Apexification with Calcium Hydroxide vs. Revascularization.
H Boufdil1, M Mtalsi1, S El Arabi1
1Department of Pediatric Dentistry, Faculty of Dentistry, Hassan II University of Casablanca, Morocco.
Case Reports in Dentistry
|June 19, 2020
Summary
Revascularization is a promising technique for treating immature necrotic teeth, offering better root development and wall thickening compared to traditional calcium hydroxide apexification. This approach aids in achieving apical closure and strengthening the tooth structure over time.
Area of Science:
- Dentistry
- Endodontics
- Regenerative Endodontics
Background:
- Necrotic immature teeth present treatment challenges due to open apices and thin root walls, precluding conventional endodontic therapy.
- Calcium hydroxide apexification is a long-standing method but has drawbacks like extended treatment duration, reinfection risk, and compromised root strength.
Observation:
- This study compares calcium hydroxide apexification with the revascularization technique in managing necrotic immature teeth.
- A clinical case was treated and followed for 24 months at the pediatric dentistry department in Casablanca, Morocco.
Findings:
- Revascularization promotes continued root dentinogenesis, leading to apical closure and root wall thickening.
- This regenerative approach offers potential advantages over traditional apexification in terms of treatment efficacy and root development.
Implications:
- Revascularization represents a viable alternative for treating necrotic immature teeth, potentially improving long-term outcomes.
- Further research and clinical application of revascularization can enhance regenerative endodontic treatment strategies for pediatric dental patients.
