Clinical and Radiographical Evaluation of Bioceramic Root Canal Sealer and MTA in Apexification of Immature Permanent Teeth

Document Type : Original Article

Authors

1 Department of Pedodontics and Oral Health, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt.

2 Preventive Dentistry Department, College of Dentistry, Umm Al-Qura University, Makkah, KSA. b) Department of Pedodontics and Oral Health, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt.

Abstract

Periapical lesion is the most common sequelae of pulp necrosis due to either carious involvement or trauma. Treatment options to manage periapical lesion with open apex ranges from non-surgical root canal treatment and/or apical surgery to extraction. Objective: clinicall and radiogrphicall evaluation of the effect of MTA and bioceramic root canal sealer to manage immature permenant teeth with open apex. Methodology: The study was composed of sixty teeth from 54 children with age ranged from seven to ten years old age. Children were divided in to two equal groups: 1-Group A:Teeth were received apexification with MTA 2-Group B:Teeth were received apexification with bioceramic root canal sealer. All patients were followed clinically and radiographically immediate postoperatively, 3 and 6 months. Results: The success rate in both bioceramic and MTA was 93.3% and 90% respectively with no statistical significant difference. After 6 months, all teeth shows normal lamina dura among both bio ceramic and MTA groups. While, reduced radiolucences and obvious healing of bone detected among 93.3% and 90% of tooth among bio ceramic and MTA groups respectively. Conclusions: Both MTA and bioceramic sealer show good results

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