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Apexification with a bioceramic reparative cement: a case report.
General Dentistry
|June 26, 2023
Summary
This case report demonstrates successful apexification using bioceramic reparative cement in a young patient with a non-vital incisor. The treatment effectively formed an apical plug, leading to a clinically and radiographically sound outcome.
Area of Science:
- Endodontics
- Regenerative Dentistry
Background:
- A 14-year-old patient presented with a maxillary right central incisor affected by pulpal necrosis and incomplete root formation following trauma.
- The trauma occurred approximately two years prior, impacting both maxillary central incisors.
Observation:
- Apexification was performed using a bioceramic reparative cement to create an apical plug.
- The procedure involved crown opening, chemical-mechanical preparation, and placement of calcium hydroxide medication.
- Intracanal medication was removed using passive ultrasonic instrumentation, followed by canal drying and bioceramic cement insertion under microscopic magnification.
Findings:
- A sterile cotton ball moistened with distilled water was used to manipulate the bioceramic material in the apical region.
- Periapical radiography confirmed the accurate placement of the bioceramic reparative cement.
- The root canal was subsequently obturated with gutta-percha cones and a bioceramic root canal sealer.
Implications:
- Eighteen-month clinical and radiographic follow-up revealed the treated tooth to be asymptomatic.
- The results suggest that bioceramic reparative cement is an effective material for apexification procedures.
- This case highlights a viable treatment option for immature teeth with pulpal necrosis, promoting root development and long-term tooth survival.
