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Apexification is a method of dental treatment to induce a calcific barrier in a root with incomplete formation or open apex of a tooth with necrotic pulp. [1] Pulpal involvement usually occurs as a consequence of trauma or caries involvement of young or immature permanent teeth. As a sequelae of untreated pulp involvement, loss of pulp vitality ...
A study has shown that teeth treated with revascularization showed a significantly greater percentage increase in root length compared with teeth treated by either mineral trioxide aggregate or calcium hydroxide apexification. Regenerative procedures promoted a decrease in apical diameter (apical closure).
The average size of the orifice is 0.3 to 0.4 mm in diameter. There can be two or more foramina separated by a portion of dentin and cementum or by cementum only. If more than one foramen is present on each root, the largest one is designated as the apical foramen and the rest are considered accessory foramina.
On the other hand, the root canal filling material may be extruded from the apex leading to other complications. [citation needed] The X-ray in the right margin shows two adjacent teeth that had received bad root canal therapy. The root canal filling material (3, 4, and 10) does not extend to the end of the tooth roots (5, 6 and 11).
Management of intrusion depends on several factors such as whether the tooth has a closed or open apex, type of teeth (primary or permanent dentition) and how much the tooth is intruded in mm. This type of dental trauma is complex and is commonly associated with pulpal necrosis and inflammatory ankylosis.
A root end surgery, also known as apicoectomy (apico-+ -ectomy), apicectomy (apic-+ -ectomy), retrograde root canal treatment (c.f. orthograde root canal treatment) or root-end filling, is an endodontic surgical procedure whereby a tooth's root tip is removed and a root end cavity is prepared and filled with a biocompatible material.
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Visual of tooth decay. Pulpotomy is a minimally invasive procedure performed in children on a primary tooth with extensive caries but without evidence of root pathology. [1] The minimally invasive, endodontic techniques of vital pulp therapy (VPT) are based on improved understanding of the capacity of pulp tissues to heal and regenerate plus the availability of advanced endodontic materials.