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Home Radiographic appearance of apical closure in apexification: follow-up after 7-13 years

Radiographic appearance of apical closure in apexification: follow-up after 7-13 years

Authors:

  • I. Ballesio
    University of Rome Tor Vergata
  • E. Marchetti
    University of L'Aquila (Italy)
  • S. Mummolo
    University of L'Aquila (Italy)
  • G. Marzo
    University of L'Aquila (Italy)

ABSTRACT


Aim

This was the radiographic evaluation of 15 maxillary incisors apexification treatment carried out on 7-9 years old
patients with periapical pathology due to pulpal necrosis after dental trauma.

Methods

The treatment consisted of
two phases. The aim of first phase was the formation of a calcified apical barrier through calcium hydroxide medications repeated twice
with a three months interval. The aim of the second phase was the obturation of the root canal system once achieved a radiographic
evidence of the formation of an apical barrier. The treated teeth were radiographed at six months and then periodically once a year for a
period of 7 and 13 years.

Results

The radiographic analysis allowed to underline three different kinds of apical formation: a
physiological development of the apical portion with a final root length equal to the contralateral tooth; the formation of a cap tissue and
an apical development with the final root length slightly shorter than the contralateral tooth; or the formation of different layers of
mineralised tissue that aggregate together trough the years.

Conclusion

Apexification is not a static phenomenon and the apexified
area undergoes through the years to a conspicuous readjustment involving bone, apical root tissues and root filling material.

PLUMX METRICS

Publication date:

Mar /2006

Keywords:

apexification-apex, closure-calcium, hydroxide

Issue:

Vol.7 – n.1/2006

Page:

29 – 34

Publisher:

Ariesdue

Cite:


Harvard: I. Ballesio, E. Marchetti, S. Mummolo, G. Marzo (2006) "Radiographic appearance of apical closure in apexification: follow-up after 7-13 years", European Journal of Paediatric Dentistry, 7(1), pp29-34. doi:
Vancouver: I. Ballesio, E. Marchetti, S. Mummolo, G. Marzo. Radiographic appearance of apical closure in apexification: follow-up after 7-13 years. European Journal of Paediatric Dentistry [Internet]. 2006Mar.1 [cited 2022Jul.05];7(1):29-34. Available from: https://www.ejpd.eu/abstract-pubmed/radiographic-appearance-of-apical-closure-in-apexification-follow-up-after-7-13-years/
MLA: I. Ballesio, E. Marchetti, S. Mummolo, G. Marzo Radiographic appearance of apical closure in apexification: follow-up after 7-13 years. European Journal of Paediatric Dentistry. 2006;7(1):29-34

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
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