Single Visit Apexification and Obturation of Immature Necrotic Permanent Teeth Using Biodentine – Four Case Reports (original) (raw)
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Apexification with Biodentine - a Case Report
CODS Journal of Dentistry
Management of non vital teeth with open apices isa challenge to the dental practitioners. In this clinical scenario, it is difficult to maintain the obturating material confine within the root canal without encroaching into periapical area. These kinds of cases cannot be managed by conventional endodontic treatment, and treatment of such cases with calcium hydroxide may take longer time for apical closure. But with this new material called BIODENTINE (Septodont) same treatment can be done in single visit with predictable result. Hence this case report present the use ofbiodentine to form an apical plug in open apex followed by complete root canal obturation using thermoplasticized guttapercha.
Biodentine for Apical Barrier for Immature Necrotic Permanent Teeth: Report of Cases CASE REPORT
Introduction: Treatment of traumatized non-vital teeth with an open apex requires elimination of bacteria from the root canal system and induction of apical closure for favorable outcome and to confine the root canal filling within the canal. A new calcium silicate based cement as Biodentine was introduced by Septodont in 2010 Case report: This article describes the successful treatment of 5 traumatized permanent central incisors with open apex using Biodentine. After access opening and biomechanical preparation, the interappoinment dressing of either calcium hydroxide or triple antibiotic paste was placed in the canals. Later, Biodentine apical plug was placed in the apical part.The remainder of the canal was back filled with gutta-percha and access cavity restored with composite resin followed by full crown. The patients were followed for 1 year. All patients were asymptomatic clinically and radiographically. Conclusion: Biodentine seems to be a promising material to be used in apical barrier formation procedure.
Biodentine-a novel dentinal substitute for single visit apexification
2014
Biodentine-a novel dentinal substitute for single visit apexification Use of an apical plug in management of cases with open apices has gained popularity in recent years. Biodentine, a new calcium silicate-based material has recently been introduced as a dentine substitute, whenever original dentine is damaged. This case report describes single visit apexification in a maxillary central incisor with necrotic pulp and open apex using Biodentine as an apical barrier, and a synthetic collagen material as an internal matrix. Following canal cleaning and shaping, calcium hydroxide was placed as an intracanal medicament for 1 mon. This was followed by placement of small piece of absorbable collagen membrane beyond the root apex to serve as matrix. An apical plug of Biodentine of 5 mm thickness was placed against the matrix using pre-fitted hand pluggers. The remainder of canal was back-filled with thermoplasticized gutta-percha and access cavity was restored with composite resin followed by allceramic crown. One year follow-up revealed restored aesthetics and function, absence of clinical signs and symptoms, resolution of periapical rarefaction, and a thin layer of calcific tissue formed apical to the Biodentine barrier. The positive clinical outcome in this case is encouraging for the use of Biodentine as an apical plug in single visit apexification procedures.
Biodentine: Material of choice for apexification
2021
Pulp necrosis with incomplete root formation in permanent teeth leads to open apex of the particular tooth which leads to the formation of the periapical pathology. The management of such cases poses a great endodontic challenge. Apexification is the process of induction of calcific barrier across the open apex or the continued apical development in an immature tooth with infected necrotic pulp. The aim of this case report is to share a successful apexification of maxillary central incisors with by using Biodentine without complications. Result: Biodentine is a material of choice for single visit apexification. Keywords: Apexification, Apical barrier, Biodentine, Immature teeth.
International Journal of Current Research and Review, 2021
Background: The treatment of open apices in non-vital permanent teeth is done with apexification using various materials like MTA, Biodentine and other materials. This study aimed to assess the utilization of Biodentine in apexification and large periapical lesions. Material and Methods: A male patient with the chief complaint of pain and pus discharge in the upper front tooth region. Initially, the patient was asymptomatic but eventually developed periodic swelling. On intraoral examination, it revealed the presence of porcelain fused to the metal crown in the right maxillary central and lateral incisor along with a sinus tract in the periapical region. During percussion of the tooth, it manifests positive tenderness. On radiographic examination, it shows that the root canal was incompletely obturated in both the incisors with incomplete root formation seen in the central incisor. The treatment protocol for tooth 11 and 12 was to perform root canal treatment along with apical plug formation using Biodentine. Therefore, under rubber dam access cavity was prepared and biomechanical preparation was done along with standard disinfection protocol using activation method and given intracanal medicaments. After 2-3 sittings of medicament, the apical plug formation was done in 11 along with filling of rest of the root canal with resin material. Results: In this case report the appreciating healing was seen at 3 months and 1 year follow up. Conclusion: The non-surgical conservative approach used in this case seems to be highly effective and gave astonishing results with complete healing of periapical lesion in central incisors.