ABSTRACT
Therapeutic of apexification with calcium hydroxide has been extensively used in clinical practice, but this technique has some drawbacks (long duration of treatment, weakening of the radicular walls). Different studies have proposed to close the apex opened with MTA (Mineral trioxide Aggregate) which is biocompatible, bacteriostatic, this material induces regeneration of the periapical region through the formation of cementum, bone and periodontal ligament (1, 2). This case report describes the technique of setting up in a single step of the Mineral trioxide Aggregate as an apical barrier for immature permanent roots. This method has allowed us an immediate apical sealing and a root canal filling and a coronary restore permanently as soon as possible. The radiological control confirmed that this type of apexification could be successful with periapical regeneration ad-integrum.
Subject(s)
Aluminum Compounds/therapeutic use , Apexification/methods , Calcium Compounds/therapeutic use , Dental Pulp Necrosis/therapy , Oxides/therapeutic use , Root Canal Filling Materials/therapeutic use , Silicates/therapeutic use , Child , Drug Combinations , Female , Follow-Up Studies , Humans , Incisor/injuries , Incisor/pathology , Periapical Diseases/therapy , Regeneration/drug effects , Tooth Root/drug effects , Tooth Root/pathologyABSTRACT
L'atteinte carieuse et les traumatismes sont des causes de pertes de substances dentaires anterieures. Cette perte de substance altere inevitablement l'esthetique et entraine le mecontentement de nos patients. L'avenement du collage et l'introduction de nouveaux materiaux composites permettent actuellement de repondre favorablement aux cas de pertes de substances anterieures en evitant le recours aux techniques prothetiques. L'utilisation de techniques de stratification assure la reproduction fidele de l'aspect et de la teinte de la dent. Cet article passe en revue quelques cas de pertes de substances dentaires anterieures traites au C.C.T.D Ibn Rochd de Casablanca
