Journal of Isfahan Dental School

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

Document Type : گزارش مورد

Authors

1 Postgraduate Student of Pediatric Dentistry, Dental Research Center, Department of Pediatric Dentistry, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, Department of Pediatric Dentistry, School of Dentistry, Ilam University of Medical Sciences, Ilam, Iran

3 Assistant Professor, Dental Research Center, Department of Pediatric Dentistry, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

4 Postgraduate Student of Endodontics, Dental Research Center, Department of Endodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

5 Postgraduate Student of Prosthodontics, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

Abstract

Introduction: Apexification is a method to create a calcification barrier in teeth with open apex and pulp necrosis. For many years, calcium hydroxide was the most common substance for this purpose. Nowadays, apexification with other materials that can yield better results in one session has become more popular.
Case report: For a 9-year-old boy complained of “tooth decay”, apexification treatment was performed by MTA on the lower right sixth permanent molar and by cold ceramic on the lower left sixth permanent molar. At one-year follow-up, no symptoms were observed on clinical examination and radiography of both teeth.
Conclusion: Cold ceramic such as MTA can be considered effective in the apexification of immature tooth with pulp necrosis.
Key words: Ceramics, Apexification, Biocompatibile materials

1. Diogenes AR, Ruparel NB, Teixeira FB, Hargreaves KM. Translational science in disinfection for regenerative endodontics. J Endod 2014; 40(4): S52-7.
2. Felippe W, Felippe MCS, Rocha MJC. 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.
3. 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(3): 186-97.
4. Kumar H, Al-Ali M, Parashos P, Manton DJ. Management of 2 teeth diagnosed with dens invaginatus with regenerative endodontics and apexification in the same patient: a case report and review. J Endod 2014; 40(5): 725-31.
5. Soares J, Santos S, Cesar C, Silva P, Sa M, Silveira F, et al. Calcium hydroxide induced apexification with apical root development: a clinical case report. Int Endod J 2008; 41(8): 710-9.
6. Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. J Endod 1999; 25(3): 197-205.
7. Sarkar N, 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.
8. Albadri S, Chau YS, Jarad F. The use of mineral trioxide aggregate to achieve root end closure: three case reports. Dent Traumatol 2013; 29(6): 469-73.
9. Akhavan A, Shafiei Rad ES, Mehdizadeh M, Mousavi SB, Modaresi J. Radiopacity evaluation of a new root-end filling material (NREFM) with two types of radiopacifiers in comparison to pro-root MTA and Portland cement. J Isfahan Dent Sch 2012; 8(3): 221-8. [In Persian].
10. Modaresi J, Hemati HR. The cold ceramic material. Dent Res J (Isfahan) 2018; 15(2): 85-8.
11. Hasheminia SM, Loriaei 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. Andreasen JO, Farik B, Munksgaard EC. Long‐term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol 2002; 18(3): 134-7.
13. Modaresi J, Talakoob M. Comparison of two root-end filling materials. J Isfahan Dent Sch 2015; 11(5): 386-79. [In Persian].
14. 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.
15. 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. J Dent 2006; 7(1,2): 63-9.
16. Modaresi J, Mirzaeeian A, Almodaresi Z, Mousavi R. Apexification of an immature tooth with cold ceramic: A case report. J Isfahan Dent Sch 2020; 16(3): 345-51. [In Persian].
Journal of Isfahan Dental School
Volume 17, Issue 4 - Serial Number 4
December 2020
Pages 467-473