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Calcium hydroxide and apexogenesis.

¹Department of Endodontics, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt.

Oral Surgery, Oral Medicine, and Oral Pathology

|October 1, 1988

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Calcium hydroxide successfully treated traumatized immature teeth by promoting root development. This dental treatment stimulated apical bridge formation and induced apexogenesis, aiding in tooth repair.

Area of Science:

Dentistry
Endodontics
Regenerative Dentistry

Background:

Immature teeth with vital pulps are susceptible to trauma.
Incomplete root formation presents challenges in endodontic treatment.
Apexogenesis aims to preserve pulp vitality and allow continued root development.

Observation:

A case report detailing the treatment of a traumatized immature tooth.
Calcium hydroxide was used as an intracanal medicament after chemomechanical debridement.
The material was placed to fill the root canal space.

Findings:

Calcium hydroxide effectively stimulated Hertwig's epithelial root sheath cells.
Undifferentiated progenitor cells were activated to continue root apical formation.

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Successful apical bridge formation and apexogenesis were observed.

Implications:

Calcium hydroxide is a viable option for apexogenesis in immature traumatized teeth.
This treatment can lead to continued root development and improved long-term prognosis.
Further research into regenerative endodontic procedures is warranted.