Systematic Review of Biocompatible Materials in Endodontic Apexification for Immature Teeth | Chapter 6 | Achievements and Challenges of Medicine and Medical Science Vol. 7

Background: Endodontic treatment presents challenges, especially in cases of open tooth apices resulting from trauma or pulpal pathology, which can create divergent or flared root walls, often referred to as "blunderbuss" or "non-blunderbuss" canals. Conventional root canal procedures for open apices risk material extrusion. Furthermore, there is limited documented research on apexification materials and methods in South Asian countries, highlighting a gap in the field. In 2004, Dr. S Banchs and Trope introduced a regenerative protocol using minimal instrumentation, extensive irrigation, and antibiotic paste, followed by a blood clot scaffold or alternatives like platelet-rich plasma/fibrin to promote tissue regeneration.

Aim: This paper aims to provide a comprehensive review of the various materials and techniques used in apexification procedures in South Asian countries.

Materials and Methods: This systematic review, covering January 2000 to August 2023, involved an extensive computerized search of apexification procedures in South Asia. Articles were sourced from Google Scholar and PubMed using keywords and Boolean operators. After applying inclusion and exclusion criteria, eight articles were selected, thoroughly read, and analyzed in relation to the review question.

Results: Three primary materials—Calcium Hydroxide, MTA, and Biodentine—were frequently used in apexification procedures. Among these, Biodentine showed superior performance, while Calcium Hydroxide remained the gold standard for apexification in teeth with shorter roots.

Conclusion: The studies reviewed indicate that Biodentine is preferred for apexification in South Asia. However, further research is needed within the region to expand understanding of apexification procedures and assess newer materials.

 

Author (s) Details

 

R Jesanth Joel
Department of Conservative Dentistry and Endodontics, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu – 625001, India.

 

Swathi Priyadharshini
Department of Conservative Dentistry and Endodontics, Saveetha Dental college, Poonamallee, Chennai – 600077, India.

 

I Anand Sherwood
Department of Conservative Dentistry and Endodontics, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu – 625001, India.

 

Vaanjay M
Department of Conservative Dentistry and Endodontics, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu – 625001, India.

 

Rathna Piriyanga
CSI College of Dental Sciences and Research, Madurai, 625001, India.

 

A Azhagu Abirami
Department of Conservative Dentistry and Endodontics, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu – 625001, India.

 

 

Please see the book here:- https://doi.org/10.9734/bpi/acmms/v7/3484

Calcium Hydroxide Vs MTA in Pulp Capping | Book Publisher International

Direct pulp-capping is a procedure for treating exposed vital pulp that involves covering the exposed region with dental material in order to promote the establishment of a protective barrier and the preservation of the vital pulp. Caries, mechanical sources, and trauma are the three factors that generate exposure to the vital pulp. On teeth with normal pulp or reversible pulpitis, pulp capping can be done. The findings of the tests for percussion, palpation, and periodontal probing need to be within normal bounds. The radiograph ought to display healthy apical tissue.

Materials of various types, including Zinc Oxide Eugenol, Glass Ionomer (GI), Resin Modified Glass Ionomer (RMGI), Adhesive systems, Calcium Hydroxide, Mineral Trioxide Aggregate (MTA), and Bio dentine, are employed. Comparing MTA to Calcium Hydroxide as a direct pulp capping material, MTA is more efficient and better. In comparison to Calcium Hydroxide, MTA is simpler to use, more effective, less poisonous, and less likely to cause pulpal irritation.

Author(s) Details:

Shahd Fawaz Alnojaidi

Dar Al Uloom University, Riyadh, Saudi Arabia and Massachusetts Central University, USA.

Ghadeer Fawaz Alnojaidi

Dar Al Uloom University, Riyadh, Saudi Arabia.

Rahaf Fawaz Alnojaidi

Dar Al Uloom University, Riyadh, Saudi Arabia.

Sawsan M. Alyousef

Intensive Care Consultant, King Fahad Medical City, Princess Noura University, Riyadh, Saudi Arabia.

View Book: https://stm.bookpi.org/CHMPC/article/view/7418

Reporting the Cases on Healing of Large Periapical Lesions by Non-surgical Approach | Chapter 2 | Highlights on Medicine and Medical Research Vol. 2

Introduction: As a sequel to pulpal infection, periapical lesions typically form. Clinicians prefer to take a surgical approach to treatment when there is a large periapical inclination evident on the radiograph. The majority of periapical lesions can be identified as abscesses, cysts or granulomas. However, in order to save teeth, a non-surgical solution should be pursued with the effective use of intracanal medications. This paper illustrates healing by non-surgical endodontic treatment of large periapical lesions in two instances.

Case Presentation: Endodontic treatment of mandibular first molar and maxillary incisors is mentioned in this article. In an aqueous vehicle, calcium hydroxide was placed as an intracanal drug, adjusting the dressing every fifteen days for a span of three months. Radiographic recovery was demonstrated by continuous follow-up and the patients were asymptomatic.

Conclusion: The case reports provided in this article illustrated healing after endodontic therapy with large periapical lesions. Isolation with rubber dam, extensive chemo mechanical debridement of the root canal space with use of calcium hydroxide as intracanal medicament is emphasized. Radiographic monitoring of the prognosis of a large periapical lesion following orthograde endodontic therapy is advised before making the decision to perform periapical surgery.

Author (s) Details

Dr. Bonny Paul
Department of Conservative Dentistry and Endodontics, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh, India.

Dr. Kavita Dube
Department of Conservative Dentistry and Endodontics, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh, India.

View Book :- https://stm.bookpi.org/HMMR-V2/issue/view/20