Next Article in Journal
Evaluation of Two Shaping Systems and Two Ultrasonic Irrigation Devices in Removing Root Canal Filling Material from Mesial Roots of Mandibular Molars: A Micro CT Study
Next Article in Special Issue
Effects of Endodontic Irrigants on Material and Surface Properties of Biocompatible Thermoplastics
Previous Article in Journal
Dental Attendance in Undocumented Immigrants before and after the Implementation of a Personal Assistance Program: A Cross-Sectional Observational Study
Case Report

Management of an Immature Necrotic Permanent Molar with Apical Periodontitis Treated by Regenerative Endodontic Protocol Using Calcium Hydroxide and MM-MTA: A Case Report with Two Years Follow Up

1
Faculty of Dentistry, Department of Endodontics, Saint Joseph University, Beirut 1107-2180, Lebanon
2
Head of Department of Endodontics, Saint Joseph University, Beirut 1107-2180, Lebanon
*
Author to whom correspondence should be addressed.
Received: 4 November 2018 / Revised: 29 November 2018 / Accepted: 12 December 2018 / Published: 1 January 2019
(This article belongs to the Special Issue Advanced Dental Biomaterials)
Traditionally, immature teeth diagnosed with necrotic pulp and periapical periodontitis were treated by apexification with long-term calcium hydroxide or in one session with mineral trioxide aggregate (MTA) or Biodentine apical plug. However, these teeth become fragile and susceptible to root fracture. Regenerative endodontic procedure is a new therapeutic approach that promotes continuation of root growth in immature necrotic teeth potentially preventing root fracture. Only few case reports have shown the success of this procedure on molar cases. The current case report demonstrates a regeneration of a lower first molar with necrotic pulp and chronic apical abscess treated with Micro Mega-MTA (MM-MTA), a new endodontic biomaterial that has not been described previously. Calcium hydroxide was used as an intracanal medicament for two weeks. Next, calcium hydroxide was removed and after blood clot creation, MM-MTA® was placed over it. Apical healing and continuation of root growth were evident at nine months follow-up. CBCT at two years follow-up confirmed apical closure and complete healing. This case shows that a regenerative endodontic procedure for management of an immature necrotic permanent molar is feasible and can be successfully done using Ca(OH)2 and MM-MTA. View Full-Text
Keywords: calcium hydroxide; Cone Beam Computed Tomography; immature necrotic permanent tooth; MM-MTA; regenerative endodontic treatment calcium hydroxide; Cone Beam Computed Tomography; immature necrotic permanent tooth; MM-MTA; regenerative endodontic treatment
Show Figures

Figure 1

MDPI and ACS Style

Ajram, J.; Khalil, I.; Gergi, R.; Zogheib, C. Management of an Immature Necrotic Permanent Molar with Apical Periodontitis Treated by Regenerative Endodontic Protocol Using Calcium Hydroxide and MM-MTA: A Case Report with Two Years Follow Up. Dent. J. 2019, 7, 1. https://0-doi-org.brum.beds.ac.uk/10.3390/dj7010001

AMA Style

Ajram J, Khalil I, Gergi R, Zogheib C. Management of an Immature Necrotic Permanent Molar with Apical Periodontitis Treated by Regenerative Endodontic Protocol Using Calcium Hydroxide and MM-MTA: A Case Report with Two Years Follow Up. Dentistry Journal. 2019; 7(1):1. https://0-doi-org.brum.beds.ac.uk/10.3390/dj7010001

Chicago/Turabian Style

Ajram, Jessy, Issam Khalil, Richard Gergi, and Carla Zogheib. 2019. "Management of an Immature Necrotic Permanent Molar with Apical Periodontitis Treated by Regenerative Endodontic Protocol Using Calcium Hydroxide and MM-MTA: A Case Report with Two Years Follow Up" Dentistry Journal 7, no. 1: 1. https://0-doi-org.brum.beds.ac.uk/10.3390/dj7010001

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop