Calcium enriched mixture cement for primary molars exhibiting root perforations and extensive root resorption: report of three cases.
In primary molars with root perforations of endodontic origin, tooth extraction and space maintainer are recommended. Calcium-enriched mixture (CEM) cement is a new biomaterial demonstrating favorable sealability/biocompatibility. This report presents a novel treatment modality for cases of primary molar teeth with root perforations associated with a periodontal lesion due to extensive inflammatory root resorption, whereby CEM was used as a perforation repair/pulpotomy biomaterial. Three cases of primary molar root perforations due to inflammatory resorption were selected; all cases were associated with furcal lesions of endodontic origin. Pulp chambers were accessed/irrigated with NaOCl; the root canal orifices were filled with CEM and restored with stainless steel crowns. Clinical/radiographic examinations up to 17 months revealed that all teeth were functional and free of signs/symptoms of infection and all had complete bone healing. Further trials are suggested to confirm CEM use for management of root perforations in primary molars exhibiting root perforation.
Assistant professor, Research Center, the Department of Pediatric Dentistry, Dental School, Shahed University, Tehran, Iran.
Sara
S
Tavassoli-Hojjati
Researcher, the Department of Pediatric Dentistry, Dental School, Shahed University, Tehran, Iran.
Somayeh
S
Kameli
Researcher, the Department of Pediatric Dentistry, Dental School, Shahed University, Tehran, Iran.
Sara
S
Rahimian-Emam
Researcher, Dental Research Center, the Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Maryam
M
Ahmadyar
Head of Iranian Center for Endodontic Research, the Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. saasgary@yahoo.com.
Saeed
S
Asgary
D001672:Biocompatible Materials / Q000737:chemistry / Q000627:therapeutic use; D017610:Calcium Compounds / Q000737:chemistry / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D003442:Crowns; D003722:Dental Alloys / Q000737:chemistry; D001840:Dental Bonding; D003738:Dental Cements / Q000737:chemistry / Q000627:therapeutic use*; D003790:Dental Pulp Necrosis / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008963:Molar / Q000473:pathology*; D010483:Periapical Diseases / Q000628:therapy; D011670:Pulpectomy / Q000379:methods; D011671:Pulpitis / Q000628:therapy; D011672:Pulpotomy / Q000379:methods; D012387:Root Canal Filling Materials / Q000737:chemistry / Q000627:therapeutic use*; D012388:Root Canal Irrigants / Q000627:therapeutic use; D018915:Root Canal Preparation / Q000379:methods; D012391:Root Resorption / Q000628:therapy*; D012973:Sodium Hypochlorite / Q000627:therapeutic use; D013193:Stainless Steel / Q000737:chemistry; D014094:Tooth, Deciduous / Q000473:pathology*; D015035:Zinc Oxide-Eugenol Cement / Q000627:therapeutic use
D001672:Biocompatible Materials; D017610:Calcium Compounds; D003722:Dental Alloys; D003738:Dental Cements; D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants; D015035:Zinc Oxide-Eugenol Cement; D013193:Stainless Steel; D012973:Sodium Hypochlorite