25Apr 2017

APEXOGENESIS WITH DIRECT PULP CAPPING USING A NEW BIOACTIVE MATERIAL IN AN IMMATURE LOWER INCISOR: A CASE REPORT

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Coronal fractures of the anterior teeth are a common form of dental trauma that mainly affects children and adolescents. Preservation of the pulp in a traumatized immature fractured incisor tooth is of prime importance in order to achieve apexogenesis, a natural apical closure. Apexogenesis after traumatic exposure in vital young permanent teeth can be accomplished by implementing an appropriate vital pulp therapy such as pulp capping (direct or indirect) depending on time interval between the trauma and treatment, degree of root development, and size of the pulp exposure. Pulpal protection by a bioactive material may provide optimum marginal seal in preventing microleakage. This case report presents an 8 year old male patient diagnosed with Ellis Class III fracture of immature lower anterior tooth 31, exposed pulp was sealed using a new bioactive material Biodentine to protect the pulp and stimulate apexogenesis. The fractured segment was reattached for optimum esthetics. The patient was followed up for 1, 3, 6 and 12 months, which revealed continued apical closure and maintenance of pulp vitality. The patient remained asymptomatic. This case report provides evidence for the potential use of biodentine as an effective pulp capping material.

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[P. V. Sreedevi, Syed Inayathulla, B.G.Yogesh, Arun J Kumar, Ashwini and P.Sheshadri. (2017); APEXOGENESIS WITH DIRECT PULP CAPPING USING A NEW BIOACTIVE MATERIAL IN AN IMMATURE LOWER INCISOR: A CASE REPORT Int. J. of Adv. Res. 5 (Apr). 986-989] (ISSN 2320-5407). www.journalijar.com

Dr Syed Inayathulla
Farooqia Dental College and Hospital, Mysore

DOI:

Article DOI: 10.21474/IJAR01/3906      
DOI URL: https://dx.doi.org/10.21474/IJAR01/3906

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