How do you perform apexification?
There are two steps to perform this procedure: the first is to disinfect the canal space and the second is to stimulate the apical barrier formation. Disinfection is achieved by placing a relatively thin mixture (less than toothpaste thick) of calcium hydroxide powder mixed with 0.12% chlorhexidine solution.
What is a apexification in dentistry?
Apexification is a method of inducing a calcified barrier at the apex of a nonvital tooth with incomplete root formation. Apexogenesis refers to a vital pulp therapy procedure performed to encourage physiological development and formation of the root end.
How do you use apexification in MTA?
It is recommended that a 3–5 mm thick plug of MTA should be placed at the apex for apexification procedures. Several authors successfully treated open apex cases by placing 2–5 mm of thickness of MTA at the apical end as a stop.
Can Metapex be used for apexification?
Metapex (mixture of calcium hydroxide and iodoform) was used in our patient for apexification. A success rate of 100% was found in a study that used a calcium hydroxide- iodoform mixture as the intracanal medicament, wherein, the average time for the apical barrier to form was found to be 6.09 mnth [15].
What materials can be used for apexification?
There are different materials to be used in apexification such as Mineral trioxide aggregate (MTA), Bioceramics and Biodentine.
- Mineral trioxide aggregate. Mineral trioxide aggregate (MTA) is composed primarily of tricalcium silicate, tricalcium aluminate, tricalcium oxide, and silicate oxide.
- Bioceramics.
- Biodentine.
What’s the difference between pulpotomy and Pulpectomy?
In pulpotomy, the coronal part of the pulp is removed while in Pulpectomy procedure, the crown and the root canal of the pulp chamber is removed. For further understanding, Pulpotomy is a common procedure and can be referred to as baby root canal. Pulpotomy restores and saves the tooth infected by a deep cavity.
Why is MTA good for Apexification?
[10] The advantages of this material are (i) reduction in treatment time, (ii) immediate restoration of the tooth, (iii) no adverse effect on the mechanical properties of root dentin. In a prospective study, apexification treatment with MTA showed a high prevalence of healing and apical closure.
What is MTA plug?
Mineral trioxide aggregate (MTA) apical plug method is an alternative treatment option for open apices, and has gained popularity in the recent times. In this case report, we have attempted to present successful treatment of three maxillary incisors with open apices and periapical lesions with MTA.
What is the difference between pulpotomy and Pulpectomy?
What is the immature root called?
Apexification is a procedure used to stimulate root development or closing of the root end (i.e., open apex). An open apex is often found in teeth that are not fully developed (“immature”) or whose roots have been eroded away by a process known as resorption.