Bioceramic cement as a reparative material in apexification of immature permanent tooth: a case report

Natasya Hillary, Citra Kusumasari, Ahmed Abdou

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction:Bioceramic cement is the latest material of choice that can be used in apexification, resorption case, perforation repair, and known as high-quality sealing material in regenerative endodontics. The treatment of apexification in immature teeth poses a considerable challenge due to the wide root canal, the absence of apical constriction, and thin dentin walls, thus requiring specialized techniques and materials for managing teeth with an open apex. The objective of this case report is to delineate the treatment of apexification in teeth with open apices using the latest bioceramic material (Bio-C®Repair). Case report: An 11-year-old female patient with chief complaints of swollen gums covering the cervical third of the crown after her front tooth was broken due to a fall two years ago. Radiographic examination showed a wide root canal with an open apex and radiolucency in the apical area. The apexification procedure with an apical plug was performed with Bio-C® Repair, followed by anatomical fiber post and direct composite restoration for the final restoration. In the 2-month and 4-month control, the periapical lesion showed signs of healing on radiographs. Bioceramic materials act as an artificial barrier in open apex management and provide various advantages, such as shortening treatment time, strengthening dentin structure, and possessing bioactive properties that can induce healing. The orthograde placement of bioceramic material is challenging in terms of length control. Using bioactive materials can reduce the risk of adverse impacts from material extrusion. Conclusion: A new bioceramic material (Bio-C®Repair) is recommended for the apexification procedure because it can overcome the limitations of MTA (e.g., tooth discoloration, handling difficulties, prolonged setting time, and the release of heavy metals
Original languageEnglish
Pages (from-to)111-117
JournalJurnal Kedokteran Gigi Unpad
Volume36
Issue number4
DOIs
Publication statusPublished - 2024

Keywords

  • open apices
  • immature permanent tooth
  • apexification
  • bioceramic
  • apical barrier technique

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