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 :
- 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
- 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
- Boufdil, H. (2020, May 28). Apexification with Calcium Hydroxide vs. Revascularization. Hindawi, 1-6. doi: https://doi.org/10.1155/2020/9861609
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Fabricio Guerrero, e. a. (2018 , Oct). Apexification: A systematic review. Journal of Conservative Dentistry , 462–465. doi:10.4103/JCD.JCD_96_18
- 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
- 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
- Guerrero, F. (2018 , Oct). Apexification: A systematic review. Journal of Conservative Dentistry, 462-465. doi:10.4103/JCD.JCD_96_18
- (2013, April ). Treatment Options: Biological Basis of Regenerative Endodontic Procedures. American Academy of Pediatric Dentistry, 129-140.
- 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
- Katharina Bücher, D. e. (2016, JUNE). Long-term outcome of MTA apexification in teeth with open apices. Quintessence international, 473- 482.
- 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
- 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
- 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
- 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
- Martin Brüsehaber, e. a. (2016, oct). Mineral trioxide aggregate for root-end closure. researchgate.net, 175-181.
- Nisha Garg, A. G. (2019). Textbook of Endodontics (4th ed.). New Delhi, India: JAYPEE BROTHERS Medical Publishers.
- 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
- 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
- Peter Z Tawil, D. M. (2015, april). MTA: A Clinical Review. NCBI, 1 – 14.
- Peter Z Tawil, D. M. (2015, april). MTA: A Clinical Review. ncbi.nlm.nih.gov, 1-14.
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Walsh, B. A. (2017, Oct 23). Aspects of Solvent Chemistry for Calcium Hydroxide Medicaments. International Endodontic Journal, 1-8. doi:10.3390/ma10101219
- 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