Calcium hydroxide is a white odourless powder with the formula Ca(OH) 2, and a molecular weight of 74.08. For a long time, calcium hydroxide was the only material used in the apexification procedure: The treatment consists in repeated stimulations with calcium hydroxide, over a six to eighteen months' period, until the apical closure is achieved . Calcium hydroxide: a review Abstract Calcium hydroxide is a multipurpose agent, and there have been an increasing number of indications for its use. and the placement of calcium hydroxide on the remaining healthy pulp tissue. 1987 Sep;5(2):41-60. Save Recommend Share . 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. Prognosis: 7. At this point, if the canal continued to well up with exudate, I would consider remedicating with calcium hydroxide. Various materials that can be used for apexification include Calcium hydroxide, MTA, Tricalcium phosphate, Dentin chips, Calcium phosphate ceramics and hydroxyapatite and bone morphogenetic proteins. Rev Esp Endodoncia. On the day of MTA apexification, this is what I did: 1. Note the large periapical lesion. 2. We report a case series wherein calcium hydroxide and MTA were used successfully for one step apexification … This low … CONCLUSION: Calcium hydroxide is the gold standard material used in apexogenesis and apexification. It has also been shown that the use of calcium hydroxide weakens the resistance of the dentin to fracture. Prospective clinical trials comparing this and one‐visit apexification techniques are required. Use of Either Biomaterials or Calcium Hydroxide in Apexification Procedures Yields Denaturation and Lower Fracture Resistance Over Time European Journal of Paediatric Dentistry . comparison of effectiveness of mineral trioxide aggregate and calcium hydroxide in apexification procedure Calcium silicate cements are bioactive materials used in various endodontic indications, such as pulp capping, pulpotomy, apexogenesis, apexification , perforation repair, and root-end filling [1-4]. Thus, the aim of this study was to investigate the nature of the remaining regenerated calcified tissues of the RAP group that showed no pulp regeneration compared to the calcium hydroxide … calcium hydroxide apexification, the use of apical plug method seems to be a suitable alternate treatment plan for such cases. If not a fresh supply of calcium-hydroxide paste is applied to the root canal, and the patient is recalled every 3 months until one sees radiographic evidence of an apical barrier denoting apexification. Case Report Apexification with Calcium Hydroxide vs. Revascularization H. Boufdil , M. Mtalsi, S. El Arabi, and B. Bousfiha Department of Pediatric Dentistry, Faculty of Dentistry, Hassan II University of Casablanca, Morocco 3. 8)). Traditionally, calcium hydroxide (Ca(OH)2) has been the material of choice for the apexification of immature permanent teeth but MTA holds significant promise as an alternative to multiple treatments with Ca(OH)2. Many studies in the literature report inconveniences linked to that procedure: In this method, a compact barrier is placed in the open area of the root-end to induce the formation of a calcified barricade in the periapical region. The most commonly advocated medicament is calcium hydroxide, although recently considerable interest has been expressed in the use of mineral trioxide aggregate (MTA). While some teeth may require further treatments, most easily form a calcified apex. Pulpal involvement usually occurs as a consequence of trauma or caries involvement of young or immature permanent teeth. Tooth was diagnosed with necrotic pulp and symptomatic apical periodontitis. Apexification•Definition•The factors most responsible for apical closure•Causes of failure•The materials used for apexification: * Ca(OH)2 (calcium hydroxide) * MTA (mineral trioxide aggregate) MTA is the material of choice. Calcium hydroxide apexification is the oldest and most studied therapeutic option, but it has some disadvantages, including the long term of treatment, the possibility … However, the depth to which the tissue is removed should be determined by clinical judgment. DSI Calcium-Hx Calcium Hydroxide Powder U.S.P. Anti-Bacterial Cavity Liner. After access to the root canals and complete removal of the pulp, the canal systems remained exposed to the oral environment for 2 … The procedure for Apexification is The tooth is isolated with rubber dam, & access is gained into the pulp chamber. Both substances form a hard layer over the apex called a calcific barrier. 9. After setting of The use of calcium hydroxide (CH) as an intracanal medicament for apexification is widespread. Recent regeneration procedures may be helpful for apexification in non vital elements. Single-visit apexification has been used for the endodontic treatment of teeth with necrotic pulps and open apices [1, 2].Single one-visit apexification has taken precedence over the previous technique that used calcium hydroxide, after the introduction of calcium silicate cements, including ProRoot mineral trioxide aggregate (MTA) (Dentsply-Sirona, Ballaigues, Switzerland) [].