Endodontic treatment for necrotic immature permanent teeth using MTA and calcium hydroxide. A retrospective study
Journal Title: RSBO - Year 2013, Vol 10, Issue 2
Abstract
Introduction: Endodontic treatment of young permanent teeth with incomplete root formation and necrotic pulp has been a challenge for the dentist. It is necessary to induce the formation of apical barrier (apical plug), enabling the complete root canal filling. Objective: This retrospective clinical study compared the protocols for treatment of teeth with incomplete root formation, using calcium hydroxide (CH) or mineral trioxide aggregate (MTA). Material and methods: 28 patients with incomplete root formation have undergone root canal treatments in the period from 2000 to 2009 were selected. The procedures for cleaning, shaping and intracanal medication (CH paste) were performed in a standardized manner. In 13 patients, after using the CH paste (14 days), apical plugs with MTA were made. In the remaining 15 teeth monthly exchanges with CH paste were executed until it was observed radiographically the formation of the apical barrier. In all cases the canals were filled conventionally with gutta-percha and sealer. Initially, follow-ups were made on a quarterly and semiannually at the end of first year. Results: All apical lesions showed apical healing between 4 and 13 months after starting treatment. There was not noted the continuing process of root formation. Conclusion: It was concluded that the treatment of teeth with incomplete root formation and necrotic pulp with the use of MTA as apical plug has the same clinical results compared with the use of CH, with the advantage of less clinical time.
Authors and Affiliations
Claudio Ferreira, Fabio Gomes, Nadine Luísa Guimarães, Marcelo Vitoriano, Tatyana Ximenes, Bruno de Sousa, Roberto Santos
Keywords
Related Articles
- EP ID EP109385
- DOI -
- Views 181
- Downloads 0
Importance of the information provided to patient before, during, and after endodontic treatment considering the Consumer’s Defense Code
Introduction: The Consumer’s Defense Code was published twenty-years ago and must be properly understood by all service providers, including those of health care area. In this code, the rights and obligations established...
Identification of a charred corpse through dental records
Introduction: Forensic Dentistry is an area of Dentistry related to Law. Among its goals is the execution of human identification, defined as the process of determining the person’s identity. The forensic dentist uses, i...
In vitro evaluation of polymerization shrinkage gap of different universal composite resins
Introduction: Composite resins are the major direct restorative material used in daily dental practice nowadays. However, some aspects of this material need further investigation, such as polymerization shrinkage. Object...
Pleomorphic adenoma of minor salivary gland: a case report
Introduction: World literature suggests salivary gland tumors account for less than 3% of the head and neck tumors and benign pleomorphic adenoma of minor salivary glands arising de novo is very rare. Objective, ca...
Mechanism of action of the interocclusal devices
Introduction: The use of an interocclusal device is a conservative and very valuable treatment form for reducing the signs and symptoms of temporomandibular disorders (TMD) and it may be used in conjunction with othe...