Successful closure of the root apex in non-vital permanent incisors with wide open apices using single calcium hydroxide (caoh) dressing - report of 2 cases

Abstract

Endodontic management of immature non vital permanent teeth in young pediatric patients is a great challenge to dentists. The walls of the root canals are frequently divergent and open apexes make debridement and obturation difficult. Thus closure of root apex is very essential for success of the endodontic treatment. Although different materials are used for the apexification procedure, calcium hydroxide is the material of choice for apical barrier formation and healing. There are different opinions regarding frequency of CaOH dressing change to induce complete closure of the apex. Literature suggests that dressing should be changed frequently. Therefore the aim of the present article is to report the successful closure of root apex in pulpless permanent incisors with wide open apices in two pediatric patients using single CaOH dressing. Key words: Calcium hydroxide, apical closure, open apex, immature teeth.Nagaveni NB, Umashankara KV, Radhika NB, Manjunath S. Successful closure of the root apex in non-vital permanent incisors with wide open apices using single calcium hydroxide (caoh) dressing -report of 2 cases.

Apexification of non-vital central incisors with wide open apices using conventional approach of calcium hydroxide dressings and contemporary approach of artificial apical barrier by apical plug of biodentine: Report of two cases

“…Because of its enhanced success rate, easy availability for clinician and affordability for patients it gained widest acceptance in literature. [6] Sheehy and Roberts showed that the use of calcium hydroxide for apical barrier formation was successful in 74-100% of cases and average time for barrier formation ranged from 5 to 20 months. [7] The artificial apical barrier technique is a contemporary approach for managing open apices cases.…”

The Treatment of Immature Teeth With Periapical Lesions Using Ca(OH)2 and MTA: A Case Report

“…The use of Ca(OH) 2 in apical barrier formation has shown promising results. Because of its enhanced success rate, easy availability for the clinician, and affordability for patients, it has gained the widest acceptance in the literature (17).…”

“…The use of Ca(OH) 2 in apical barrier formation has shown promising results. Because of its enhanced success rate, easy availability for the clinician, and affordability for patients, it has gained the widest acceptance in the literature (17). Sheehy and Roberts reported that the use of calcium hydroxide for apical barrier formation was successful in 74 -100% of cases, and the average time for apical barrier formation ranged from 5 to 20 months (18).…”

Comparision of Healing of Periapical Lesion with Different Intracanal Medicament Using Mineral Trioxide Aggregate as Apical Barrier

“…Calcium hydroxide was introduced to the field of endodontics by Herman in 1930 as a pulp capping agent. Because of its enhanced success rate, easy availability for clinician and affordability for patients, Ca(OH) 2 gained widest acceptance in literature [15].…”