Periapical response to dentin filings

Oswald, Robert J.; Friedman, Charles E.

doi:10.1016/0030-4220(80)90146-2

Cited by 30 publications

(5 citation statements)

References 10 publications

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“…It may require several appointments and might require ages to carry out to form a barrier at the apex,which permits the pulp cavity restoring substance by gutta-percha along with sealer. 20 The time required for this procedure depends upon the condition of root development as well as the state of periapical tissue [21][22][23] . Though the use of calcium hydroxide brings about favorable outcomes and percentage of auspicious apical barrier development is huge, deep-rooted follow up is mandatory.…”

Section: Discussionmentioning

confidence: 99%

Apexification: A Comprehensive Review

Nikita Samal

2020

Indian Journal of Forensic Medicine & Toxicology

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Necrotic pulp in permanent teeth with incompletely formed or wide-open apices results in the death of cells that are effective in the improvement of root. This slows down the possibility of apical closure as well as improvement of root. Endodontic management consisting of diseased or dead pulp with adolescent permanent teeth along with an open expanded root apex is a challenging concern. During obturation in that tooth,it is unimaginable to obtain a proper seal at the tip. There are various techniques to treat an immature tooth with open apex which involve the application of (1) a custom-made cone(blunt end); (2) a short fill technique; (3) periapical surgery; (4) apexification; and (5) one-visit apexification. Mostly recommended treatment of choice is 'apexification' which is a method to induce root apex development of an immature nonvital tooth by formation of osteocementum or bone-like tissue. The most recommended medicament is calcium hydroxide that facilitates the development of a calcific barrier found in the root apex. According to the survey of the clinical involvement and information of journalists, management of an incomplete nonvital tooth can bring noticeable outcomes from the disinfectant and ossification promoting activity of Ca(OH) 2 .

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Section: Discussionmentioning

confidence: 99%

Apexification: A Comprehensive Review

Nikita Samal

2020

Indian Journal of Forensic Medicine & Toxicology

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“…However, this is not based on any biological or clinical fact but rather on radiological esthetics. Earlier authors realized that dentin chips obtained from instrumenting non‐infected root canals are the perfect biomaterial to seal off root canals . The preparation goal in many schools was to instrument 3 mm short of the apical foramen in vital cases, to maintain a vital pulp stump in the apical root canal system .…”

Section: Treatment Concepts: From the Crown To The Apex And Back Againmentioning

confidence: 99%

Molecular diagnostics in endodontics

Rechenberg¹,

Zehnder²

2014

Endodontic Topics

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Recent systematic reviews have substantiated the fact that current testing methods to assess the inflammatory state of the pulp and the periapical tissues are of limited value. Consequently, it may be time to search for alternative routes in endodontic diagnostics. Molecular assessment methods could be the future. However, in the field of endodontics, the research in that direction is only about to evolve. Because pulpal and periradicular diseases are related to opportunistic infections, diagnostics can either target microorganisms or the host reaction. This communication discusses clinical situations in which a molecular assessment of infection or host reaction could be of interest. The methods, collection sites, current state of research, and unresolved problems are evaluated.

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“…Materials that have previously been tried are calcium phosphate ceramic, [12][13][14] surgicel with amalgam, 15 freeze-dried cortical bone, 16 freeze-dried dentine 17 and dentinal shavings. 18,19 However, these have been largely experimental and are not commonly used.…”

Section: Apexificationmentioning

confidence: 99%

Weakened anterior roots – intraradicular rehabilitation

2005

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This paper highlights the fact that many anterior teeth requiring restoration are severely weakened having wide, flared canal spaces, and thin dentinal walls that are prone to fracture. Traditionally these teeth have been restored using metal posts and are often unsuccessful because of lack of retention or root fracture. This paper describes how mineral trioxide aggregate (MTA) can be used to form an immediate apical seal rather than waiting months for apexification. Weakened roots can be reinforced using dentine bonding agents and composite resin and if insufficient coronal tooth structure is present a quartzfibre post can be placed to retain a composite core.  Root filled teeth are often compromised by incomplete root formation, secondary caries around posts, inappropriate post space preparation, and internal resorption.  Traditional methods of restoration using metal posts and pins are often unsatisfactory.  Instead of waiting for the formation of a calcific bridge during apexification, mineral trioxide aggregate can be placed as an immediate apical seal.  Weakened roots can be reinforced using dentine bonding agents, composite resin and quartzfibre posts.

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Periapical response to dentin filings

Cited by 30 publications

References 10 publications

Apexification: A Comprehensive Review

Apexification: A Comprehensive Review

Molecular diagnostics in endodontics

Weakened anterior roots – intraradicular rehabilitation

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