The Journal
*Dr. Vishal Gandhi
Biodentine - A boon in Bioceramics !!!!!!
A RCT case with apexification/apical barrier(plug) with Biodentine
A tooth with open /resorbed apex with pulpal necrosis and periapical pathology imposes a great
difficulty to the dentist. Endodontic treatment options for such teeth consist of conventional
apexification procedure with and without apical barriers. Biodentine™ is new calcium silicate based
cement that exhibits physical and chemical properties similar to those described for certain Portland
cement derivatives. This article demonstrates the use of the newer material, Biodentine as an apical
matrix barrier in root end apexification procedure. This case reports present apexification and
successful healing with the use of Biodentine as an apical barrier matrix.
Introduction
Root Canal Treatment(RCT) is routinely
treatment one having in his clinical setup.
Thousands of RCTs carried out everyday
worldwide.
As always say every new case is different from
the previous one but.....some case need clinical
skill with the help of scientific approach.
Case Report
Chief Complaint :
A female patient aged 16 years came with pain
in lower right side back teeth region since 15
days.
Intraoral Examination :
-A carious second molar 47seen.
-Carious root stumps 46 are there in her oral
cavity
-No Mobility present.
-Tenderness on percussion 47(TOP) +ve
-Cold test -ve
(Roeko endo frost -50 degree celcius)
Radiographic Examination :
Pre op radiograph(Figure 1) showed the
following findings:
-deep carious lesion
-distal root resorption/open apex
fig 1
Provisional Diagnosis :
-Endodontic origin lession
-Periodontal status: SAP symptomatic apical
periodontitis
-Pulp status :Pulp Necrosis
Prognosis :
Very Good
Treatment Plan :
An Endodontic treatment "Non Surgcical Root
Canal Treatment (NSRCT)" with
apexification/apical barrier(plug) with
BIODENTINE (SEPTODONT).
[tooth was nonvital hence apexification]
*Private Practitioner
22
Vol. 14 No. 2
May-August 2018