2022•Journal of Isfahan Dental SchoolOpen access

Apexification of an Immature Permanent First Molar Tooth with Cold Ceramic: A Case Report

Shirin Marzoughi, Reza Salari-Moghaddam, Reyhaneh Faghihian, Samaneh Moradi, Mehdi Soltani

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Abstract

Introduction: Apexification is a method to create a calcification barrier in teeth with open apex and pulp necrosis. For many years, calcium hydroxide was the most common substance for this purpose. Nowadays, apexification with other materials that can yield better results in one session has become more popular. Case report: For a 9-year-old boy complained of “tooth decay”, apexification treatment was performed by MTA on the lower right sixth permanent molar and by cold ceramic on the lower left sixth permanent molar. At one-year follow-up, no symptoms were observed on clinical examination and radiography of both teeth. Conclusion: Cold ceramic such as MTA can be considered effective in the apexification of immature tooth with pulp necrosis.

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Introduction: Apexification is a method to create a calcification barrier in teeth with open apex and pulp necrosis. For many years, calcium hydroxide was the most common substance for this purpose. Nowadays, apexification with other materials that can yield better results in one session has become more popular. Case report: For a 9-year-old boy complained of “tooth decay”, apexification treatment was performed by MTA on the lower right sixth permanent molar and by cold ceramic on the lower left sixth permanent molar. At one-year follow-up, no symptoms were observed on clinical examination and radiography of both teeth. Conclusion: Cold ceramic such as MTA can be considered effective in the apexification of immature tooth with pulp necrosis.

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Available abstract

Introduction: Apexification is a method to create a calcification barrier in teeth with open apex and pulp necrosis. For many years, calcium hydroxide was the most common substance for this purpose. Nowadays, apexification with other materials that can yield better results in one session has become more popular. Case report: For a 9-year-old boy complained of “tooth decay”, apexification treatment was performed by MTA on the lower right sixth permanent molar and by cold ceramic on the lower left sixth permanent molar. At one-year follow-up, no symptoms were observed on clinical examination and radiography of both teeth. Conclusion: Cold ceramic such as MTA can be considered effective in the apexification of immature tooth with pulp necrosis.

Key concepts: Apexification, Pulp necrosis, Dentistry, Molar, Permanent teeth, Medicine, Pulp (tooth), Calcification

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