An immature tooth with pulpal necrosis and periapical pathology imposes a great difficulty to the endodontists. Endodontic treatment options for such teeth consist of conventional apexification procedure with and without apical barriers and revascularization. Calcium phosphate is a calcium silicate-based cement that exhibits physical and chemical properties similar to those described for certain Portland cement derivatives. This article demonstrates the use of calcium phosphates as an apical matrix barrier in root end apexification procedure. This case report presents apexification and follow-up of a case with the use of calcium phosphate as an apical barrier matrix.
Usually external tooth resorption follows trauma to periodontal ligament. Based on clinical and histological manifestations, it can be classified into five categories. Due to the alkaline pH, calcium hydroxide has long been used as an intracanal medicament to slow down the resorption process. Both external and internal resorptions can also occur on the same tooth, making the management more complex. This case report presents the management of a tooth with apical resorption. Apical resorption can be managed both surgically and nonsurgically. In this case, as the tooth itself has created an apical barrier, it was decided not to break the apical seal and to manage it nonsurgically. Follow-up was done for 3 and 6 months respectively.
Coronal fractures of the anterior teeth are a commonly found fracture affecting children and adolescents. Management of fractured tooth depends on the availability of the fractured segment, extent of the fracture, and extraoral time of the fragment. If the fractured segment is intact and available, reattachment is an option. Reattachment of fractured tooth fragments can provide immediate and long-lasting esthetics. Additional retention that is needed in some cases is fulfilled by placement of a post. Fiber-reinforced composite post will give better esthetics compared to metallic one. Patient cooperation and understanding of the limitations of the treatment is of utmost importance for good prognosis. This study reports a coronal tooth fracture treated by tooth fragment reattachment with fiberpost reinforcement.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.