Effect of unintentional periapical extrusion of metapex in immature teeth- a case report.
The paper discusses a case of an immature premolar tooth with a large periapical lesion, in which Metapex (calcium hydroxide paste containing iodoform and barium sulphate as a radiopacifier) was used. There was an un-intentional extrusion of calcium hydroxide during application. The patient was evaluated for periapical healing at 12 and 24 months. The follow up revealed that the accidental extrusion of metapex did not have any detrimental effect on periapical healing. However, delayed resorption of Metapex as well as healing of the periapical lesion may be attributed to the presence of BaSO4 and iodoform as compared to plain Calcium hydroxide.
Professor, Department of Pedodontics and Preventive Dentistry, Gian Sagar Dental College & Hospital , Village Ramnagar, Banur, Rajpura, District Patiala, Punjab, India .
Virat
V
Galhotra
Reader, Department of Pedodontics and Preventive Dentistry, Gian Sagar Dental College & Hospital , Village Ramnagar, Banur, Rajpura, District Patiala, Punjab, India .
Anshu
A
Singla
Reader, Department of Oral Medicine & Radiology, Gian Sagar Dental College & Hospital , Village Ramnagar, Banur, Rajpura, District Patiala, Punjab, India .
Sanjeev
S
Jindal
Reader, Department of Prosthodontics, Gian Sagar Dental College & Hospital , Village Ramnagar, Banur, Rajpura, District Patiala, Punjab, India .
Anjali
A
Sofat
Apexification; Barium sulphate; Periapical Lesion