Non-surgical Treatment of a Non-vital, Immature Permanent Tooth with a Large Periapical Abscess: A Case Report with 8-month Follow-up
Mahima Panwar *
Department of Pediatric and Preventive Dentistry, Kanti Devi Dental College, Mathura, Uttar Pradesh, India.
Madhukar Yadav
Department of Pediatric and Preventive Dentistry, Kanti Devi Dental College, Mathura, Uttar Pradesh, India.
Sonal Gupta
Department of Pediatric and Preventive Dentistry, Kanti Devi Dental College, Mathura, Uttar Pradesh, India.
Riya Ojha
Department of Pediatric and Preventive Dentistry, Kanti Devi Dental College, Mathura, Uttar Pradesh, India.
Rushika Velaparambil
Department of Pediatric and Preventive Dentistry, Kanti Devi Dental College, Mathura, Uttar Pradesh, India.
*Author to whom correspondence should be addressed.
Abstract
Aim: The purpose of this case report is to present a non-surgical treatment of a non-vital immature upper central incisor with a large periapical abscess within 8 months of follow-up.
Methods and Materials: A traumatic case was presented in which a paste of calcium hydroxide and iodoform (Metapex®) was placed in the root canal of an immature permanent tooth with a large periapical abscess. Affected teeth were radiographically evaluated periodically over 8 months after paste insertion. At the end of 8 months, this case showed persistent root growth and apexification with no evidence of periapical radiolucency. After that, a normal root canal treatment was performed.
Conclusion: In this clinical case, calcium hydroxide and iodoform paste (Metapex®) was found to induce apical closure radiographically and clinically. At 8 months, the periapical abscess was shown to have healed with continued root growth.
Keywords: Metapex, calcium hydroxide, apexification