The effect of the renewal of calcium hydroxide paste on the apexification and periapical healing of teeth with incomplete root formation

Felippe, Mara Cristina Santos; Felippe, Wilson Tadeu; Marques, Márcia Martins; Antoniazzi, João Humberto

doi:10.1111/j.1365-2591.2005.00959.x

Cited by 51 publications

(59 citation statements)

References 12 publications

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“…Due to wide apical foramen diameter and the presence of exudate in the periapical region, dressing dissolution rate increases, thereby creating the need for change. 21,22 The present study agrees with the following authors when suggesting to keep intracanal dressing inside the root canal for much longer periods without periodic changes: Chosack et al, 23 Felippe et al, 28 Steiner et al, 29 Chawla et al 33 and Túrkún. 36 The study conducted by Chawla 33 found mineralized tissue formation after intracanal dressing remained in the root canal for 6 to 12 months without periodic changes.…”

Section: Discussionsupporting

confidence: 81%

“…Felippe et al 28 reported infeasible carrying out several changes of calcium hydroxide paste in teeth with incomplete root formation and infected root canal system. The present study corroborates the authors while disagreeing with Holland et al, 38 Holland et al, 39 Hulsmann, 40 Holland et al 41 and Nedley and Powers 42 who believe that root canal disinfection as well as mineral tissue deposition stimulating root apex closure rely on the alternate use of calcium hydroxide paste.…”

Section: Discussionmentioning

confidence: 99%

“…19,[28][29][30][31] Periodic changes every 1 to 3 months are widely recommended. 21,24,25,32 However, Yates, 21 Chawla 33 and Webber 34 recommend intracanal dressing change every time a radiographic examination reveals incomplete filling.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Suggesting a new therapeutic protocol for permanent teeth with incomplete root apex and lateral luxation: A case report

Marion¹,

Felippe²,

Vilela³

et al. 2014

Dental Press Endod

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The present study reports the case of a permanent tooth with incomplete root formation and lateral luxation endodontically treated with a therapeutic protocol associating calcium hydroxide, 2% chlorhexidine gel and zinc oxide (2:1:2 ratio) used as intracanal dressing with no need of replacement. In conventional apexification treatment, intracanal dressing normally includes calcium hydroxide paste associated with aqueous, viscous or oily vehicle periodically changed. The intracanal dressing used in this article, however, did not need to be replaced. The authors concluded that the protocol proved effective in treating a permanent tooth with open apex, as the tooth remained in the oral cavity fulfilling its esthetic and masticatory functions. Treatment cost and time were decreased. How to cite this article: Marion JJC, Felippe LS, Vilela CB, Nagata JY, Lima TFR, Soares AJ. Suggesting a new therapeutic protocol for permanent teeth with incomplete root apex and lateral luxation: A case report.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Suggesting a new therapeutic protocol for permanent teeth with incomplete root apex and lateral luxation: A case report

Marion¹,

Felippe²,

Vilela³

et al. 2014

Dental Press Endod

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“…However, a complete apical development was observed without paste replacement after 15 months. Felippe et al (32), in a study conducted in dogs, observed that the formation of apical calcified tissue was more noticeable in the root canals when the paste had not been renewed. Even though the frequent changes of calcium hydroxide pastes significantly reduced the intensity of the inflammatory process, the authors suggested that the dressing should only be changed when the sealing had failed or when there is a flare-up.…”

Section: Discussionmentioning

confidence: 98%

Management of Dens Invaginatus Type I and Open Apex: Report of Three Cases

Schmitz

Montagner

Flores³

et al. 2010

Journal of Endodontics

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“…A utilização do hidróxido de cálcio, apesar das suas excelentes propriedades biológicas, apresenta algumas desvantagens como: tempo de tratamento prolongado (34, 37), necessidade de trocas (34,38,39) e enfraquecimento da estrutura dentária quando utilizado por um longo período de tempo (40)(41)(42)(43).…”

Section: Análise Estatísticaunclassified

Análise do MTA e do Ca(OH)2 no interior dos tecidos após o processo de reabsorção radicular externa em reimplante dentário tardio

Marão¹

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linical practice has shown that most of reimplanted teeth are late, this condition produce necrosis of periodontal ligament cells and the pathological resorption may occur and produce dental loss. The aim of this study was to assess the biological behavior of MTA and Ca(OH) 2 , within the tissues after external root resorption in delayed late reimplanted rat teeth.Twenty male rats (Rattus norvegicus albinus) were used. The upper right incisor was extracted and was kept in a dry environment for 60 minutes. Then, the dental papilla, the enamel organ, the dental pulp and the periodontal ligament were removed. The teeth were immersed in 2% acidulous sodium fluoride solution pH 5.5 for 10 minutes. After that, the canals were dried and divided into 2 groups: Group I -the canals were filled with Ca(OH) 2 and saline and Group II -with MTA. Sockets were irrigated with saline solution and the teeth were Abstract reimplanted. After 80 days was possible to observe large areas of replacement resorption and some inflammatory root in both groups There was more intense inflammatory reaction in contact with Ca(OH) 2 when compared to MTA. At the bottom of the alveolar socket, bone neoformation was greater in the group of MTA, but there was no statistically significant difference between the groups.It's possible to conclude that MTA may be a viable clinical option for filling of late dental reimplanted subject to external root resorption due to its biocompatibility with the tissues.

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The effect of the renewal of calcium hydroxide paste on the apexification and periapical healing of teeth with incomplete root formation

Abstract: Replacement of calcium hydroxide paste was not necessary for apexification to occur, however, it did reduce significantly the intensity of the inflammatory process. Monthly renewal of calcium hydroxide paste reduced significantly the occurrence of apexification.

Cited by 51 publications

References 12 publications

Suggesting a new therapeutic protocol for permanent teeth with incomplete root apex and lateral luxation: A case report

Suggesting a new therapeutic protocol for permanent teeth with incomplete root apex and lateral luxation: A case report

Management of Dens Invaginatus Type I and Open Apex: Report of Three Cases

Análise do MTA e do Ca(OH)2 no interior dos tecidos após o processo de reabsorção radicular externa em reimplante dentário tardio

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