Journal of Conservative Dentistry
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CASE REPORT
Year : 2011  |  Volume : 14  |  Issue : 4  |  Page : 427-431

Calcium-enriched mixture cement as artificial apical barrier: A case series


1 Department of Endodontics, School of Dentistry, Rafsanjan University of Medical Sciences, Rafsanjan, Kerman, Iran
2 Iranian Center for Endodontic Research, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Dental Research Center, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
5 Dental School, Tehran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Ali Nosrat
Department of Endodontics, School of Dentistry, Rafsanjan University of Medical Sciences, Aliebneabitaleb Blvd., Rafsanjan, Kerman
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0707.87218

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In comparison to the conventional apexification using calcium hydroxide, artificial apical barrier technique is more valuable and less time consuming. This article describes successful use of calcium-enriched mixture (CEM) cement as an artificial apical barrier in open apices. In this study, 13 single-rooted teeth with necrotic pulps and open apices were treated non-surgically. After copious irrigation of the root canals with NaOCl 5.25% and gentle filing, based on need for interappointment dressing, treatments were followed by CEM cement (BioniqueDent, Tehran, Iran) apical plug insertion in the first or second appointment. All cases were then permanently restored. All subjects were followed until radiographic evidence of periradicular healing was seen (mean 14.5 months). Clinically, all cases were functional and asymptomatic and complete osseous healing was observed in all the teeth. Considering the biological properties of CEM cement, this new endodontic biomaterial might be appropriate to be used as artificial apical barrier in the open apex teeth.


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