Oral Health and Dental Management

From past to present, from apexification to pulp regeneration, what are these treatment limitations?

4^th Asia Pacific Congress & Expo on Dental and Oral Health

July 27-29, 2015 Brisbane, Australia

Atieh Sadr, Yvette Rainbow and Iman Mirhosseini

Posters-Accepted Abstracts: Oral Health Dent Manag

Abstract:

Introduction: There are some major concerns and several clinical challenges that must be bypassed when treating permanent teeth with non-vital pulp and open Apices. Sealing Apices requires a special method of treatment. Giving opportunity to APICES for full formation is regarded as the best solution. To attain this, the apexification method has been advised for some years. The length of the treatment as well as the possibility of a dentin wall fracture was the main problem for this method. The artificial apical barrier method with mineral trioxide aggregate (MTA) has somehow improved the patient compliance but still cannot stimulate the development of apical closure and thickening of radicular dentin. Revascularization of the pulp followed by continued root development can occur under ideal circumstances as the newest treatment plan for such immature permanent teeth. Aim of Case Reports: In this presentation after a review of the regenerative procedure with the recent American Association of Endodontics calcium hydroxide recommendations some of the cases of revascularization will be discussed. Conclusions: Although the clinical management of the open apex teeth is challenging and the outcome of the revascularization procedures remains somewhat unpredictable, when successful, they are an improvement to treatment protocols, and can also leave the door open to other methods of treatment in addition to extraction when they fail to achieve the desired result.