Journal of Isfahan Dental School

Apexification of an Immature Tooth with Cold Ceramic: A Case Report

Document Type : گزارش مورد

Authors

1 Associate Professor, Department of Endodontics, School of Dentistry, Yazd University of Medical Sciences, Yazd, Iran

2 Dental Student, Student Research Committee, School of Dentistry, Yazd University of Medical Sciences, Yazd, Iran

Abstract

Introduction: Apexification with calcium hydroxide is the traditional method to create an apical seal in open-apex teeth. Recently, single-visit apexification with suitable materials has gained popularity. A material suggested for this aim should have low solubility, low toxicity, and biocompatibility, and induce a calcified barrier and regenerate bone and PDL. Cold ceramic, introduced as a root-end filling material, has exhibited favorable properties for apexification in previous studies.
Case report: This case report describes successful apexification of a maxillary right central incisor in a 10-year-old girl with cold ceramic. One- and two-year follow-ups showed resolution of the lesion, absence of any clinical signs, new PDL formation, and bone regeneration.
Conclusion: According to the results, cold ceramic can be considered an effective material for apexification.
Keywords:  Apexification, Biocompatibility, Ceramics, Open apex.

1. Pinkham JR, Casamassimo PS, Fields HW, McTigue DJ, Nowak A. Pediatric dentistry. Infancy through Adolesc. St. Louis, Mosby: Elsevier; 2005.
2. Torabinejad M, Shabahang S, Fouad A. Endodontics-e-book: Principles and practice. 6th ed. Amsterdam, Netherlands: Elsevier Health Sciences; 2014.
3. Hargreaves KM, Berman LH. Cohen’s pathways of the pulp expert consult. Amsterdam, Netherlands: Elsevier Health Sciences; 2015.
4. Modaresi J, Hemati HR. The cold ceramic material. Dent Res J (Isfahan) 2018; 15(2): 85-8.
5. Modaresi J, Aghili H. Sealing ability of a new experimental" cold ceramic" material compared to glass ionomer. J Clin Dent 2006; 17(3): 64-6.
6. Modaresi J. Perforation repair comparing experimental new material" cold ceramic" and amalgam. Asian Dent 2004; 11: 6-7.
7. Modaresi J, Bahrololoomi Z, Astaraki P. In vitro comparison of the apical microleakage of laterally condensed gutta percha after using calcium hydroxide or cold ceramic as apical plug in open apex teeth. Shiraz Univ Dent J 2006; 7(1-2): 63-9.
8. Mokhtari F, Modaresi J, Javadi G, Davoudi A, Badrian H. Comparing the marginal adaptation of cold ceramic and mineral trioxide aggregate by means of scanning electron microscope: An in vitro study. J Int Oral Health 2015; 7(9): 7-10.
9. Mozayeni MA, Salem Milani A, Alim Marvasti L, Mashadi Abbas F, Modaresi SJ. Cytotoxicity of Cold Ceramic compared with MTA and IRM. Iran Endod J 2009; 4(3): 106-11.
10. Torabinejad M, Hong CU, Pitt Ford TR, Kettering JD. Cytotoxicity of four root end filling materials. J Endod 1995; 21(10): 489-92.
11. Hasheminia SM, Nejad SL, Dianat O, Modaresi J, Mahjour F. Comparing the sealing properties of mineral trioxide aggregate and an experimental ceramic based root end filling material in different environments. Indian J Dent Res 2013; 24(4): 474-7.
12. Modaresi J, Yavari SA, Dianat SO, Shahrabi S. A comparison of tissue reaction to MTA and an experimental root‐end restorative material in rats. Aust Endod J 2005; 31(2): 69-72.
13. Akhavan A, Parashos P, Razavi SM, Davoudi A, Shadmehr E. Hard tissue reaction to mineral trioxide aggregate and experimental root-end filling material in guinea pig mandibles. J Dent Sci 2017; 12(2): 107-11.
14. Zare Jahromi M, Razavi SM, Esfahanian V, Feyzi Gh. Histological evaluation of inflammation after sealing furcating perforation in dog’s teeth by four materials. Dent Res J 2006; 3(2): 84-91.
Journal of Isfahan Dental School
Volume 16, Issue 3 - Serial Number 3
September 2020
Pages 345-351