Management of traumatised maxillary central incisor with immature open apex using mineral trioxide aggregate and tailor made gutta percha: a case report

Authors

  • Suvarna Patil Department of Conservative dentistry and Endodontics, Vasantdada Patil Dental College and Hospital, Sangli, Maharashtra, India
  • Upendra Hoshing Department of Conservative dentistry and Endodontics, Vasantdada Patil Dental College and Hospital, Sangli, Maharashtra, India
  • Sharanappa Kambale Department of Conservative dentistry and Endodontics, Vasantdada Patil Dental College and Hospital, Sangli, Maharashtra, India
  • Ruchika Gupta Department of Conservative dentistry and Endodontics, Vasantdada Patil Dental College and Hospital, Sangli, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20170682

Keywords:

Apexification, MTA, Open apex, Tailor made gutta-percha

Abstract

Root development and apex closure after the eruption of teeth takes a minimum of 3-4 years. If trauma to the pulp occurs during this period, it becomes a challenge for the clinician to treat the pulpal injury. Apexification is the treatment of choice for necrotic teeth with immature apex. Apexification done with calcium hydroxide encounters certain difficulties like very long treatment time, possibility of tooth fracture and incomplete calcification of the bridge. Mineral trioxide aggregate (MTA) was introduced as an alternative material to traditional materials for the apexification of immature permanent teeth. This case report presents successful management of a case with open apex using MTA followed by Tailor made gutta-percha.

Author Biographies

Suvarna Patil, Department of Conservative dentistry and Endodontics, Vasantdada Patil Dental College and Hospital, Sangli, Maharashtra, India

conservative dentistry and endodontics

 3rd yr PG STUDENT

Upendra Hoshing, Department of Conservative dentistry and Endodontics, Vasantdada Patil Dental College and Hospital, Sangli, Maharashtra, India

3rd year Pg student 

Department of conservative dentistry and endodontics

References

Navabazam A, Farahani SS. Prevalence of traumatic injuries to maxillary permanent teeth in 9 to 14-years old school children in Yazd, Iran. Dent Traumatol. 2010;26:154-77.

Pradeep G, Natesan S, Kandaswamy D. The complete endodontic obturation of immature permanent central incisors with mineral trioxide aggregate and using obturated MTA as barrier for walking bleaching. J Cons Dent. 2007:10:93-8.

Mathew BP, Hegde MN. Management of non-vital immature teeth – case reports and review Endodontology. 2010:18-22.

American Association of Endodontists. Glossary of endodontic terms, 7th edn. Chicago: American Association of Endodontists. 2003.

Parashos P. MDSc (Melb), FRACDS. Apexification: Case report. Austra Den J. 1997;42(1):43-6.

Andreasen Jo, Farik B, Munksgaard EC. Long-term calcium hydroxide as a root canal dressing may increase the risk of root fracture. Dent Traumatol. 2002;18(3):134-7.

Steinig TH, Regan JD, Gutmann JL. The use and predictable placement of Mineral Trioxide Aggregate in one-visit apexification cases. Aust Endod J. 2003;29(1):34-42.

Torabinejad M, ChivianN. Clinical applications of mineral trioxide aggregate. J Endod. 1999;25(3):197-205.

Simon, Rilliard F, Berdal A, Machtou P. The use of mineral trioxide aggregate in one-visit apexification treatment: a prospective study. Inter End J. 2007;40:3, 186–197

Shabhahang S, Torabinejad M, Boyne PP, Abedi H, McMillan P. A comparative study of root induction using osteogenic protein-1, calcium hydroxide and mineral trioxide aggregate in dogs. JEndod 1999;25(1):1-5.

Kubasad GC, Ghivari SB. Apexification with apical plug of MTA- report of cases. Arch Oral Sci Res. 2011;1:104-7.

Pradhan DP, Chawla HS, Gauba K, Goyal A. Comparative evaluation of endodontic management of teeth with unformed apices with mineral trioxide aggregate and calcium hydroxide. J Dent Child. 2006;73(2):79-85.

Kratchman SI. Perforation repair and one-step apexification procedures. Dent Clin North Am. 2004;48:291-307.

Felippe WT, Felippe MC, Rocha MJ. The effect of mineral trioxide aggregate on the apexification and periapical healing of teeth with incomplete root formation. Int Endod J. 2006;39(1):2-9.

Keiser K, Johnson CC, Tipton DA. Cytotoxicity of mineral trioxide aggregate using human periodontal ligament fibroblasts. J Endod. 2000;26(5):288-91.

Baek SH, Plenk H Jr, Kim S. Periapical tissue responses and cementum regeneration with amalgam, Super EBA, and MTA as root-end filling materials. J Endod. 2005;31(6):444-9.

Koh ET, Pittford TR, Torabinejad M, Mcdonald F. Mineral trioxide aggregate stimulates cytokine production in human osteoblasts. J Bone Min Res. 1995;10S:S406.

Sarkar NK, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I. Physicochemical basis of the biologic properties of mineral trioxide aggregate. J Endod. 2005;31(2):97-100.

Matt GD, Thorpe JR, Strother JM, McClanahan SB. Comparative study of white and gray material trioxide aggregate (MTA) simulating a one- or two-step apical barrier technique. J Endod. 2004;30(12):876-9.

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Published

2017-02-20

How to Cite

Patil, S., Hoshing, U., Kambale, S., & Gupta, R. (2017). Management of traumatised maxillary central incisor with immature open apex using mineral trioxide aggregate and tailor made gutta percha: a case report. International Journal of Research in Medical Sciences, 5(3), 1151–1155. https://doi.org/10.18203/2320-6012.ijrms20170682

Issue

Section

Case Reports