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Original Research

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Long term radiographic study of bilateral second premolars with immature root treated by apexogenesis and apexification

  • Reishi Seo1
  • Kenshi Maki2,*,
  • Akiko Hidaka2
  • Manabu Higuchi1
  • Mitsutka Kimura2

1 Seo Dental Clinic, Kumamoto, Japan

2Department of Pediatric Dentistry, Kyushu Dental College, Kitakyushu, Japan

DOI: 10.17796/jcpd.29.4.w32m46v2308r0455 Vol.29,Issue 4,October 2005 pp.313-316

Published: 01 October 2005

*Corresponding Author(s): Kenshi Maki E-mail: k-maki@kyu-dent.ac.jp

Abstract

A ten-year-old girl broke the central cusps of the mandibular second premolars. The mandibular right second premolar was treated with apexification and the left with apexogenesis. These methods were chosen in view of the presented clinical symptoms, radiographic findings, and outcome of bacterial cul-tures of root canal samples. At postoperative 2 years 8 months, disappearance of the focus, closure of the root canal, and formation of the root apex were observed in both mandibular premolars. The mandibular left second premolar demonstrated a nearly normal root formation and root apex mor-phology. Immediately beneath the extracted pulp, regular, uniform, and thick hard tissue was formed. Meanwhile, in the mandibular right second premolar, root growth was suspended, making the root short, and the contour was constructed in such a way that it encircled the distal apical area from the mesial side forming the root apex.

Cite and Share

Reishi Seo,Kenshi Maki,Akiko Hidaka,Manabu Higuchi,Mitsutka Kimura. Long term radiographic study of bilateral second premolars with immature root treated by apexogenesis and apexification. Journal of Clinical Pediatric Dentistry. 2005. 29(4);313-316.

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