Root lengthening with apical closure in two maxillary immature permanent central incisors after placement of mineral trioxide aggregate (MTA) as an apical plug

Masmoudi, F.; Bourmeche, I.; Sebai, A.; Baccouche, Z.; Maatouk, F.

doi:10.1007/s40368-017-0323-7

Case Report
Published: 15 January 2018

Root lengthening with apical closure in two maxillary immature permanent central incisors after placement of mineral trioxide aggregate (MTA) as an apical plug

F. Masmoudi^1,3,
I. Bourmeche^1,3,
A. Sebai^1,3,
Z. Baccouche² &
F. Maatouk^1,3

European Archives of Paediatric Dentistry volume 19, pages 65–71 (2018)Cite this article

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Abstract

Background

Necrosis of permanent immature teeth is a common reason for consultation in paediatric dentistry. Apexification is a therapeutic procedure aiming to create an apical calcified barrier in open apex teeth.

Case report

Two cases are presented in which apexification were completed on immature permanent traumatised incisors using a mineral trioxide aggregate (MTA) plug.

Follow-up

At 2 and 5 years showed apical closure and radicular elongation beyond the MTA plug.

Conclusion

Unexpectedly, a regeneration of mineral tissues beyond the MTA plug occurred which is an uncommon outcome.

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Affiliations

Department of Paediatric Dentistry, Faculty of Dentistry, University of Monastir, Monastir, Tunisia
F. Masmoudi, I. Bourmeche, A. Sebai & F. Maatouk
Department of Endodontics, Faculty of Dentistry, University of Monastir, Monastir, Tunisia
Z. Baccouche
Biological and Clinical Dento-Facial Approach Laboratory LR12ES10, Monastir, Tunisia
F. Masmoudi, I. Bourmeche, A. Sebai & F. Maatouk

Authors

F. Masmoudi
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I. Bourmeche
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A. Sebai
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Z. Baccouche
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F. Maatouk
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Correspondence to F. Masmoudi.

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Masmoudi, F., Bourmeche, I., Sebai, A. et al. Root lengthening with apical closure in two maxillary immature permanent central incisors after placement of mineral trioxide aggregate (MTA) as an apical plug. Eur Arch Paediatr Dent 19, 65–71 (2018). https://doi.org/10.1007/s40368-017-0323-7

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Received: 27 October 2017
Accepted: 14 December 2017
Published: 15 January 2018
Issue Date: February 2018
DOI: https://doi.org/10.1007/s40368-017-0323-7

Keywords

Permanent immature teeth
Apexification
Mineral trioxide aggregate (MTA)
Radicular elongation
Regeneration