Treatment options for teeth with open apices and apical periodontitis.
Three clinical cases involving teeth with open apices and apical periodontitis were treated using different protocols. The first case was managed with intracanal calcium hydroxide paste for 12 months before obturation with gutta-percha and sealer. In the second case, an apical plug of mineral trioxide aggregate (MTA) was used before obturation with gutta-percha and sealer and treatment was completed during 2 appointments. In the third case, the tooth, which had a divergent root canal system, was completely obturated with MTA and treatment was also completed over 2 appointments. In all 3 cases, signs of bone healing were observed after treatment.
University of Taubaté, Taubaté, Brazil.
Denise Pontes
DP
Raldi
Isabel
I
Mello
Sandra Márcia
SM
Habitante
Jose Luiz
JL
Lage-Marques
Jeffrey
J
Coil
D000293:Adolescent; D000328:Adult; D017607:Aluminum Compounds / Q000627:therapeutic use; D056624:Apexification / Q000379:methods; D017610:Calcium Compounds / Q000627:therapeutic use; D002126:Calcium Hydroxide / Q000627:therapeutic use; D002133:Calcium Sulfate / Q000627:therapeutic use; D003738:Dental Cements; D004338:Drug Combinations; D004853:Epoxy Resins / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006171:Gutta-Percha / Q000627:therapeutic use; D006801:Humans; D010087:Oxides / Q000627:therapeutic use; D010485:Periapical Periodontitis / Q000628:therapy*; D011145:Polyvinyls / Q000627:therapeutic use; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D012388:Root Canal Irrigants / Q000627:therapeutic use; D012389:Root Canal Obturation / Q000379:methods; D018915:Root Canal Preparation / Q000379:methods; D012390:Root Canal Therapy / Q000379:methods*; D017640:Silicates / Q000627:therapeutic use; D019227:Tooth Apex / Q000473:pathology*; D014945:Wound Healing; D015034:Zinc Oxide / Q000627:therapeutic use
D017607:Aluminum Compounds; D017610:Calcium Compounds; D003738:Dental Cements; D004338:Drug Combinations; D004853:Epoxy Resins; D010087:Oxides; D011145:Polyvinyls; D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants; D017640:Silicates; C534916:epoxy resin-based root canal sealer; C086631:mineral trioxide aggregate; C020872:Cavit; D006171:Gutta-Percha; D002126:Calcium Hydroxide; D015034:Zinc Oxide; D002133:Calcium Sulfate