the amount of hard tissue formation and
Although a variety of materials have been inflammation was not statistically different
proposed for induction of apical barrier among the three materials.
formation, calcium hydroxide has gained the
widest acceptance. The use of calcium References
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