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Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient
Apexification is widely applied in teenager patients but rarely used in the adult population. Instead, artificial apical barrier with mineral trioxide aggregate (MTA) is clinically accepted, and spontaneous apical closure in nonvital immature teeth of adult patients has rarely been encountered while...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481130/ https://www.ncbi.nlm.nih.gov/pubmed/31093383 http://dx.doi.org/10.1155/2019/7546842 |
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author | Li, Chenshuang Zheng, Zhong Deng, Xiaohong Zhang, Lan Wang, Baoyan Guo, Qingyu Zou, Min |
author_facet | Li, Chenshuang Zheng, Zhong Deng, Xiaohong Zhang, Lan Wang, Baoyan Guo, Qingyu Zou, Min |
author_sort | Li, Chenshuang |
collection | PubMed |
description | Apexification is widely applied in teenager patients but rarely used in the adult population. Instead, artificial apical barrier with mineral trioxide aggregate (MTA) is clinically accepted, and spontaneous apical closure in nonvital immature teeth of adult patients has rarely been encountered while only apexification of the maxillary incisors in adult patients has been reported. The aim of this case report is to share a successful apexification application in the mandibular premolar with a blunderbuss apex and periapical lesion of an adult patient by using calcium hydroxide: radiographically, spontaneous hard tissue barrier has been established, and narrowing canal space and decreasing area of periapical shadow were documented without complications. Taken together, our study indicates that patient's age and tooth position may not be the critical limitation for apexification. |
format | Online Article Text |
id | pubmed-6481130 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-64811302019-05-15 Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient Li, Chenshuang Zheng, Zhong Deng, Xiaohong Zhang, Lan Wang, Baoyan Guo, Qingyu Zou, Min Case Rep Dent Case Report Apexification is widely applied in teenager patients but rarely used in the adult population. Instead, artificial apical barrier with mineral trioxide aggregate (MTA) is clinically accepted, and spontaneous apical closure in nonvital immature teeth of adult patients has rarely been encountered while only apexification of the maxillary incisors in adult patients has been reported. The aim of this case report is to share a successful apexification application in the mandibular premolar with a blunderbuss apex and periapical lesion of an adult patient by using calcium hydroxide: radiographically, spontaneous hard tissue barrier has been established, and narrowing canal space and decreasing area of periapical shadow were documented without complications. Taken together, our study indicates that patient's age and tooth position may not be the critical limitation for apexification. Hindawi 2019-04-09 /pmc/articles/PMC6481130/ /pubmed/31093383 http://dx.doi.org/10.1155/2019/7546842 Text en Copyright © 2019 Chenshuang Li et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Li, Chenshuang Zheng, Zhong Deng, Xiaohong Zhang, Lan Wang, Baoyan Guo, Qingyu Zou, Min Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient |
title | Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient |
title_full | Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient |
title_fullStr | Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient |
title_full_unstemmed | Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient |
title_short | Apexification Management of Mandibular Second Premolar with a Blunderbuss Apex and Periapical Lesion of an Adult Patient |
title_sort | apexification management of mandibular second premolar with a blunderbuss apex and periapical lesion of an adult patient |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481130/ https://www.ncbi.nlm.nih.gov/pubmed/31093383 http://dx.doi.org/10.1155/2019/7546842 |
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