Management of a fractured nonvital tooth with open apex using mineral trioxide aggregate as an apical plug

Jain, Jayesh Kumar; Ajagannanavar, Sunil Lingaraj; Jayasheel, Arun; Bali, Praveen Kumar; Jain, Chaya Jayesh

doi:10.4103/ijohs.ijohs_17_17

Cited by 3 publications

(2 citation statements)

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“…It could be one of the two types: (1) blunderbuss canal, which is funnel shaped, that is, flaring and divergent in dimension; and (2) non-blunderbuss canal, which is cylindrical shaped, that is, broad and parallel in dimension. 3 The most common etiology for incomplete root formation would be pulp necrosis due to trauma or dental caries. 4 The challenges faced by the practitioner in open apex situations are difficulty in root canal debridement, lack of apical stop that threatens quality obturation, and thin root canals that have a high risk of fracture.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Mineral Trioxide Aggregate and Biodentine for Open Apex Management in Children with Nonvital Immature Permanent Teeth: A Systematic Review

Ravindran

Jeevanandan

Marimuthu

et al. 2022

European Journal of General Dentistry

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Tricalcium silicate cements have long been used in dentistry for management of open apex. Biodentine was introduced to overcome the disadvantages of mineral trioxide aggregate (MTA). The aim of this systematic review was to compare the success rates of biodentine and MTA as a material of choice for the management of open apex in children with nonvital immature permanent teeth. PubMed/Medline, Scopus, EMBASE, Cochrane, and Google Scholar were searched until November 30, 2021, with the search terms young permanent teeth, immature permanent teeth, open apex, MTA, and biodentine. Based on the inclusion criteria, the articles were selected following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and assessed for quality using a risk-of-bias assessment tool. The outcomes of the studies were qualitatively synthesized. A total of 379 studies were identified and after refinement only two studies met the eligibility criteria. Both the studies were performed in children with nonvital pulp status. One of the studies showed a clinical success of 91.66% for MTA and 100% for biodentine in revascularization cases while the other study showed 100% for both the materials in apexification cases. Radiographic success was 100% for both the materials at the end of the follow-up period in both the studies. Treatment modality can create heterogeneity that does not allow making a pooled conclusion for the two materials collectively, which is the case in this review where one study used revascularization, while the other used apexification. An overall high risk of bias was noticed for the selected studies. With high risk of bias and low quality of evidence, a strong definitive conclusion cannot be arrived at. Further studies with proper randomization and minimal risk of bias are required to provide a conclusive result. However, as per the included studies, biodentine can be a material of choice for revascularization while both MTA and biodentine can be used for apexification procedures.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Mineral Trioxide Aggregate and Biodentine for Open Apex Management in Children with Nonvital Immature Permanent Teeth: A Systematic Review

Ravindran

Jeevanandan

Marimuthu

et al. 2022

European Journal of General Dentistry

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Nonsurgical Management of Periapical Lesion Using Calcium Silicate Based Cements and Sealer Followed by Walking Bleach to Manage Intrinsic Discoloration of Tooth – 2 Case Reports

Tiwari

Meena

2020

ijsr

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Microbial infection of pulpal tissues leads to a periapical lesion. The main objective involved in the treatment of these cases is to get rid of microorganisms and its toxins from the root canal as well as from the periapical region followed by the restoration of tooth function. An immature tooth with pulpal necrosis and periapical pathology presents a great challenge to an endodontist. These cases should be treated with conventional apexification procedure with and without apical barriers. Calcium hydroxide is the most commonly used material in apexification procedure, however they have some disadvantages. Hence the use of calcium silicate based cements like mineral trioxide aggregate (MTA) and Biodentine has been proposed in literature.

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Are Bioceramics the Dernier Cri in the Management of Stage 4 Developed Root? A Finite Element Analysis

Sharma¹,

Londhe²,

Hegde³

et al. 2020

The Journal of Contemporary Dental Practice

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Management of a fractured nonvital tooth with open apex using mineral trioxide aggregate as an apical plug

Cited by 3 publications

References 0 publications

Comparison of Mineral Trioxide Aggregate and Biodentine for Open Apex Management in Children with Nonvital Immature Permanent Teeth: A Systematic Review

Comparison of Mineral Trioxide Aggregate and Biodentine for Open Apex Management in Children with Nonvital Immature Permanent Teeth: A Systematic Review

Nonsurgical Management of Periapical Lesion Using Calcium Silicate Based Cements and Sealer Followed by Walking Bleach to Manage Intrinsic Discoloration of Tooth – 2 Case Reports

Are Bioceramics the Dernier Cri in the Management of Stage 4 Developed Root? A Finite Element Analysis

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