The use of calcium hydroxide and mineral trioxide aggregate on apexification of a replanted tooth: a case report

Dent Traumatol. 2009 Jun;25(3):e32-6. doi: 10.1111/j.1600-9657.2008.00745.x. Epub 2009 Feb 22.

Abstract

Aim: To report the outcome of the endodontic treatment of a reimplanted central maxillary incisor with open apex after 8 years and 7 months of follow-up.

Summary: This case report presents the treatment of a right central maxillary incisor of an 8-year old white male patient with history of traumatic avulsion and immediate replantation. The endodontic therapy consisted of periodical changes of calcium hydroxide dressing and a definitive root canal filling with mineral trioxide aggregate (MTA). The treatment was successful without pathologies up to 7 years of follow-up. After the institution of orthodontic treatment a localized and late root resorption was noticed at the last radiographic examination (8 years and 7 months postoperative follow-up). Moreover, the use of MTA promoted a mild crown grey discoloration.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Aluminum Compounds / adverse effects
  • Aluminum Compounds / therapeutic use*
  • Calcium Compounds / adverse effects
  • Calcium Compounds / therapeutic use*
  • Calcium Hydroxide / therapeutic use*
  • Child
  • Combined Modality Therapy
  • Drug Combinations
  • Follow-Up Studies
  • Humans
  • Incisor
  • Male
  • Maxilla / surgery*
  • Orthodontics / methods
  • Oxides / adverse effects
  • Oxides / therapeutic use*
  • Root Canal Filling Materials / therapeutic use*
  • Root Canal Therapy / methods*
  • Root Resorption / prevention & control
  • Silicates / adverse effects
  • Silicates / therapeutic use*
  • Tooth Avulsion / complications
  • Tooth Avulsion / therapy
  • Tooth Discoloration / etiology
  • Tooth Replantation*
  • Treatment Outcome

Substances

  • Aluminum Compounds
  • Calcium Compounds
  • Drug Combinations
  • Oxides
  • Root Canal Filling Materials
  • Silicates
  • mineral trioxide aggregate
  • Calcium Hydroxide