Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient
Apexification is widely applied in teenager patients but rarely used in the adult population. Instead, artificial apical barrier with mineral trioxide aggregate (MTA) is clinically accepted, and spontaneous apical closure in nonvital immature teeth of adult patients has rarely been encountered while...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2019/7546842 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547118216118272 |
|---|---|
| author | Chenshuang Li Zhong Zheng Xiaohong Deng Lan Zhang Baoyan Wang Qingyu Guo Min Zou |
| author_facet | Chenshuang Li Zhong Zheng Xiaohong Deng Lan Zhang Baoyan Wang Qingyu Guo Min Zou |
| author_sort | Chenshuang Li |
| collection | DOAJ |
| description | Apexification is widely applied in teenager patients but rarely used in the adult population. Instead, artificial apical barrier with mineral trioxide aggregate (MTA) is clinically accepted, and spontaneous apical closure in nonvital immature teeth of adult patients has rarely been encountered while only apexification of the maxillary incisors in adult patients has been reported. The aim of this case report is to share a successful apexification application in the mandibular premolar with a blunderbuss apex and periapical lesion of an adult patient by using calcium hydroxide: radiographically, spontaneous hard tissue barrier has been established, and narrowing canal space and decreasing area of periapical shadow were documented without complications. Taken together, our study indicates that patient’s age and tooth position may not be the critical limitation for apexification. |
| format | Article |
| id | doaj-art-e872583314b84b348b914bde58a97945 |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-e872583314b84b348b914bde58a979452025-02-03T06:46:05ZengWileyCase Reports in Dentistry2090-64472090-64552019-01-01201910.1155/2019/75468427546842Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult PatientChenshuang Li0Zhong Zheng1Xiaohong Deng2Lan Zhang3Baoyan Wang4Qingyu Guo5Min Zou6College of Stomatology, Xi’an Jiaotong University, Xi’an, Shaanxi 710004, ChinaDivision of Growth and Development, Section of Orthodontics, School of Dentistry, University of California, Los Angeles, Los Angeles, CA 90095, USADepartment of Endodontics, College of Stomatology, Xi’an Jiaotong University, Xi’an, Shaanxi 710004, ChinaDepartment of Oral Mucosal Diseases, College of Stomatology, Xi’an Jiaotong University, Xi’an, Shaanxi 710004, ChinaDepartment of Oral Mucosal Diseases, College of Stomatology, Xi’an Jiaotong University, Xi’an, Shaanxi 710004, ChinaDepartment of Pediatric Dentistry, College of Stomatology, Xi’an Jiaotong University, Xi’an, Shaanxi 710004, ChinaDepartment of Orthodontics, College of Stomatology, Xi’an Jiaotong University, Xi’an, Shaanxi 710004, ChinaApexification is widely applied in teenager patients but rarely used in the adult population. Instead, artificial apical barrier with mineral trioxide aggregate (MTA) is clinically accepted, and spontaneous apical closure in nonvital immature teeth of adult patients has rarely been encountered while only apexification of the maxillary incisors in adult patients has been reported. The aim of this case report is to share a successful apexification application in the mandibular premolar with a blunderbuss apex and periapical lesion of an adult patient by using calcium hydroxide: radiographically, spontaneous hard tissue barrier has been established, and narrowing canal space and decreasing area of periapical shadow were documented without complications. Taken together, our study indicates that patient’s age and tooth position may not be the critical limitation for apexification.http://dx.doi.org/10.1155/2019/7546842 |
| spellingShingle | Chenshuang Li Zhong Zheng Xiaohong Deng Lan Zhang Baoyan Wang Qingyu Guo Min Zou Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient Case Reports in Dentistry |
| title | Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient |
| title_full | Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient |
| title_fullStr | Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient |
| title_full_unstemmed | Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient |
| title_short | Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient |
| title_sort | apexification management of mandibular second premolar with a blunderbuss apex and periapical lesion of an adult patient |
| url | http://dx.doi.org/10.1155/2019/7546842 |
| work_keys_str_mv | AT chenshuangli apexificationmanagementofmandibularsecondpremolarwithablunderbussapexandperiapicallesionofanadultpatient AT zhongzheng apexificationmanagementofmandibularsecondpremolarwithablunderbussapexandperiapicallesionofanadultpatient AT xiaohongdeng apexificationmanagementofmandibularsecondpremolarwithablunderbussapexandperiapicallesionofanadultpatient AT lanzhang apexificationmanagementofmandibularsecondpremolarwithablunderbussapexandperiapicallesionofanadultpatient AT baoyanwang apexificationmanagementofmandibularsecondpremolarwithablunderbussapexandperiapicallesionofanadultpatient AT qingyuguo apexificationmanagementofmandibularsecondpremolarwithablunderbussapexandperiapicallesionofanadultpatient AT minzou apexificationmanagementofmandibularsecondpremolarwithablunderbussapexandperiapicallesionofanadultpatient |