Please activate JavaScript!
Please install Adobe Flash Player, click here for download
ePaper created 2017-11-24, 11:00:53 | version 1.38.0
| case report apexification Apexification treatment with MTA REPAIR HP Author: Dr Fábio Duarte da Costa Aznar, Brazil Fig. 1 Fig. 2 Fig. 3 Fig. 1: Clinical appearance of tooth #11. Fig. 2: Initial radiographic appearance of tooth #11. Fig. 3: Radiography for odontometrics. Fig. 4: Supplementary cleaning process using ultrasonic irrigation. Fig. 5: Intra-canal medication with calcium hydroxide. A 28-year-old male patient presented to our prac- tice with an asymptomatic clinical picture of chro- matic alteration of tooth #11 (Fig. 1). He had a history of dental trauma during childhood. Clinical and radi- ographic examination found traces of pulp necrosis (Fig. 2), for which he was referred for endodontic treatment. After the initial consultation with the patient, anaesthesia was given, followed by establishment of absolute isolation. Subsequently, coronary access was achieved and the presence of pulp necrosis con- firmed. A crown-down disinfecting instrumentation was performed using 2.5 % sodium hypochlorite as irrigation agent and odontometry by radiographic method (Fig. 3), owing to not being able to use a fora- men locator under these anatomical conditions, as its accuracy may have been influenced. A manual preparation technique (step-back) was performed, using third-generation K-Files (Dentsply Maillefer) and 2.5 % sodium hypochlorite as irrigation Fig. 4 Fig. 5 22 roots 4 2017