Non-surgical management of a mutilated maxillary central incisor with open apex and large periapical lesion

Ajwani, Puneet; Saini, Nalini

doi:10.4103/0970-9290.87074

Cited by 6 publications

(1 citation statement)

References 7 publications

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“…6 But due to the time required for apexification with it which ranges from one year to two years, there are problems like reinfection due to loss of temporary restoration, chances of the tooth to fracture and patient compliance. 7 The most promising alternative to calcium hydroxide is MTA. 8 MTA generates a high-alkaline aqueous environment by leaching the calcium and hydroxyl ions, thus forming hydroxyappatite in the presence of phosphate-containing fluids.…”

Section: Discussionmentioning

confidence: 99%

Management of an Ellis Class IV fracture with open apex using MTA -A case report

Narainia

2023

IJCE

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Management of immature necrotic permanent teeth imposes a challenge to the clinician as they cannot be managed with routine endodontic treatment. To treat such a tooth; thorough disinfection of the root canal system followed by an apical barrier to obturate the canal is required. This case report demonstrates management of an anterior necrotic tooth with an open apex using Mineral Trioxide Aggregate (MTA) for apexification. The tooth was thoroughly disinfected using antimicrobial irrigants. Calcium hydroxide dressing was given for a period of 1 week followed by an apical plug of 4-5 mm of MTA. A fiber post and composite core were given to finally restore the tooth with a full coverage crown. The positive clinical outcome of the case supports the use of MTA apexification for the management of open apex.

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Section: Discussionmentioning

confidence: 99%

Management of an Ellis Class IV fracture with open apex using MTA -A case report

Narainia

2023

IJCE

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Regenerative Endodontic Treatment or Mineral Trioxide Aggregate Apical Plug in Teeth with Necrotic Pulps and Open Apices: A Systematic Review and Meta-analysis

Torabinejad

Nosrat

Verma

et al. 2017

Journal of Endodontics

161

136

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Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part II: other clinical applications and complications

2017

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Mineral trioxide aggregate (MTA) is a dental material used extensively for vital pulp therapies (VPT), protecting scaffolds during regenerative endodontic procedures, apical barriers in teeth with necrotic pulps and open apices, perforation repairs as well as root canal filling and root-end filling during surgical endodontics. A number of bioactive endodontic cements (BECs) have recently been introduced to the market. Most of these materials have calcium and silicate in their compositions; however, bioactivity is a common property of these cements. These materials include the following: BioAggregate, Biodentine, BioRoot RCS, calciumenriched mixture cement, Endo-CPM, Endocem, EndoSequence, EndoBinder, EndoSeal MTA, iRoot, MicroMega MTA, MTA Bio, MTA Fillapex, MTA Plus, Neo MTA Plus, Ortho MTA, Quick-Set, Retro MTA, Tech Biosealer, and TheraCal LC. It has been claimed that these materials have properties similar to those of MTA but without the drawbacks. In Part I of this review, the available information on the chemical composition of the materials listed above was reviewed and their applications for VPT was discussed. In this article, the clinical applications of MTA and other BECs will be reviewed for apexification, regenerative endodontics, perforation repair, root canal filling, root-end filling, restorative procedures, periodontal defects and treatment of vertical and horizontal root fractures. In addition, the literature regarding the possible drawbacks of these materials following their clinical applications is reviewed. These drawbacks include their discolouration potential, systemic effects and retreatability following use as a root filling material. Based on selected keywords, all publications were searched regarding the use of MTA as well as BECs for the relevant clinical applications. Numerous publications were found regarding the use of BECs for various endodontic applications. The majority of these investigations compared BECs with MTA. Despite promising results for some materials, the number of publications using BECs for various clinical applications was limited. Furthermore, most studies had several methodological shortcomings and low levels of evidence.

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Non-surgical management of a mutilated maxillary central incisor with open apex and large periapical lesion

Cited by 6 publications

References 7 publications

Management of an Ellis Class IV fracture with open apex using MTA -A case report

Management of an Ellis Class IV fracture with open apex using MTA -A case report

Regenerative Endodontic Treatment or Mineral Trioxide Aggregate Apical Plug in Teeth with Necrotic Pulps and Open Apices: A Systematic Review and Meta-analysis

Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part II: other clinical applications and complications

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