title: Surgical Treatment of an Immature Short-Rooted Traumatized Incisor with an Extensive Apical Lesion Using CEM Cement.
abstract: Severe traumatic injuries to immature teeth often cause damage to periodontal ligament as well as dental pulp; pulp necrosis, root resorption and subsequent apical lesion are common consequences. This article reports the surgical management of an infected immature maxillary central incisor associated with a gigantic periradicular lesion and severe root resorption. The tooth had a history of trauma and the patient suffered from purulent sinus tract and tooth mobility. After unsuccessful multi-session disinfection with calcium hydroxide, root end surgery was planned. During flap surgery and lesion enucleation, the root end was cleaned and filled with calcium-enriched mixture (CEM) cement. After one year, the radiographic examination revealed that the lesion was almost completely replaced with newly formed bone. In addition, clinical examination showed favorable outcomes; the tooth was symptom-free and in function. Due to chemical, physical and biological properties of CEM cement, this biomaterial might be considered as the root-end filling material of choice.
authors.affiliation: Iranian Center for Endodontic Research, Research Institute of Dental sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Saeed
authors.initials: S
authors.lastname: Asgary
authors.affiliation: Iranian Center for Endodontic Research, Research Institute of Dental sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Mahta
authors.initials: M
authors.lastname: Fazlyab
keywords: Biomaterials; CEM cement; Calcium-Enriched Mixture; Endodontic; Periapical Cyst; Periradicular Lesion; Root-End Surgery
references.citation: Iran Endod J. 2015 Winter;10(1):39-43
references.pmid: 25598808
references.citation: Aust Dent J. 2007 Mar;52(1 Suppl):S64-82
references.pmid: 17546863
references.citation: J Endod. 2014 Dec;40(12 ):1902-11
references.pmid: 25305238
references.citation: Clin Oral Implants Res. 2016 Mar;27(3):282-7
references.pmid: 25523402
references.citation: Iran Endod J. 2014 Summer;9(3):195-8
references.pmid: 25031593
references.citation: J Endod. 2014 Feb;40(2):187-91
references.pmid: 24461402
references.citation: Iran Endod J. 2015 Winter;10(1):49-54
references.pmid: 25598810
references.citation: J Endod. 2010 May;36(5):837-41
references.pmid: 20416429
references.citation: Int Endod J. 2010 Aug;43(8):673-80
references.pmid: 20491984
references.citation: J Biomed Mater Res A. 2008 Dec 1;87(3):706-9
references.pmid: 18200558
references.citation: J Endod. 2008 Mar;34(3):258-63
references.pmid: 18291271
references.citation: J Hist Dent. 2013 Spring;61(1):3-20
references.pmid: 23691774
references.citation: J Hist Dent. 2010 Spring;58(1):1-42
references.pmid: 20491369
references.citation: J Endod. 2009 May;35(5):663-7
references.pmid: 19410079
references.citation: J Endod. 2008 Aug;34(8):990-3
references.pmid: 18634932
references.citation: J Oral Sci. 2009 Sep;51(3):437-42
references.pmid: 19776512
references.citation: J Endod. 2014 Dec;40(12 ):2057-60
references.pmid: 25306306
references.citation: J Endod. 2015 Mar;41(3):299-308
references.pmid: 25601716
references.citation: J Endod. 2010 Jan;36(1):28-35
references.pmid: 20003931
references.citation: Iran Endod J. 2015 Winter;10(1):35-8
references.pmid: 25598807
references.citation: J Endod. 2009 May;35(5):634-42
references.pmid: 19410074
references.citation: Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Aug;112(2):272-9
references.pmid: 21530334
references.citation: Acta Odontol Scand. 2013 Nov;71(6):1399-409
references.pmid: 23387429
references.citation: Int Endod J. 2015 Dec;48(12):1137-46
references.pmid: 25400281
references.citation: J Calif Dent Assoc. 2004 Jun;32(6):493-503
references.pmid: 15344440
references.citation: Dent Traumatol. 2014 Apr;30(2):154-61
references.pmid: 23834522