Revascularization or Apexification: Treatment of Choice in Non Vital Teeth- A Case Report of 2 Teeth
Asian Journal of Dental Sciences,
Alternatives like apexification or revascularization can be performed for the treatment of non vital teeth in young permanent teeth. Apexification with Mineral trioxide aggregate (MTA) is the best alternative but it has the limitation of high cost and non-reinforcement of root canal dentin. So a new material Biodentine bioactive calcium silicate-based cement has been recently launched in the dental market as a ‘dentin substitute’ which claims improvements of some of the properties such as physical qualities and handling. Nowadays regeneration of tissues is the emerging and exciting field in the health sciences rather than replacement with artificial substitutes. Pulp revascularization depends on the ability of residual pulp and apical and periodontal stem cells to differentiate. However, both the methods i.e., apexification and revascularization are effective regarding the narrowing of the apical foramen of an immature tooth.
- non vital teeth
How to Cite
Kleier DJ, Barr ES. A study of endodontically apexified teeth. Endod Dent Traumatol. 1991;7:112.
Andreasen JO, Farik B, Munksgaard long-term calcium hydroxide as a root canal dressing may increase the risk of root fracture. Dent Trautamol. 2002;18: 134–7.
Rosenberg B, Murray PE, Namerow K. The effect of calcium hydroxide root filling on dentin fracture strength. Dent Traumatol. 2007;23:26–9.
Simon S, Rilliard F, Berdal A, Machtou P. The use of mineral trioxide aggregate in one-visit apexification treatment: A prospective study. Int Endod J. 2007;40:186–97.
Mandeep Kaur, Harpreet Singh and Meenu Saini. MTA versus biodentine: Review of literature with a comparative analysis. J. clin. Diagn. 2017;11(8): ZG01-ZG05.
Huang GT. A paradigm shift in endodontic management of immature teeth: Conservation of stem cells for regeneration. J Dent. 2008;36:379–86.
Thomson A, Kahler B. Regenerative endodontics—biologically-based treat-ment for immature permanent teeth: A case report and review of the literature. Aust Dent J. 2010;55(4): 446–452.
Zhang W, Yelick PC. Vital pulp therapy-current progress of dental pulp regeneration and revascularization. Int. J. Dent. 2010;2010.
Mélanie Namour and Stephanie Theys. Pulp revascularization of immature permanent teeth: A review of the literature and a proposal of a new clinical protocol. Scientific World Journal. 2014;2014:737503.
Aggarwal V, Miglani S, Singla M. Conventional apexification and revascularization induced mature-genesis of two non-vital, immature teeth in same patient: 24 months follow up of a case. Journal of Conservative Dentistry: JCD. 2012;15(1):68.
Heasman P, Mc Cracken G. Harthy's dental dictionary. 3rd ed. London: Churchill Livingstone, Elsevier; 2007.
M. Torabinejad and M. Parirokh. Mineral trioxide aggregate: A comprehensive literature review—part II: Leakage and biocompatibility investigations. J Endod. 2010;36(2): 190–202.
Mooney GC and North S. The current opinions and use of MTA for apical barrier formation of non-vital immature permanent incisors by consultants in paediatric dentistry in the UK. Dental Traumatology. 2008;24(1):65–69.
Pérard M, Le Clerc J, Meary F, Pérez F, Tricot-Doleux S, Pellen-Mussi P. Spheroid model study comparing the biocompatibility of biodentine and MTA. Journal of Materials Science: Materials in Medicine. 2013;24(6): 1527–1534.
Naseem Shah, Ajay Logani, Uday Bhaskar, Vivek Aggarwal. Efficacy of revascularization to Induce apexification/ apexogensis in Infected, Nonvital. Immature Teeth: A Pilot Clinical Study JOE. 2008;34(8).
Vijayaraghavan R, Mathian VM, Sundaram AM, Karunakaran R, Vinodh S. Triple antibiotic paste in root canal therapy. Journal of Pharmacy And Bioallied Sciences. 2012;4(2):230–233.
Langer R, Vacanti JP. Tissue engineering. Science. 1993;260(5110):920–926.
Gelman R, Park H. Pulp revascularization in an immature necrotic tooth: A case report. Pediatric Dentistry. 2012;34(7): 496–499.
López Carmen, Mendoza Asunción, Solano Beatriz, Yáñez-Vico Rosa. Revascularization in Immature permanent teeth with necrotic pulp and apical pathology: Case Series. Case Reports in Dentistry. 2017;8. Article ID 3540159.
Park H, Lee B, Hwang Y, Hwang I, Oh W, Chang H. Treatment of non-vital immature teeth with amoxicillin-containing triple antibiotic paste resulting in apexification. Restorative Dentistry & Endodontics. 2015; 40(4):322.
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