The use of white Portland cement as an apical plug in a tooth with a necrotic pulp and wide-open apex: a case report

被引:22
作者
De-Deus, G. [1 ]
Coutinho-Filho, T. [1 ]
机构
[1] Univ Fed Rio de Janeiro, Dept Endodont, Rio De Janeiro, Brazil
关键词
endodontic treatment; open apices; Portland cement;
D O I
10.1111/j.1365-2591.2007.01269.x
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Aim To present a case in which substantial periapical healing occurred with the use of white Portland cement (WPC) to create an apical plug in the root of an immature tooth. Summary Radiographic examination indicated an immature tooth (35) with a wide-open apex and a periapical radiolucency. The canal was mechanically cleaned using intracanal instruments and 5% NaOCl irrigation. Small pieces of resorbable collagen sponge were packed beyond the root apex with the aim of creating a periapical barrier for the compaction of filling material. WPC powder was then mixed with sterile water and delivered to the apical portion of the canal (approximately 3 mm). The patient was asked to return 1 week later for the continuation of treatment but he did return as planned. Seven months after the intervention the patient returned and another radiograph was exposed to reveal complete radiographic healing of the periapical region. The remainder of the canal was filled with thermoplastic gutta-percha. Clinical follow-up 1 year later revealed adequate clinical function, absence of clinical symptoms and no signs of periapical rarefaction. Key learning point The positive clinical resolution of this case is encouraging for the use of WPC as an apical plug in immature teeth with necrotic pulps and wide-open apices.
引用
收藏
页码:653 / 660
页数:8
相关论文
共 36 条
[1]   An evaluation of accelerated Portland cement as a restorative material [J].
Abdullah, D ;
Ford, TRP ;
Papaioannou, S ;
Nicholson, J ;
McDonald, F .
BIOMATERIALS, 2002, 23 (19) :4001-4010
[2]  
Andreasen J., 1994, Textbook and color atlas of traumatic injuries, V3rd
[3]   Traumatic intrusion of permanent teeth. Part 1. An epidemiological study of 216 intruded permanent teeth [J].
Andreasen, JO ;
Bakland, LK ;
Matras, RC ;
Andreasen, FM .
DENTAL TRAUMATOLOGY, 2006, 22 (02) :83-89
[4]   Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture [J].
Andreasen, JO ;
Farik, B ;
Munksgaard, C .
DENTAL TRAUMATOLOGY, 2002, 18 (03) :134-137
[5]   Perforation repair with mineral trioxide aggregate: a modified matrix concept [J].
Bargholz, C .
INTERNATIONAL ENDODONTIC JOURNAL, 2005, 38 (01) :59-69
[6]   Mineral trioxide aggregate: a review of the constituents and biological properties of the material [J].
Camilleri, J. ;
Ford, T. R. Pitt .
INTERNATIONAL ENDODONTIC JOURNAL, 2006, 39 (10) :747-754
[7]   Cytotoxicity of MTA and Portland cement on human ECV 304 endothelial cells [J].
De Deus, G ;
Ximenes, R ;
Gurgel, ED ;
Plotkowski, MC ;
Coutinho, T .
INTERNATIONAL ENDODONTIC JOURNAL, 2005, 38 (09) :604-609
[8]   MTA versus Portland cement as repair material for furcal perforations: a laboratory study using a polymicrobial leakage model [J].
De-Deus, G ;
Petruccelli, V ;
Gurgel, E ;
Coutinho, T .
INTERNATIONAL ENDODONTIC JOURNAL, 2006, 39 (04) :293-298
[9]   Arsenic release provided by MTA and Portland cement [J].
Duarte, MAH ;
Demarchi, ACCD ;
Yamashita, JC ;
Kuga, MC ;
Fraga, SD .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY, 2005, 99 (05) :648-650
[10]  
Estrela C, 2000, Braz Dent J, V11, P3