Vertical root fracture associated with prolonged use of calcium hydroxide during apexificación. A case report.
Abstract
Apexification is a procedure performed in young permanent teeth seeking an apical closure and root elongation, when the epithelial sheath of Hertwig unmeet irreversibly affected. The aim of this article is to relate to vertical root fracture as a complication during apexification to work for long time with calcium hydroxide. Female patient, student, 9, attended at the Faculty of Dentistry at the University Andres Bello campus Concepción, presented severe and spontaneous pain, pressure and swelling of the left cheek. Clinically fund lobby edematous around lower left first molar (3.6) and purulent content. Radiographically was observed apical lesions and the presence of open apices. The diagnosis was Pulp necrosis and Acute Apical Abscess, was trepanned for intracanal drainage and oral antibiotic medication was prescribed, before being sent to the specialty of endodontics, where the selected treatment was Apexification with calcium hydroxide until it observed the formation of apical barrier. Upon completion of the objective, a vertical root fracture was discovered, confirming that this use should not be prolonged because processes of dehydration leads to weakening of the walls and therefore of the tooth.References
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15. Bodrumlu E, Cicek E, Guler B. Apexification of immature teeth with calcium oxide: three case reports. Int J Clinic Dent 2013; 6(2): 121-129.
16. Gomes-Filho J, Mendes C, Watanabe S, Lodi C, Danelon M, Cintra L. Late treatment of dental trauma using apexification technique. Dent Press Endod. 2013; 3(1): 78-83.
17. de Carvalho Marion J, Manhães F, Duque T, Achitti S. The use of calcium hydroxide as an intracanal medication for the apexification of immature permanent teeth. Dent Press Endod. 2012; 2(3): 67-73.
18. Haueisen H, Gärtner K, Kaiser L, Trohorsch D, Heidemann D. Vertical root fracture: Prevalence, etiology, and diagnosis. Quintessence Int. 2013; 44(7): 467-474.
2. Huang G. Apexification: the beginning of its end. Int Endod J. 2009; 42(10): 855-866.
3. Bodrumlu E, Cicek E, Guler B. Apexification of immature teeth with calcium oxide: three case reports. Int J Clin Dent. 2013; 6(2): 121-129.
4. Shabahang S. Treatment Options: Apexogenesis and Apexification. Pediatric. Dent. 2013; 35(2): 125-128.
5. Razavian H, Haerian A, Mosleh H. Novel Apexification Method In a Non-Vital Tooth With an Open Apex: A Case Report. J Dent (Tehran). 2014; 11(3): 371-378.
6. Strom T, Arora A, Osborn B, Karim N, Komabayashi T, Liu X. Endodontic Release System for Apexification with Calcium Hydroxide Microspheres. J Dent Res. 2012; 91(11): 1055-1059.
7. Jyothi M. Management of immature teeth - a paradigm shift from apexification to apexogenesis. Ann Essences Dent. 2012; 4(3): 34-38.
8. Aggarwal V, Miglani S, Singla M. Conventional apexification and revascularization induced maturogenesis of two non-vital, immature teeth in same patient: 24 months follow up of a case. J Cons Dent. 2012; 15(1): 68-72.
9. Friedlander L, Cullinan M, Love R. Dental stem cells and their potential role in apexogenesis and apexification. Int Endod J. 2009; 42(11): 955-962.
10. Coaguila H, Denegri A. Uso de barreras apicales y apexificación en endodoncia. Rev Estomatol Hered. 2014; 24(2): 120-6.
11. Perez MA. Odontopediatría: ¿Cuál es su criterio para establecer el diagnóstico y el tratamiento de la necrosis pulpar en diente permanente joven? Rev Canal Abierto 2012; 25: 10-12.
12. Morales D, Covo E, Díaz A. Efectos adversos en el periápice relacionados con el uso del mineral trióxido agregado en apexificación. Revisión sistemática. Av Odontoestomatol. 2014; 30(2):95-97.
13. Silva R, Silveira F, Nunes E. Apexification in Non-Vital Teeth with Immature Roots: Report of Two Cases. Iran Endod J. 2015; 10(1): 79-81.
14. Jeeruphan T, Jantarat J, Yanpiset K, Suwannapan L, Khewsawai P, Hargreaves K. Mahidol study 1: Comparison of radiographic and survival outcomes of immature teeth treated with either regenerative endodontic or apexification methods: A retrospective study. J Endod 2012; 38(10):1330-1336.
15. Bodrumlu E, Cicek E, Guler B. Apexification of immature teeth with calcium oxide: three case reports. Int J Clinic Dent 2013; 6(2): 121-129.
16. Gomes-Filho J, Mendes C, Watanabe S, Lodi C, Danelon M, Cintra L. Late treatment of dental trauma using apexification technique. Dent Press Endod. 2013; 3(1): 78-83.
17. de Carvalho Marion J, Manhães F, Duque T, Achitti S. The use of calcium hydroxide as an intracanal medication for the apexification of immature permanent teeth. Dent Press Endod. 2012; 2(3): 67-73.
18. Haueisen H, Gärtner K, Kaiser L, Trohorsch D, Heidemann D. Vertical root fracture: Prevalence, etiology, and diagnosis. Quintessence Int. 2013; 44(7): 467-474.
Published
2015-03-26
How to Cite
RIBADENEIRA, Jennifer; MUÑOZ, Eugenia.
Vertical root fracture associated with prolonged use of calcium hydroxide during apexificación. A case report..
Journal of Oral Research, [S.l.], v. 4, n. 2, p. 124-128, mar. 2015.
ISSN 0719-2479.
Available at: <https://joralres.com/index.php/JOralRes/article/view/joralres.2015.025>. Date accessed: 04 may 2024.
doi: https://doi.org/10.17126/joralres.2015.025.
Issue
Section
Cases
Keywords
Calcium hydroxide; Apexification; Non vital Tooth.
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