Single-visit Apexification Using Biodentine and Er,Cr:YSGG Laser: A Case Report

Sarika Chaudhry^1, , Sudha Yadav¹, Gunpreet Oberoi², Sangeeta Talwar¹ and Mahesh Verma³

¹Department of Conservative Dentistry and Endodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India

²New Delhi, India

³Director- Principal, Maulana Azad Institute of Dental Sciences, New Delhi, India

Cite this paper:
Sarika Chaudhry, Sudha Yadav, Gunpreet Oberoi, Sangeeta Talwar and Mahesh Verma. Single-visit Apexification Using Biodentine and Er,Cr:YSGG Laser: A Case Report. International Journal of Dental Sciences and Research. 2016; 4(3):58-61. doi: 10.12691/ijdsr-4-3-6

Abstract

An immature tooth with pulpal necrosis and periapical pathology imposes a great difficulty to the endodontists. Endodontic treatment options for such teeth consist of conventional apexification procedure with and without apical barrier. An open apex tooth with pulpal necrosis and periapical pathology is a challenge for restoration as it is loaded with too much of bacteria. The complete elimination of debris and achievement of a sterile root canal system is very challenging in open apex cases because of the complexity of the root canal system. The use of lasers in the field of endodontology represents an innovative and new approach to match these requirements. In general, dental lasers provide greater and safer accessibility of formerly unreachable parts of the tubular network, due to their better penetration into dentinal tissues. This article describes the successful management of an open apex tooth with large periapical pathology using Er,Cr:YSGG AS an adjunct to conventional root canal preparation that resulted in remarkable and faster healing of the periradicular lesion in one year follow up. Conclusion: Single-visit apexification with biodentine following Er,Cr:YSGG laser disinfection for management of open apex cases having a very poor prognosis can be considered a predictable treatment.

Keywords:
apexification ErCr:YSGG laser Biodentine periradicular healing

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

Figures

References:

[1]	Parirokh M &Torabinejad M. Mineral Trioxide Aggregate: A comprehensive literature review—Part III: Clinical applications, drawbacks, and mechanism of action. JEndod2010; 36:400-413.
[2]	Wang X, Sun H & Chang J. Characterization of Ca3SiO5/CaCl2 composite cement for dental application. Dent Mater2008; 24: 74-82.
[3]	Wongkornchaowalit N &Lertchirakarn V. Setting time and flowability of accelerated Portland cement mixed with polycarboxylate superplasticizer. J Endod. 2011; in press: 1-3.
[4]	Maroto M, Barbería E, Planells P, Vera V. Treatment of a non-vital immature incisor with mineral trioxide aggregate (MTA). Dent Traumatol 2003; 19:165-169.
[5]	Vahdaty A, Pitt Ford TR, Wilson RF. Efficacy of chlorhexidine in disinfecting dentinal tubules in vitro. Endod Dent Traumatol 1993; 9:243-248.
[6]	Stabholz A, Sahar-Helft S, Moshonov J. The use of lasers for cleaning and disinfecting of the root canal system. Alpha Omegan 2008; 101(4):195-201.
[7]	Wang QQ, Zhang CF, Yin, XZ. Evaluation of the bactericidal effect of Er,Cr:YSGG and Nd: YAG lasers in experimentally infected root canals. J Endod 2007; 33:830-832.
[8]	Altundasar E, Ozcelik B, Cehreli ZC, Matsumoto K. Ultramorphological and histochemical changes after Er,Cr:YSGG laser irradiation and two different irrigation regimes. J Endod 2006; 32:465-8.
[9]	WangX, SunY, KimuraY, KinoshitaJ, IshizakiNT, MatsumotoK. Effects of diode laser irradiation on smear layer removal from root canal walls and apical leakage after obturation. Photomed Laser Surg 2005; 23: 575-81.
[10]	Oztan MD. Endodontic treatment of teeth associated with a large periapical lesion. IntEndod J. 2002; 35(1):73-8.
[11]	M. Hülsmann and W. Hahn, “Complications during root canal irrigation—literature review and case reports.,” International Endodontic Journal, vol. 33, pp. 186-193, 2000.
[12]	E. Berutti, R. Marini, and A. Angeretti, “Penetration ability of different irrigants into dentinal tubules,” Journal of Endodontics, vol. 23, no. 12, pp. 725-727, 1997.
[13]	T. M. Odor, N. P. Chandler, T. F. Watson, T. R. Pitt Ford, and F. McDonald, “Laser light transmission in teeth: a study of the patterns in different species,” International Endodontic Journal, vol. 32, no. 4, pp. 296-302, 1999.
[14]	A. Stabholz, S. Sahar-Helft, and J. Moshonov, “Lasers in endodontics,” Dental Clinics of North America, vol. 48, no. 4, pp. 809-832, 2004.
[15]	A. C. B. Silva, C. Guglielmi, D. T. Meneguzzo, A. C. C. Aranha, A. C. Bombana, and C. de Paula Eduardo, “Analysis of permeability and morphology of root canal dentin after Er,Cr:YSGG laser irradiation,” Photomedicine and laser surgery, vol. 28, no. 1, pp. 103-108, 2010.
[16]	U. Schoop, A. Barylyak, K. Goharkhay et al., “The impact of an erbium, chromium:yttrium-scandium-gallium-garnet laser with radial-firing tips on endodontic treatment,” Lasers in Medical Science, vol. 24, no. 1, pp. 59-65, 2009.
[17]	W. Gordon, V. A. Atabakhsh, F. Meza et al., “The antimicrobial efficacy of the erbium, chromium:yttrium-scandium- gallium-garnet laser with radial emitting tips on root canal dentin walls infected with Enterococcus faecalis,” Journal of the American Dental Association, vol. 138, no. 7, pp. 992-1002, 2007.
[18]	A. C. B. Silva, C. Guglielmi, D. T. Meneguzzo, A. C. C. Aranha, A. C. Bombana, and C. de Paula Eduardo, “Analysis of permeability and morphology of root canal dentin after Er,Cr:YSGG laser irradiation,” Photomedicine and laser surgery, vol. 28, no. 1, pp. 103-108, 2010.
[19]	Saidon J, He J, Zhu Q, Safavi K, Spångberg LS. Cell and tissue reactions to mineral trioxide aggregate and Portland cement. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 2003;95:483-9.