Is Apexification a vital pulp therapy?
Apexification, otherwise known as vital pulp therapy, can help strengthen your natural tooth and keep it healthy for a longer period of time. This is done through an extensive process of tooth restoration and is considered one of the most significant restoration processes in dentistry.
What does Apexification mean?
Apexification is a method of inducing a calcified barrier at the apex of a nonvital tooth with incomplete root formation. Apexogenesis refers to a vital pulp therapy procedure performed to encourage physiological development and formation of the root end.
Why is MTA used in Apexification?
[2] In recent times, mineral trioxide aggregate (MTA) has gained widespread popularity for the apexification procedure. It produces apical hard tissue formation with significantly greater consistency than calcium hydroxide. [3] MTA, a biocompatible material, can be used to create a physical barrier.
How do you use a root canal MTA?
The MTA powder is mixed with sterile water, and the mixture is placed in contact with the exposure using a Dovgan carrier (Figure 2). Compress the mixture against the exposure site with a moist cotton pellet. Place a moist cotton pellet over the MTA and fill the rest of the cavity with a temporary filling material.
What does open apex mean?
When a tooth does not close at the root end of the tooth it is called an “open apex”. Apexification forms a hard tissue barrier at the end of the root, allowing the root canal to be sealed in a more normal manner.
Why do we use apexification?
Apexification is indicated for immature permanent teeth that are non-vital with incompletely formed roots. The objective of this procedure is to induce root end closure (apexification) at the apices of immature roots through the formation of mineralized tissue.
Can Metapex be used for apexification?
Metapex (mixture of calcium hydroxide and iodoform) was used in our patient for apexification. A success rate of 100% was found in a study that used a calcium hydroxide- iodoform mixture as the intracanal medicament, wherein, the average time for the apical barrier to form was found to be 6.09 mnth [15].
What is MTA used for in dentistry?
MTA is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, treating internal root resorption, and pulp capping.
Can MTA be used in indirect pulp capping?
Indirect pulp capping accompanying complete caries removal exhibited a satisfactory success rate in the treatment of deep carious lesions. Both Ca(OH)2 and MTA were found to be clinically effective at 24 months posttreatment.