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Original Research

Open Access

Apexification of Anterior Teeth: A Comparative Evaluation of Mineral Trioxide Aggregate and Calcium Hydroxide Paste

  • Damle S G1,*,
  • Bhattal H1
  • Loomba A1

1Dept of Paediatric Dentistry, M.M College of Dental Sciences and Research, Maharishi Markandeshwar University, Mullana (Ambala), Haryana, India.

DOI: 10.17796/jcpd.36.3.02354g044271t152 Vol.36,Issue 3,May 2012 pp.263-268

Published: 01 May 2012

*Corresponding Author(s): Damle S G E-mail: sgdamle@gmail.com

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Abstract

This study was undertaken to compare the clinical and radiographic effectiveness of Mineral Trioxide Aggregate (MTA) and Calcium Hydroxide in apexification of traumatized young permanent incisors. Methods: Thirty permanent incisors with necrotic pulps and open apices were evenly divided into two groups – Group I (MTA group) & Group II (Calcium Hydroxide group) and treated by apexification. The time taken for apical barrier formation was analyzed. In MTA group, obturation using gutta-percha points was done after 24 hours, whereas in Calcium Hydroxide group obturation was carried out after radiographic confirmation of an apical barrier. Follow up evaluation (clinical and radiographic) was carried out at- 3, 6, 9 and 12 months. Results: The mean time taken for barrier in Group I was 4.50 ± 1.56 months whereas for Group II was 7.93 ± 2.53 months (p value- 0.0002). Radiographic evidence of mean time taken for completion of lamina dura in Group I was 4.07 ± 1.49 months whereas the time period for Group II was 6.43 ± 2.59 months (p value- 0.0067). Conclusion: MTA demonstrated good success and an effective option for apexification with the advantage of reduced treatment time, good sealing ability, biocompatible and provides barrier for immediate obturation.

Keywords

Apexification, Mineral Trioxide Aggregate, Calcium Hydroxide, Calcific barrier formation, Trauma.

Cite and Share

Damle S G,Bhattal H,Loomba A. Apexification of Anterior Teeth: A Comparative Evaluation of Mineral Trioxide Aggregate and Calcium Hydroxide Paste. Journal of Clinical Pediatric Dentistry. 2012. 36(3);263-268.

URL:

https://www.jocpd.com/articles/10.17796/jcpd.36.3.02354g044271t152

References

1. Mackie IC. Management and root canal treatment of non-vital immature permanent teeth. UK National Clinical Guidelines in Paediatric Dentistry. Int J Paediat Dent, 8, 289–293, 1998.

2. Dominguez A, Reyes L, Munoz Munoz T, Martin A. Study of calcium hydroxide apexification in 26 young permanent incisors, Dent Traumat, 21(3): 141–145, 2005.

3. Sheehy EC, Roberts GJ. Use of calcium hydroxide for apical barrier formation and healing in non-vital immature permanent teeth: a review. Brit Dent J, 183 (7): 241–246, 1997.

4. Torabinejad M, Hong, McDonald F, Pittford TR. Physical and chemical properties of a new root-end filling material. J Endodont, 21(7): 349–353, 1995.

5. Koh ET, Torabinejad M, Pittford TR, Brady K, McDonald F. Mineral trioxide aggregate stimulates a biological response in human osteoblasts. J Biomed Mat Res, 37: 432–9, 1997.

6. Ham KA, Witherspoon DE, Gutmann JL, Ravindranath S, Gait TC, Opperman LA. Preliminary evaluation of BMP-2 expression and histological characteristics during apexification with calcium hydroxide and mineral trioxide aggregate. J Endod, 31: 275–9, 2005.

7. Torabinejad M, Watson TF, Pitt Ford TR. Sealing ability of a mineral trioxide aggregate when used as a root end filling material. J Endod, 19: 51, 1993.

8. Rafter M. Apexification: a review. Dent Traumat, 21(1): 1–8, 2005.

9. Estrela C, Sydney GB, Bammann LL, Junior OF. Mechanism of action of Calcium and Hydroxyl ions of Calcium hydroxide on tissue and bacteria. Braz Dent J, 6(2): 85–90, 1995.

10. Shabahang S, Torabinejad M. Treatment of teeth with open apices using mineral trioxide aggregate. Pract Periodont Aesthet Dent,12: 315–20, 2000.

11. Steinig TH, Regan JD, Gutmann JL. The use and predictable placement of mineral trioxide aggregate in one-visit apexification cases. Aust Endod J, 29: 34–42, 2003.

12. Arzu Pinar Erdem, Elif Sepet, Mineral trioxide aggregate for obturation of maxillary central incisors with necrotic pulp and open apices Dent Traumatol, 24: e38–e41, 2008.

13. Ham KA, Witherspoon DE, Gutmann JL, Ravindranath S, Gait TC, Opperman LA Preliminary evacuation of BMP-2 expression and histological characteristics during apexification with calcium hydroxide and mineral trioxide aggregate. J Endodont, 31: 275–9, 2005.

14. Pradhan DP, Chawla HS, Gauba K Goyal A. Comparative evaluation of endodontic management of teeth with unformed apices with mineral trioxide aggregate and calcium hydroxide. J Dent Child, 73(2): 79–85, 2006.

15. Witherspoon DE, Ham K. One-visit apexification: technique for inducing root-end barrier formation in apical closures. Pract Proced Aesthet Dent, 13: 455–60, 2001.

16. Walia T, Chawla HS, Gauba K. Management of wide open apices in non-vital permanent teeth with Calcium hydroxide paste. J Clin Pediat Dent, 25(1): 51–56, 2000.

17. Hachmeister DR, Schindler G, Walker WA, Thomas DD. The sealing ability and retention characteristics of mineral trioxide aggregate in a model of apexification. J Endodont, 28: 86–90, 2002.

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