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Apexification

The Experts below are selected from a list of 2310 Experts worldwide ranked by ideXlab platform

Gabriel Aguilar – 1st expert on this subject based on the ideXlab platform

  • apical closure in Apexification a review and case report of Apexification treatment of an immature permanent tooth with biodentine
    Journal of Endodontics, 2016
    Co-Authors: Karla Vidal, Gabriela Martin, Óscar Lozano, Marco Salas, Jaime Trigueros, Gabriel Aguilar

    Abstract:

    Materials such as calcium hydroxide paste and mineral trioxide aggregate are used in Apexification treatment of immature permanent teeth, but the search for improved materials with higher characteristics of biocompatibility results in different materials. Biodentine is a tricalcium silicate cement that possesses adequate handling characteristics and acceptable mechanical and bioactivity properties. This report describes the case of a 9-year-old boy who was referred to the Department of Dental Clinic of Queretaro Autonomous University of Mexico. One month prior the patient had suffered a dental trauma of his upper left central incisor and had been treated by another dentist. The clinical diagnosis was previously initiated therapy and symptomatic apical periodontitis. The treatment was Apexification with Biodentine. At follow-ups performed at 3, 6, and 18 months after treatment the tooth was asymptomatic. The cone-beam computed tomography scan at 18-month postoperative follow-up revealed continuity of periodontal ligament space, absence of periapical rarefactions, and a thin layer of calcified tissue formed apical to the Biodentine barrier. On the basis of sealing ability and biocompatibility, Apexification treatment with Biodentine was applied in the present case report. The favorable clinical and radiographic outcome in this case demonstrated that Biodentine may be an efficient alternative to the conventional Apexification materials.

  • Apical Closure in Apexification: A Review and Case Report of Apexification Treatment of an Immature Permanent Tooth with Biodentine
    Journal of Endodontics, 2016
    Co-Authors: Karla Vidal, Gabriela Martin, Óscar Lozano, Marco Salas, Jaime Trigueros, Gabriel Aguilar

    Abstract:

    Materials such as calcium hydroxide paste and mineral trioxide aggregate are used in Apexification treatment of immature permanent teeth, but the search for improved materials with higher characteristics of biocompatibility results in different materials. Biodentine is a tricalcium silicate cement that possesses adequate handling characteristics and acceptable mechanical and bioactivity properties. This report describes the case of a 9-year-old boy who was referred to the Department of Dental Clinic of Querétaro Autonomous University of Mexico. One month prior the patient had suffered a dental trauma of his upper left central incisor and had been treated by another dentist. The clinical diagnosis was previously initiated therapy and symptomatic apical periodontitis. The treatment was Apexification with Biodentine. At follow-ups performed at 3, 6, and 18 months after treatment the tooth was asymptomatic. The cone-beam computed tomography scan at 18-month postoperative follow-up revealed continuity of periodontal ligament space, absence of periapical rarefactions, and a thin layer of calcified tissue formed apical to the Biodentine barrier. On the basis of sealing ability and biocompatibility, Apexification treatment with Biodentine was applied in the present case report. The favorable clinical and radiographic outcome in this case demonstrated that Biodentine may be an efficient alternative to the conventional Apexification materials.

Junqi Ling – 2nd expert on this subject based on the ideXlab platform

  • regenerative endodontics versus Apexification in immature permanent teeth with apical periodontitis a prospective randomized controlled study
    Journal of Endodontics, 2017
    Co-Authors: Qian Zeng, Wei Zhao, Jing Gu, Jiaxuan Lu, Maobin Yang, Junqi Ling

    Abstract:

    Abstract Introduction The aim of the study was to compare the outcomes of regenerative endodontic treatment (RET) and Apexification on immature permanent teeth with pulp necrosis and apical periodontitis. Methods A total of 118 patients (118 teeth) were recruited and randomly assigned to either RET or Apexification treatment. Each treatment group was divided into 2 subgroups according to the etiology: dens evaginatus or trauma. Clinical symptoms and complications were recorded, and cone-beam computed tomographic imaging with a limited field of view was used to measure the change of root length, root thickness, and apical foramen size at the 12-month follow-up. The t test/rank sum test and Fisher exact test were applied to compare the change of root morphology between RET and Apexification. Results One hundred three of 118 cases were completed at the 12-month follow-up. The survival rate was 100% for both treatment groups. All cases were asymptomatic with apical healing. The RET group showed a significant increase in root length and root thickness compared with the Apexification group ( P P Conclusions RET and Apexification achieved a comparable outcome in regard to the resolution of symptoms and apical healing. RET showed a better outcome than Apexification regarding increased root thickness and root length. The etiology had an impact on the outcome of RET. Dens evaginatus cases showed better prognoses than trauma cases after RET.

  • comparison of mineral trioxide aggregate and calcium hydroxide for Apexification of immature permanent teeth a systematic review and meta analysis
    Journal of the Formosan Medical Association, 2016
    Co-Authors: Jiaxuan Lu, Qian Zeng, Wei Zhao, Wenqing Li, Junqi Ling

    Abstract:

    Background/purpose Calcium hydroxide and mineral trioxide aggregate (MTA) are used for inducing a calcific barrier at an open tooth root (Apexification). The purpose of this study was to compare the efficacy of calcium hydroxide and MTA for Apexification of immature permanent teeth. Methods Medline, Cochrane, EMBASE, and Google Scholar were searched until November 24, 2015, using the keywords Apexification, permanent teeth, MTA, and calcium hydroxide. Results Of 216 studies identified, four studies were included. There were no differences in the clinical success rate [pooled odds ratio (OR) = 3.03, 95% confidence interval (CI): 0.42–21.72, p = 0.271], radiographic success rate (pooled OR = 4.30, 95% CI: 0.45–41.36, p = 0.206), or apical barrier formation rate (pooled OR = 1.71, 95% CI: 0.59–4.96, p = 0.322) between calcium hydroxide and MTA groups. The time required for apical barrier formation was significantly less in the MTA group (pooled difference in means = −3.58, 95% CI: from −4.91 to −2.25, p  Conclusion While both materials provide similar success rates, the shorter treatment time with MTA may translate into higher overall success rates because of better patient compliance.

Karla Vidal – 3rd expert on this subject based on the ideXlab platform

  • apical closure in Apexification a review and case report of Apexification treatment of an immature permanent tooth with biodentine
    Journal of Endodontics, 2016
    Co-Authors: Karla Vidal, Gabriela Martin, Óscar Lozano, Marco Salas, Jaime Trigueros, Gabriel Aguilar

    Abstract:

    Materials such as calcium hydroxide paste and mineral trioxide aggregate are used in Apexification treatment of immature permanent teeth, but the search for improved materials with higher characteristics of biocompatibility results in different materials. Biodentine is a tricalcium silicate cement that possesses adequate handling characteristics and acceptable mechanical and bioactivity properties. This report describes the case of a 9-year-old boy who was referred to the Department of Dental Clinic of Queretaro Autonomous University of Mexico. One month prior the patient had suffered a dental trauma of his upper left central incisor and had been treated by another dentist. The clinical diagnosis was previously initiated therapy and symptomatic apical periodontitis. The treatment was Apexification with Biodentine. At follow-ups performed at 3, 6, and 18 months after treatment the tooth was asymptomatic. The cone-beam computed tomography scan at 18-month postoperative follow-up revealed continuity of periodontal ligament space, absence of periapical rarefactions, and a thin layer of calcified tissue formed apical to the Biodentine barrier. On the basis of sealing ability and biocompatibility, Apexification treatment with Biodentine was applied in the present case report. The favorable clinical and radiographic outcome in this case demonstrated that Biodentine may be an efficient alternative to the conventional Apexification materials.

  • Apical Closure in Apexification: A Review and Case Report of Apexification Treatment of an Immature Permanent Tooth with Biodentine
    Journal of Endodontics, 2016
    Co-Authors: Karla Vidal, Gabriela Martin, Óscar Lozano, Marco Salas, Jaime Trigueros, Gabriel Aguilar

    Abstract:

    Materials such as calcium hydroxide paste and mineral trioxide aggregate are used in Apexification treatment of immature permanent teeth, but the search for improved materials with higher characteristics of biocompatibility results in different materials. Biodentine is a tricalcium silicate cement that possesses adequate handling characteristics and acceptable mechanical and bioactivity properties. This report describes the case of a 9-year-old boy who was referred to the Department of Dental Clinic of Querétaro Autonomous University of Mexico. One month prior the patient had suffered a dental trauma of his upper left central incisor and had been treated by another dentist. The clinical diagnosis was previously initiated therapy and symptomatic apical periodontitis. The treatment was Apexification with Biodentine. At follow-ups performed at 3, 6, and 18 months after treatment the tooth was asymptomatic. The cone-beam computed tomography scan at 18-month postoperative follow-up revealed continuity of periodontal ligament space, absence of periapical rarefactions, and a thin layer of calcified tissue formed apical to the Biodentine barrier. On the basis of sealing ability and biocompatibility, Apexification treatment with Biodentine was applied in the present case report. The favorable clinical and radiographic outcome in this case demonstrated that Biodentine may be an efficient alternative to the conventional Apexification materials.