The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  24 (2023)
Volume  23 (2022)
Volume  22 (2021)
Volume  21 (2020)
Volume  20 (2019)
Volume  19 (2018)
Volume  18 (2017)
Volume  17 (2016)
Volume  16 (2015)
Volume  15 (2014)
Volume  14 (2013)
Volume  13 (2012)
Volume  12 (2011)
Volume  11 (2010)
Volume  10 (2009)
Volume  9 (2008)
Volume  8 (2007)
Volume  7 (2006)
Volume  6 (2005)
Volume  5 (2004)
Volume  4 (2003)
Volume  3 (2002)
Volume  2 (2001)
Volume  1 (1999)
Related articles

VOLUME 11 , ISSUE 5 ( October, 2010 ) > List of Articles

RESEARCH ARTICLE

Continued Root-End Growth and Apexification Using a Calcium Hydroxide and Iodoform Paste (Metapex®): Three Case Reports

Shobha Tandon

Citation Information : Tandon S. Continued Root-End Growth and Apexification Using a Calcium Hydroxide and Iodoform Paste (Metapex®): Three Case Reports. J Contemp Dent Pract 2010; 11 (5):63-70.

DOI: 10.5005/jcdp-11-5-63

License: CC BY-NC 3.0

Published Online: 01-01-2008

Copyright Statement:  Copyright © 2010; The Author(s).


Abstract

Aim

The aim of these case reports is to present a treatment to promote root-end growth and apexification in nonvital immature permanent teeth in children.

Methods and Materials

Three cases were presented where the calcium hydroxide and iodoform paste Metapex® was placed in the root canals of immature permanent teeth using disposable plastic tips. The teeth involved were evaluated radiographically at regular intervals for the first 12 months after placement of the paste. At the end of 12 months all the cases showed continued root growth and apical closure (apexification) with no evidence of periapical pathology. Conventional endodontic treatment was then performed.

Results

In all three of the clinical cases presented, a combination of calcium hydroxide and iodoform paste (Metapex®) was used and showed promising results in inducing root-end growth and closure after 12 months.

Conclusion

In these three clinical cases, the calcium hydroxide and iodoform paste Metapex® (Meta Biomed Co. Ltd., South Korea) was found to induce apical closure when assessed radiographically. Over a period of 12 months all the cases showed continued root growth.

Clinical Significance

The calcium hydroxide and iodoform paste Metapex® promoted continued root-end growth with apexification in the nonvital immature permanent teeth treated.

Citation

Sridhar N, Tandon S. Continued Root-Growth and Apexification Using a Calcium Hydroxide and Iodoform Paste (Metapex®): Three Case Reports. J Contemp Dent Pract [Internet]. 2010 October; 11(5):063-070. Available from: http://www.thejcdp.com/journal/view/volume11- issue5-sridhar

PDF Share
  1. Glossary of endodontic terms. 7th ed. Chicago: The Academy; 2003.
  2. Orban's oral histology and embryology. 11th ed. St Louis: Mosby Year Book; 1991.
  3. Intraalveolar root fractures: radiographic and histologic study of 50 cases. J Oral Surg. 1967; 25(5):414-26.
  4. Clinical, radiographic and histological aspects of intraalveolar fractures of upper central incisors. Acta Odontol Scand. 1955; 13(1):41-7.
  5. Replantation of 400 avulsed permanent incisors. Endod Dent Traumatol. 1992;8:45-55.
  6. Effects and clinical significance of trauma to the developing permanent dentition. Dent Clin North Am. 1982; 26(3):481-504.
  7. Therapy for the divergent pulpless tooth by continued apical formation. J Am Dent Assoc. 1966; 72(1):87-93.
  8. Apical closure of nonvital teeth. Oral Surg Oral Med Oral Pathol. 1971; 32(1):82-9.
  9. Inducing root end closure of nonvital permanent teeth. J Dent Child. 1968; 35(1):47-54.
  10. Induction of root end closure. ASDC J Dent Child. 1970; 37(1):57-9.
  11. Histologic evaluation of induced apical closure of a human pulpless tooth. Report of a case. Oral Surg Oral Med Oral Pathol. 1974; 38(6):954-9.
  12. Antibacterial efficacy and cytotoxicity of three endodontic drugs. Oral Surg Oral Med Oral Pathol. 1972; 33(2):230-41.
  13. Localization of calcium placed over amputated pulps in dogs’ teeth. J Dent Res. 1960; 39:1128-32.
  14. Origin of calcium in the repair wall after pulp exposure in the dog. J Dent Res. 1964; 43:641-4.
  15. Osteogenic potential of calcium hydroxide and other materials in soft tissue and bone wounds. J Dent Res. 1958; 37(6):1157-63.
  16. Induced apical closure of immature pulpless teeth in monkeys. Oral Surg Oral Med Oral Pathol. 1972; 33(3):438-49.
  17. Alteration of biological properties of bacterial lipopolysaccharide by calcium hydroxide treatment. J Endod. 1994; 20(3):127-9.
  18. A comparative study of root-end induction using osteogenic protein-1, calcium hydroxide, and mineral trioxide aggregate in dogs. J Endod. 1999; 25(1):1-5.
  19. In vitro solubility of human pulp tissue in calcium hydroxide and sodium hypochlorite. Endod Dent Traumatol. 1992; 8(3):104-8.
  20. Induced apical closure of permanent teeth in adult primates using a resorbable form of tricalcium phosphate ceramic. J Endod. 1975; 1(3):102-6.
  21. Tricalcium phosphate as an adjunct to apical closure in pulpless permanent teeth. J Endod. 1975; 1(8):263-9.
  22. Investigation of mineral trioxide aggregate for root-end filling in dogs. J Endod. 1995; 21(12):603-8.
  23. Histologic assessment of mineral trioxide aggregate as a root-end filling in monkeys. J Endod. 1997; 23(4):225-8.
  24. Apexification: review of the literature. Quintessence Int. 1990; 21(7):589-98.
  25. One-visit apexification: technique for inducing root-end barrier formation in apical closures. Pract Proced Aesthet Dent. 2001; 13(6):455-60.
  26. [A clinico-radiographic study of root canal filling in the deciduous teeth with Vitapex]. Jpn J Pedodontics. 1978; 16:360-5.
  27. [Studies on the root canal filling method by Vitapex. X-ray observations concerning infected root canals of deciduous teeth and underdeveloped teeth with flaring apex]. Quintessence Int. 1980;163-70.
  28. Evaluation of calcium hydroxide/iodoform paste (Vitapex) in root canal therapy for primary teeth. J Clin Pediatr Dent. 1999; 23(4):289-94.
  29. [Clinical and radiographic performance of Vitapex pulpectomies on primary teeth]. Revista de la Asociación Latinoamericana de Odontopediatría. 2000; 1:14.
  30. [A comparison of the effect between Vitapex paste and antibiotic paste in apexification]. Shanghai Kou Qiang Yi Xue. 2004; 13(5):449-51.
  31. [Clinical study on the effect of Vitapex paste in apexification]. Hua Xi Kou Qiang Yi Xue Za Zhi. 2004; 22(3):214-5.
  32. [Treatment of chronic apical periodontitis teeth complicated by open apices with Vitapex in the adults]. Shanghai Kou Qiang Yi Xue. 2007; 16(2):140-3.
  33. Apexification of immature apices of pulpless permanent anterior teeth with calcium hydroxide. J Endod. 1987; 13(6):285-90.
  34. Biological effects of endodontic procedures on developing incisor teeth. IV. Effect of debridement procedures and calcium hydroxide-camphorated parachlorophenol paste in the treatment of experimentally induced pulp and periapical disease. Oral Surg Oral Med Oral Pathol. 1973;35(4):541-54.
  35. Experimental root apexification in primates. Oral Surg Oral Med Oral Pathol. 1971; 31(3):409-15.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.