Akademik Veri Yönetim Sistemi
28th Congress of the International Association of Paediatric Dentistry, Washington, Amerika Birleşik Devletleri, 10 - 13 Haziran 2021, cilt.32, sa.2, ss.276
Introduction: Traumatic injuries to young permanent teeth
often result in pulpal inflammation or necrosis and subsequent
incomplete development of dentinal wall and root
apices Treatment of necrotic immature teeth has always
been a real challenge for the clinician due to the weak root
structure and open apex. Its impossible to accomplish endodontic
treatment with Conventional approach. The treatment
of choice for necrotic young permanent teeth with open
apex is apexification. The aim of this case report is to study
the Effectiveness of calcium hydroxide in the treatment of
apexification.
Methods: An 8-year-
old
female patient reported to our clinic
with the complaint of spontaneous pain, after the clinical and
radiographic examinations, tooth 36 was diagnosed with irreversible
pulpitis and tooth was with incomplete Apical
development. Apexification with calcium hydroxide was
performed. CaOH was renewed periodically when resorbed.
Regular clinical and radiographic follow-up
was performed
and after 14 months of apexification treatment, apical barrier
was noticed and confirmation of the barrier was done by
inserting gutta percha point in the canal
Discussion: There are different materials and application
techniques for apexification therapy in the literature. CaOH
has been used in apexification therapy for many years.
Although MTA (mineral trioxide aggregate) apexification
has been performed in a single session in recent years, there
are disadvantages such as application difficulty and high cost
in multi-rooted
teeth.
Conclusion: The present case shows that Calcium hydroxide
has good potential to induce calcific bridge formation in
apexification of immature permeant teeth.