Apexification of an Immature Permanent Incisor with the Use of Calcium Hydroxide: 16-Year Follow-Up of a Case

Apexification is a process of forming a mineralized apical barrier and had been performed by using calcium hydroxide paste, due to its biological and healing performances in cases of existent trauma. This clinical report aims to report the results of a 16-year follow-up study of an apexification tre...

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Main Authors: Camila Maggi Maia Silveira, Cátia Cilene Nass Sebrão, Larissa Soares Reis Vilanova, Alfonso Sánchez-Ayala
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2015/984590
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author Camila Maggi Maia Silveira
Cátia Cilene Nass Sebrão
Larissa Soares Reis Vilanova
Alfonso Sánchez-Ayala
author_facet Camila Maggi Maia Silveira
Cátia Cilene Nass Sebrão
Larissa Soares Reis Vilanova
Alfonso Sánchez-Ayala
author_sort Camila Maggi Maia Silveira
collection DOAJ
description Apexification is a process of forming a mineralized apical barrier and had been performed by using calcium hydroxide paste, due to its biological and healing performances in cases of existent trauma. This clinical report aims to report the results of a 16-year follow-up study of an apexification treatment applied to nonvital tooth 22 of a healthy 8-year-old male after a trauma. Clinical inspection of the tooth showed fractures of the incisal edge and mesial angle, absence of coronal mobility, and negative pulp vitality under cold testing. Radiographic analysis of the root revealed incomplete apex formation. The possibility of fracture into the root or luxation injury was rejected, and the diagnosis of pulp necrosis was verified. Apexification by calcium hydroxide and subsequent endodontic treatment were planned. Initial formation of the mineralized apical barrier was observed after 3 months, and the barrier was considered to be completed after 8 months. Clinical, radiographic, and CBCT examinations after 16 years verified the success of the treatment, although the choice of calcium hydroxide for apexification treatment is discussed.
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publishDate 2015-01-01
publisher Wiley
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series Case Reports in Dentistry
spelling doaj-art-0cbc6f7576f442ff9596c87f94f97b1e2025-02-03T06:46:12ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/984590984590Apexification of an Immature Permanent Incisor with the Use of Calcium Hydroxide: 16-Year Follow-Up of a CaseCamila Maggi Maia Silveira0Cátia Cilene Nass Sebrão1Larissa Soares Reis Vilanova2Alfonso Sánchez-Ayala3Dental School, Center of Higher Education of Campos Gerais, Avenida General Carlos Cavalcanti, No. 8000, Ponta Grossa, PR, BrazilDental School, Center of Higher Education of Campos Gerais, Avenida General Carlos Cavalcanti, No. 8000, Ponta Grossa, PR, BrazilDepartment of Oral Health, Federal University of Goiás, Primeira Avenida, s/n, Goiânia, GO, BrazilDepartment of Dentistry, State University of Ponta Grossa, Avenida General Carlos Cavalcanti, No. 4748, Ponta Grossa, PR, BrazilApexification is a process of forming a mineralized apical barrier and had been performed by using calcium hydroxide paste, due to its biological and healing performances in cases of existent trauma. This clinical report aims to report the results of a 16-year follow-up study of an apexification treatment applied to nonvital tooth 22 of a healthy 8-year-old male after a trauma. Clinical inspection of the tooth showed fractures of the incisal edge and mesial angle, absence of coronal mobility, and negative pulp vitality under cold testing. Radiographic analysis of the root revealed incomplete apex formation. The possibility of fracture into the root or luxation injury was rejected, and the diagnosis of pulp necrosis was verified. Apexification by calcium hydroxide and subsequent endodontic treatment were planned. Initial formation of the mineralized apical barrier was observed after 3 months, and the barrier was considered to be completed after 8 months. Clinical, radiographic, and CBCT examinations after 16 years verified the success of the treatment, although the choice of calcium hydroxide for apexification treatment is discussed.http://dx.doi.org/10.1155/2015/984590
spellingShingle Camila Maggi Maia Silveira
Cátia Cilene Nass Sebrão
Larissa Soares Reis Vilanova
Alfonso Sánchez-Ayala
Apexification of an Immature Permanent Incisor with the Use of Calcium Hydroxide: 16-Year Follow-Up of a Case
Case Reports in Dentistry
title Apexification of an Immature Permanent Incisor with the Use of Calcium Hydroxide: 16-Year Follow-Up of a Case
title_full Apexification of an Immature Permanent Incisor with the Use of Calcium Hydroxide: 16-Year Follow-Up of a Case
title_fullStr Apexification of an Immature Permanent Incisor with the Use of Calcium Hydroxide: 16-Year Follow-Up of a Case
title_full_unstemmed Apexification of an Immature Permanent Incisor with the Use of Calcium Hydroxide: 16-Year Follow-Up of a Case
title_short Apexification of an Immature Permanent Incisor with the Use of Calcium Hydroxide: 16-Year Follow-Up of a Case
title_sort apexification of an immature permanent incisor with the use of calcium hydroxide 16 year follow up of a case
url http://dx.doi.org/10.1155/2015/984590
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AT catiacilenenasssebrao apexificationofanimmaturepermanentincisorwiththeuseofcalciumhydroxide16yearfollowupofacase
AT larissasoaresreisvilanova apexificationofanimmaturepermanentincisorwiththeuseofcalciumhydroxide16yearfollowupofacase
AT alfonsosanchezayala apexificationofanimmaturepermanentincisorwiththeuseofcalciumhydroxide16yearfollowupofacase