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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Conserv+Dent
2014 ; 17
(3
): 285-9
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Cone beam-computed topographic evaluation of a central incisor with an open apex
and a failed root canal treatment using one-step apexification with Biodentine?:
A case report
#MMPMID24944456
Sinha N
; Singh B
; Patil S
J Conserv Dent
2014[May]; 17
(3
): 285-9
PMID24944456
show ga
A symptomatic endodontically treated immature tooth with periapical pathology
presents multiple challenges to the clinician. Owing to incomplete root
formation, gutta percha removal has to be done carefully without further damaging
the periapical tissue or pushing the obturating material beyond the apex.
Nonsurgical approach toward treating such a tooth would necessitate the creation
of an apical barrier followed by conventional root canal treatment. Current
literature suggests one-step apexification with mineral trioxide aggregate (MTA),
with an apical matrix as the treatment of choice. A new calcium silicate-based
cement also called as dentine substitute by the manufacturers with good handling
properties has been introduced recently by the trade name Biodentine? (Septodont,
St. Maurdes Fossés, France). This case report presents management of a secondary
endodontic case with an open apex treated with the concept of 'lesion
sterilization and tissue repair (LSTR)' using triantibiotic paste and Biodentine?
for apical barrier formation. A 12-month follow up with cone beam-computed
topography (CBCT) exhibited progressive involution of periapical radiolucency
with indications of good healing of the periapical tissues and absence of
clinical symptoms.