Title : The Differences of the Calcium Hydroxide and the Mineral Trioxide Aggregate in the Apical Closure of Immature, Non-Vital Permanent Teeth

Vol 6 No 4 (2023): Volume 06 Issue 04 April 2023

Article Date Published : 3 April 2023 | Page No.: 2235-2240 | Google Scholar | Crossref doi for this article

Abstract :

When an immature tooth comes into contact with trauma, the dental pulp in the developing tooth can die, which can cause the absence of root and apical closure. Apexification is a technique used to repair these abnormalities. This method allows us to promote the growth of a hardened root end block. MTA and Ca (OH)2 are two materials that can be used in this process. Either MTA or calcium hydroxide have a good chance of producing positive clinical results. MTA is favored over calcium hydroxide for its significantly shorter time for apical barrier formation, low solubility, easy approach, and ability to prevent root fracture, while calcium hydroxide is preferred over MTA for root length elongation in open apex teeth. The limitations of calcium hydroxide include the fact that it takes more time and multiple visits to form the root-end barrier, is more prone to fracture, and has the potential for reinfection. The goal of this review is to collect revisions on inducing root formation and synthetic barrier approaches and consider the advantages and disadvantages of calcium hydroxide versus MTA.

Keywords :

Apical barrier, Calcium hydroxide, MTA, Non-vital Immature tooth, obturation. Obturation, periapical.

References :

  1. Adel S. Alobaid, .. e. (2014, August 28). Radiographic and Clinical Outcomes of theTreatment of Immature Permanent Teethby Revascularization or Apexification. Journal of Endodontics, 1063-1070. doi:doi:10.1016/j.joen.2014.02.016
  2. al, R. P. (2014, August). Case report: Mineral Trioxide Aggregate as Apical Plug in Teeth with Necrotic Pulp and Immature Apices: A 10-year Case Series. Journal of Endodontics, 1250-1254. doi:https://doi.org/10.1016/j.joen.2013.12.007
  3. Boufdil, H. (2020, May 28). Apexification with Calcium Hydroxide vs. Revascularization. Hindawi, 1-6. doi: https://doi.org/10.1155/2020/9861609
  4. Camila M. Corral Nu~nez, .. a. ( 2014 , Jan 17). Biodentine and Mineral Trioxide Aggregate Induce. Journal of Endodontics, 406-411. doi:doi.org/10.1016/j.joen.2013.11.006
  5. chala, S. (2012). MTA or calcium hydroxide treatment for immature permanent teeth? Evidence-Based Dentistry (nature), 36–42. doi:doi:10.1038/sj.ebd.6400838
  6. Chang, S.-W. (2013, April 05 ). Long-term observation of the mineral trioxide aggregate extrusion into the periapical lesion: a case series. International Journal of Oral Science , 54-57. doi:https://doi.org/10.1038/ijos.2013.16
  7. Charu Grover, &. N. (2014 , Dec). Evaluation of calcium ion release and change in pH on combining calcium hydroxide with different vehicles. Contemporary Clinical Dentistry, 434–439. doi:10.4103/0976-237X.142803
  8. Chirag Macwan, &. A. (2014 ). Mineral trioxide aggregate (MTA) in dentistry: A review of literature. Journal of oral research and review, 71-74. doi:DOI: 10.4103/2249-4987.152914
  9. Demirci, G. K. (2020, January ). Treatment of immature teeth with nonvital pulps in adults: a prospective comparative clinical study comparing MTA with Ca(OH)2. International Endodontics journal, 5-18. doi:doi.org/10.1111/iej.13201
  10. Eric Bonte, .. a. (2015, December 03). MTA versus Ca(OH)2 in apexification of non-vital immature permanent teeth. Clinical Oral Investigations(springer), 1381–1388. doi:https://doi.org/10.1007/s00784-014-1348-5
  11. Eric Bonte, .. e. (2014, December). MTA versus Ca(OH)2 in apexification of non-vital immature permanent teeth: a randomized clinical trial comparison. Springer Nature Switzerland AG, 1381–1388. doi:doi.org/10.1007/s00784-014-1348-5
  12. Fabricio Guerrero, e. a. (2018 , Oct). Apexification: A systematic review. Journal of Conservative Dentistry , 462–465. doi:10.4103/JCD.JCD_96_18
  13. Kandemir Demirci, .. a. (2019, August 6 ). Treatment of immature teeth with nonvital pulps in adults: a prospective comparative clinical study comparing MTA with Ca(OH)2. International Endodontic Journal. doi:doi:10.1111/iej.13201
  14. Kandemir Demirci, e. a. (2020, January ). Treatment of immature teeth with nonvital pulps in adults: a prospective comparative clinical study comparing MTA with Ca(OH)2. International Endodontic Journal, 5-18. doi: https://doi.org/10.1111/iej.13201
  15. Guerrero, F. (2018 , Oct). Apexification: A systematic review. Journal of Conservative Dentistry, 462-465. doi:10.4103/JCD.JCD_96_18
  16. (2013, April ). Treatment Options: Biological Basis of Regenerative Endodontic Procedures. American Academy of Pediatric Dentistry, 129-140.
  17. Karla Vidal, .. e. (2016, Mar 16). Apical Closure in Apexification: A Review and Case Report of Apexification Treatment of an Immature Permanent Tooth with Biodentine. journal of endondontics, 730-734. doi:doi: 10.1016/j.joen.2016.02.007
  18. Katharina Bücher, D. e. (2016, JUNE). Long-term outcome of MTA apexification in teeth with open apices. Quintessence international, 473- 482.
  19. Lee, L.-W. (2015, February ). Comparison of clinical outcomes for 40 necrotic immature permanent incisors treated with calcium hydroxide or mineral trioxide aggregate apexification/apexogenesis. Journal of the Formosan Medical Association, 139-146. doi:https://doi.org/10.1016/j.jfma.2014.06.005
  20. Lin, J.-C. (2016, July). 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, 523-530. doi:https://doi.org/10.1016/j.jfma.2016.01.010
  21. M Torabinejad, .. a. (2017, August 28 ). Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part II: other clinical applications and complications. International Endodontic Journal, 284-317. doi:10.1111/iej.12843
  22. Duggal, .. e. (2017, May 15 ). Interventions for the endodontic management of non-vital traumatised immature permanent anterior teeth in children and adolescents. Springer, 139–151. doi: 10.1007/s40368-017-0289-5
  23. Martin Brüsehaber, e. a. (2016, oct). Mineral trioxide aggregate for root-end closure. researchgate.net, 175-181.
  24. Nisha Garg, A. G. (2019). Textbook of Endodontics (4th ed.). New Delhi, India: JAYPEE BROTHERS Medical Publishers.
  25. Chailertvanitkul, J. a. (2014, September ). Randomized control trial comparing calcium hydroxide and mineral trioxide aggregate for partial pulpotomies in cariously exposed pulps of permanent molars. International Endodontic journal, 835-842. doi:10.1111/iej.12225
  26. Patricia, B. D. (2014, January ). Histologic Study of a Human Immature Permanent Premolar with Chronic Apical Abscess after Revascularization/Revitalization. Journal of Endodontics, 133-139. doi:https://doi.org/10.1016/j.joen.2013.07.017
  27. Peter Z Tawil, D. M. (2015, april). MTA: A Clinical Review. NCBI, 1 – 14.
  28. Peter Z Tawil, D. M. (2015, april). MTA: A Clinical Review. ncbi.nlm.nih.gov, 1-14.
  29. Purra, A. R. (2016, Aug ). Mineral trioxide aggregate apexification: A novel approach. Journal of Conservative Dentistry, 377–380. doi:doi: 10.4103/0972-0707.186443
  30. R Sharifi, .. e. (2015, July 27). Effect of temperature on the setting time of Mineral Trioxide Aggregate (MTA). Journal of Medicine and Life, 88–91. doi:10.4103/0970-4388.16020
  31. Rustem Kemal Subay, .. e. (2013, July). Mineral trioxide aggregate as a pulpotomy agent in immature teeth:Long-term case report. European Journal of Dentistry, 133-138. doi:10.1055/s-0039-1699008
  32. G. Damle, .. a. (2016 , Jun). Clinical and radiographic assessment of mineral trioxide aggregate and calcium hydroxide as apexification agents in traumatized young permanent anterior teeth: A comparative study. Dental Research Journal, 284–291. doi:10.4103/1735-3327.182191
  33. Saad Al-Nazhan, e. a. (2022 , Dec 2). Outcomes of furcal perforation management using Mineral Trioxide Aggregate and Biodentine: a systematic review. Journal of Applied Oral Science, 1-8. doi:10.1590/1678-7757-2022-0330
  34. Sam L.Kahler BBio MedSc, e. a. (2018, March ). The Effect of Long-term Dressing with Calcium Hydroxide on the Fracture Susceptibility of Teeth. Journal of Endodontics, 464-469. doi:https://doi.org/10.1016/j.joen.2017.09.018
  35. Sheldon Best DMD, M. F. (2021, January). Outcome Assessment of Teeth with Necrotic Pulps and Apical Periodontitis Treated with Long-term Calcium Hydroxide. Journal of Endodontics, 11-18. doi:https://doi.org/10.1016/j.joen.2020.09.005
  1. Walsh, B. A. (2017, Oct 23). Aspects of Solvent Chemistry for Calcium Hydroxide Medicaments. International Endodontic Journal, 1-8. doi:10.3390/ma10101219
  2. Yadav, P. (2015, august). case report:Novel use of platelet-rich fibrin matrix and MTA as an apical barrier in the management of a failed revascularization case. Dental Traumatology, 328-331. doi: https://doi.org/10.1111/edt.12168

Author's Affiliation

   Fazlullah Habib
Dean of Faculty and lecturer, Stomatology Faculty, Rokhan Institute of Higher Education, Jalalabad City, Afghanistan.

   Ali Mohammad Salamzai
Lecturer of the Clinic Department, Stomatology Faculty, Rokhan institute of higher education

Copyrights & License

Fazlullah Habib, Ali Mohammad Salamzai, 2023

This work is licenced under a Creative Commons Attribution 4.0 International License.

Article Details

How to Cite :

The Differences of the Calcium Hydroxide and the Mineral Trioxide Aggregate in the Apical Closure of Immature, Non-Vital Permanent Teeth. Fazlullah Habib, Ali Mohammad Salamzai , 6(4), 2235-2240. Retrieved from https://ijcsrr.org/single-view/?id=9867&pid=9853

Most read articles by the same author(s)

Fazlullah Habib, Ali Mohammad Salamzai,

View

249

Citation

Downloads

Article Details