Non Surgical Management of An Immature Tooth With Biodentine Apexification – A Case Report
Keywords:
Apexification, Biodentine, CBCT
Abstract
An immature tooth with periapical lesion presents multiple challenges for effective disinfection and successful obturation. Even when the challenges described earlier are overcome the roots of these teeth are thin with a higher susceptibility to fracture .This case report describes the non surgical management of an immature non vital tooth associated with a periradicular lesion followed by single visit apexification using Biodentine. This also highlights the advantage of use of CBCT in accurate determination of the size and extent of periradicular lesions and also the scope of magnification using Operating microscope.
References
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2) Simon JH. Incidence of periapical cysts in relation to the root canal. J Endod. 1980 Nov;6(11):845-8. doi: 10.1016/S0099-2399(80)80039-2.
3) Ramachandran Nair PN, Pajarola G, Schroeder HE. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996 Jan;81(1):93-102. doi: 10.1016/s1079-2104(96)80156-9.
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6) Calişkan MK, Sen BH. Endodontic treatment of teeth with apical periodontitis using calcium hydroxide: a long-term study. Endod Dent Traumatol. 1996 Oct;12(5):215-21. doi: 10.1111/j.1600-9657.1996.tb00518.x.
7) Bhaskar SN. Nonsurgical resolution of radicular cysts. Oral Surg Oral Med Oral Pathol. 1972 Sep;34(3):458-68. doi: 10.1016/0030-4220(72)90325-8.
8) Eversole (1984) in Clinical Outline of Oral Pathology: Diagnosis and Treatment. 2nd edn. Philadelphia: Lea & Febiger, pp. 203–259.
9) Dumsha TC, Gutmann JL (1988) Problems in managing endodontic emergencies. In: Gutmann IL, Dumsha TC, Lovdahl PE, eds. Problem Solving in Endodontics. Chicago, IL: Year Book Medical Publishers Inc., pp. 123–37.
10) Wood NK. Periapical lesions. Dent Clin North Am. 1984 Oct;28(4):725-66.
11) Septodont. Biodentine™ Active Biosilicate Technology. 2010. Available online: http://www.plandent.no/images/Marketing/Infosenter/Biodentine%20Scientific%20File_web_dokumentasjon.pdf (accessed on 15 January 2025).
12) Mahmoud Torabinejad and Masoud Parirokh. Mineral Trioxide Aggregate: A Comprehensive Literature Review—Part II: Leakage and Biocompatibility Investigations. J Endod 2010; 36:190–202.
2) Simon JH. Incidence of periapical cysts in relation to the root canal. J Endod. 1980 Nov;6(11):845-8. doi: 10.1016/S0099-2399(80)80039-2.
3) Ramachandran Nair PN, Pajarola G, Schroeder HE. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996 Jan;81(1):93-102. doi: 10.1016/s1079-2104(96)80156-9.
4) Nair PN. New perspectives on radicular cysts: do they heal? Int Endod J. 1998 May;31(3):155-60. doi: 10.1046/j.1365-2591.1998.00146.x.
5) Calskan MK. Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment: a clinical review. Int Endod J 2004;37:408 –16
6) Calişkan MK, Sen BH. Endodontic treatment of teeth with apical periodontitis using calcium hydroxide: a long-term study. Endod Dent Traumatol. 1996 Oct;12(5):215-21. doi: 10.1111/j.1600-9657.1996.tb00518.x.
7) Bhaskar SN. Nonsurgical resolution of radicular cysts. Oral Surg Oral Med Oral Pathol. 1972 Sep;34(3):458-68. doi: 10.1016/0030-4220(72)90325-8.
8) Eversole (1984) in Clinical Outline of Oral Pathology: Diagnosis and Treatment. 2nd edn. Philadelphia: Lea & Febiger, pp. 203–259.
9) Dumsha TC, Gutmann JL (1988) Problems in managing endodontic emergencies. In: Gutmann IL, Dumsha TC, Lovdahl PE, eds. Problem Solving in Endodontics. Chicago, IL: Year Book Medical Publishers Inc., pp. 123–37.
10) Wood NK. Periapical lesions. Dent Clin North Am. 1984 Oct;28(4):725-66.
11) Septodont. Biodentine™ Active Biosilicate Technology. 2010. Available online: http://www.plandent.no/images/Marketing/Infosenter/Biodentine%20Scientific%20File_web_dokumentasjon.pdf (accessed on 15 January 2025).
12) Mahmoud Torabinejad and Masoud Parirokh. Mineral Trioxide Aggregate: A Comprehensive Literature Review—Part II: Leakage and Biocompatibility Investigations. J Endod 2010; 36:190–202.
Published
2025-12-25
How to Cite
V.P, P. S., C M, S., Rajan, R. R., Joseph, A., Ravi, A. .B, & Varughese, A. (2025). Non Surgical Management of An Immature Tooth With Biodentine Apexification – A Case Report. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 11(4). https://doi.org/10.21276/ujds.2025.11.4.11
Section
Case Reports
