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American Journal of Oral Medicine and Radiology

Volume 5, Issue 2, 2018
Mcmed International
American Journal of Oral Medicine and Radiology
Issn
XXX-XXXX (Print), 2394 - 7721 (Online)
Frequency
bi-annual
Email
editorajomr@mcmed.us
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Abstract
Title
MANAGEMENT OF TEETH WITH OPEN APICES; A NARRATIVE REVIEW OF ETIOLOGY AND TREATMENT PLANNING
Author
Rajendra K Tewari1 , Surendra K Mishra2 , Ashok Kumar3 , Deenadayalan Elumalai4*, Parul Kansal4 , Sharique Alam5
Email
dr.deena.e@gmail.com
keyword
Apical plug; Blunderbuss; Endodontic Treatment; Immature Tooth; Open Apex; Root Canal Therapy; Rolled cone; Trauma; Vital Pulp Therapy.
Abstract
Various pathological or iatrogenic causes may create wide open, blunderbuss root apices. When root canal therapy is indicated for these teeth such condition necessitates careful treatment-planning and management due to the delicate apical anatomy as well as its endodontic and restorative treatment challenges. This review article tends to discuss the nature of the problem and strategies for successful endodontic treatment as well as advantage, disadvantage and limitation of both conventional and contemporary available treatment methods. Techniques of vital pulp therapy such as apexogenesis, direct pulp capping, pulpotomy and treatment methods for a non vital tooth like apexification, modified gutta percha obturation technique and recent artificial apical barrier techniques using mineral trioxide aggregate (MTA) and calcium enriched mixture (CEM) cement, has been discussed with contemporary viewpoints. Regeneration and revascularization has offered newer insights and directions on treating canals with blunderbuss apical shape and will be discussed with perspective on the present understanding as well as future research trends. This review article will also give an evidence based treatment planning protocol based on literature available till date.
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