矯正治療後に根尖性歯周炎を継発した歯根未完成歯にみられたアペキシフィケーション後の歯根形成に関する臨床経過

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  • Clinical course of root development following apexification of an immature upper central incisor with apical periodontitis occurring after orthodontic treatment

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<p>Abstract : This case report describes the root development following apexification of an immature tooth. The patient was a 9-year-old girl. The upper right central incisor suffered apical periodontitis with gingival abscess after rapid orthodontic treatment with a removable appliance. The root canal was cleaned by both biomechanical preparation and biochemical preparation with 6% sodium hypochlorite and 3% hydrogen peroxide. After disinfection of the root canal, calcium hydroxide paste was applied. The medicaments were replaced several times during the follow-up term. After five years and six months, radiographic images showed disappearance of the apical lesion and continuous root development. The shape of the root-end was an irregular, sharp-pointed outline with narrow canal. Following confirmation of the calcified apical barrier at the root end by palpation with a K-file, the lateral condensation procedure with a custom cone and canal sealer was done.</p><p> This report suggests that root development after apexification occurs because of the existence of apical vital tissue even if the tooth is a non-vital tooth with open apex.</p>

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