Apexification of an Immature Permanent First Molar Tooth with Cold Ceramic: A Case Report

Shirin Marzoughi; Reza  Salari-Moghaddam; Reyhaneh Faghihian; Samaneh Moradi; Mehdi Soltani

doi:10.18502/ijds.v17i4.8660

Shirin Marzoughi Postgraduate Student of Pediatric Dentistry, Dental Research Center, Department of Pediatric Dentistry, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
Reza Salari-Moghaddam Assistant Professor, Department of Pediatric Dentistry, School of Dentistry, Ilam University of Medical Sciences, Ilam, Iran
Reyhaneh Faghihian Assistant Professor, Dental Research Center, Department of Pediatric Dentistry, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
Samaneh Moradi Postgraduate Student of Endodontics, Dental Research Center, Department of Endodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
Mehdi Soltani Postgraduate Student of Prosthodontics, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

DOI: https://doi.org/10.18502/ijds.v17i4.8660

Keywords: Ceramics, Apexification, Biocompatibile materials.

Abstract

Introduction: Apexification is a method to create a calcification barrier in teeth with open apex and pulp necrosis. For many years, calcium hydroxide was the most common substance for this purpose. Nowadays, apexification with other materials that can yield better results in one session has become more popular.

Case report: For a 9-year-old boy complained of “tooth decay”, apexification treatment was performed by MTA on the lower right sixth permanent molar and by cold ceramic on the lower left sixth permanent molar. At one-year follow-up, no symptoms were observed on clinical examination and radiography of both teeth.

Conclusion: Cold ceramic such as MTA can be considered effective in the apexification of immature tooth with pulp necrosis.