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Biodentine used as an apical barrier for the treatment of open apex

Pallavi Srivastava, Anshul Sawhney, RohitSharma, Manoj Kumar Hans, Shivam Agarwal, Shishir Dhar

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Abstract

An immature tooth with pulpal necrosis and periapical pathology imposes a great challenge to the endodontist. Endodontic treatment options for such teeth consist of conventional apexification procedure with and without apical barriers. Biodentine is a new material used for regenerative procedures and advertised as a bioactive dentin substitute. Apexification in one step using an apical plug of Biodentine can be considered a predictable treatment and may be an alternative to mineral trioxide aggregate apexification. This article demonstrates the use of the newer material, Biodentine, which helps in formation of a calcific barrier in a nonvital tooth and helps in the formation of the root apex. This case reports present apexification with the use of biodentine.

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What this paper is about

An immature tooth with pulpal necrosis and periapical pathology imposes a great challenge to the endodontist. Endodontic treatment options for such teeth consist of conventional apexification procedure with and without apical barriers. Biodentine is a new material used for regenerative procedures and advertised as a bioactive dentin substitute. Apexification in one step using an apical plug of Biodentine can be considered a predictable treatment and may be an alternative to mineral trioxide aggregate apexification. This article demonstrates the use of the newer material, Biodentine, which helps in formation of a calcific barrier in a nonvital tooth and helps in the formation of the root apex. This case reports present apexification with the use of biodentine.

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Available abstract

An immature tooth with pulpal necrosis and periapical pathology imposes a great challenge to the endodontist. Endodontic treatment options for such teeth consist of conventional apexification procedure with and without apical barriers. Biodentine is a new material used for regenerative procedures and advertised as a bioactive dentin substitute. Apexification in one step using an apical plug of Biodentine can be considered a predictable treatment and may be an alternative to mineral trioxide aggregate apexification. This article demonstrates the use of the newer material, Biodentine, which helps in formation of a calcific barrier in a nonvital tooth and helps in the formation of the root apex. This case reports present apexification with the use of biodentine.

Key concepts: Apexification, Mineral trioxide aggregate, Endodontist, Dentistry, Dentin, Medicine, Endodontics

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