Apexogenesis
•Download as PPTX, PDF•
1 like•39 views
Apexogenesis is a pulp therapy procedure used to encourage continued development of an immature permanent tooth with an open apex. It aims to maintain pulp vitality to allow further root development and maturation. The procedure involves removing infected or decayed dental tissue, then placing a material like calcium hydroxide or MTA over the exposed pulp tissue. This helps stimulate the formation of a dentinal bridge and continued root development. The patient is monitored over time to check for successful root formation and healing.
Report
Share
Report
Share
Recommended
Endodontic complications
This document discusses common mistakes that can occur during root canal treatment and ways to correct them. It is divided into sections on access-related mistakes, instrumentation mistakes, obturation mistakes, and other miscellaneous issues. Some key points include: treating the wrong tooth can be corrected by treating both teeth; ledges can be corrected with small files and lubricants; perforations should be repaired immediately with materials like MTA; fractured instruments may require surgery if unable to bypass. Proper access cavity preparation, gentle instrumentation, and avoidance of overfilling are emphasized to minimize complications.
Apexification and Apexogenesis
The presentation features the pulp reparative and regenerative procedures which can be carried out in immature teeth. It involves development of mature tooth from an immature one by root formation and root fixation as a preparatory phase for root canal treatment.
Endo 8
This document discusses root canal preparation techniques. It describes the standardized/conventional technique where instruments are taken to full working length and enlarged until clean shavings are seen. Issues with this in curved canals include ledging, zipping and perforations. Alternative techniques include flaring from apical to coronal or vice versa to retain canal shape, allow more irrigant access, and easier placement of spreaders/cones. The step-back technique uses initially flexible small instruments in the apical portion. The crown-down technique shapes the coronal aspect first for straighter access and elimination of interferences before apical shaping.
Under filled root canal
This document discusses root canal obturation and provides guidelines for optimal root canal filling. It outlines the goals of obturation as completely filling the canal system's complex anatomy with hermetic sealing agents. Objectives include preventing reinfection and creating an environment for healing. Ideal filling materials are described. The steps of obturation include rubber dam application, verifying preparation completion, fitting and condensing the master cone and accessory gutta percha cones. Radiographic evaluation criteria are provided and underfills are discussed as incomplete obturations that cannot be corrected with increased force. Non-surgical retreatment removes filling materials to regain access to the canal system.
Endodontic mishaps/PROCEDURAL ACCIDENTS
The document discusses various endodontic mishaps that can occur during root canal treatment such as loss of working length, canal blockages, ledging, missed canals, instrument separation, perforations, and over/under filling. It describes the causes, signs, and management of each mishap. Prevention is key and includes proper access cavity preparation, using sequential file sizes with copious irrigation, verifying instrument position radiographically, and maintaining sterile conditions with a rubber dam. The document emphasizes informing patients about any procedural accidents and their treatment and prognosis implications.
Endo 10
The document discusses various root canal filling techniques for gutta-percha including lateral compaction, warm lateral compaction, warm vertical compaction, thermomechanical compaction, injection technique, and core carrier technique. It outlines the advantages and disadvantages of each technique, noting that lateral compaction provides a good seal but is not homogeneous while warm techniques create a better seal but risk overextension. Control of filling level can be challenging for injection techniques.
Endodontic Mishaps
Endodontic mishaps include procedural errors that can occur during root canal treatment such as ledge formation, canal perforation, separated instruments, and overfilling/underfilling of canals. It is important for practitioners to understand how to recognize, prevent, and treat these mishaps. Common causes include inadequate access, excessive force, or improper instrument use. Perforations require immediate sealing with materials like MTA to achieve the best prognosis. Separated instruments may be bypassed or retrieved, while ledges can sometimes be circumvented with smaller files. Overall, minimizing errors requires adherence to principles like conservative access, copious irrigation, and careful instrumentation.
Procedural accidents in root canal treatment last one
- Immediately stop procedure
- Check throat and mouth of patient
- Monitor vital signs
- Call emergency services if needed
Dentist:
- Reassure patient
- Take appropriate radiographs
- Monitor patient and seek medical advice as needed
Prognosis depends on:
- Location and size of object
- Time elapsed before removal
- Patient's general health
Recommended
Endodontic complications
This document discusses common mistakes that can occur during root canal treatment and ways to correct them. It is divided into sections on access-related mistakes, instrumentation mistakes, obturation mistakes, and other miscellaneous issues. Some key points include: treating the wrong tooth can be corrected by treating both teeth; ledges can be corrected with small files and lubricants; perforations should be repaired immediately with materials like MTA; fractured instruments may require surgery if unable to bypass. Proper access cavity preparation, gentle instrumentation, and avoidance of overfilling are emphasized to minimize complications.
Apexification and Apexogenesis
The presentation features the pulp reparative and regenerative procedures which can be carried out in immature teeth. It involves development of mature tooth from an immature one by root formation and root fixation as a preparatory phase for root canal treatment.
Endo 8
This document discusses root canal preparation techniques. It describes the standardized/conventional technique where instruments are taken to full working length and enlarged until clean shavings are seen. Issues with this in curved canals include ledging, zipping and perforations. Alternative techniques include flaring from apical to coronal or vice versa to retain canal shape, allow more irrigant access, and easier placement of spreaders/cones. The step-back technique uses initially flexible small instruments in the apical portion. The crown-down technique shapes the coronal aspect first for straighter access and elimination of interferences before apical shaping.
Under filled root canal
This document discusses root canal obturation and provides guidelines for optimal root canal filling. It outlines the goals of obturation as completely filling the canal system's complex anatomy with hermetic sealing agents. Objectives include preventing reinfection and creating an environment for healing. Ideal filling materials are described. The steps of obturation include rubber dam application, verifying preparation completion, fitting and condensing the master cone and accessory gutta percha cones. Radiographic evaluation criteria are provided and underfills are discussed as incomplete obturations that cannot be corrected with increased force. Non-surgical retreatment removes filling materials to regain access to the canal system.
Endodontic mishaps/PROCEDURAL ACCIDENTS
The document discusses various endodontic mishaps that can occur during root canal treatment such as loss of working length, canal blockages, ledging, missed canals, instrument separation, perforations, and over/under filling. It describes the causes, signs, and management of each mishap. Prevention is key and includes proper access cavity preparation, using sequential file sizes with copious irrigation, verifying instrument position radiographically, and maintaining sterile conditions with a rubber dam. The document emphasizes informing patients about any procedural accidents and their treatment and prognosis implications.
Endo 10
The document discusses various root canal filling techniques for gutta-percha including lateral compaction, warm lateral compaction, warm vertical compaction, thermomechanical compaction, injection technique, and core carrier technique. It outlines the advantages and disadvantages of each technique, noting that lateral compaction provides a good seal but is not homogeneous while warm techniques create a better seal but risk overextension. Control of filling level can be challenging for injection techniques.
Endodontic Mishaps
Endodontic mishaps include procedural errors that can occur during root canal treatment such as ledge formation, canal perforation, separated instruments, and overfilling/underfilling of canals. It is important for practitioners to understand how to recognize, prevent, and treat these mishaps. Common causes include inadequate access, excessive force, or improper instrument use. Perforations require immediate sealing with materials like MTA to achieve the best prognosis. Separated instruments may be bypassed or retrieved, while ledges can sometimes be circumvented with smaller files. Overall, minimizing errors requires adherence to principles like conservative access, copious irrigation, and careful instrumentation.
Procedural accidents in root canal treatment last one
- Immediately stop procedure
- Check throat and mouth of patient
- Monitor vital signs
- Call emergency services if needed
Dentist:
- Reassure patient
- Take appropriate radiographs
- Monitor patient and seek medical advice as needed
Prognosis depends on:
- Location and size of object
- Time elapsed before removal
- Patient's general health
Procedural Errors in Biomecanical Preparation
This document discusses common procedural errors that can occur during root canal treatment and provides recommendations for prevention and management. The main points are:
1) Common procedural errors include canal blockage, ledge formation, deviation from normal anatomy, instrument separation, and obstruction from previous obturating materials.
2) Prevention techniques include using smaller instruments first, maintaining patency, and recapitulating. Ledges can be prevented through proper access, assessment of curvature, and avoiding forcing instruments.
3) Separated instruments may require retrieval kits or ultrasonics to remove, while previous fillings need removal through instrumentation, heat, solvents, or ultrasonics to allow retreatment.
Root Canal Preparation Basics
This lecture explain the basic of root canal preparation in endodontic treatment. It is not meant to be a comprehensive lecture, rather an preliminary one
Endo 6 dina
The document discusses objectives and aids in root canal preparation. The objectives are to create a tapered funnel-shaped canal, retain instruments within the canal, develop an apical stop, and retain the original canal shape. Aids include using intracanal irrigants like sodium hypochlorite to flush debris, dissolve tissues, and act as an antibacterial lubricant. Instruments should be examined for defects before each use. Pre-curved instruments may be needed for curved canals, and instruments should be used sequentially from smaller to larger sizes.
retreatment in endo
Endodontic retreatment involves removing previous root canal fillings and materials to address treatment failure. Success is defined as an asymptomatic tooth with healthy surrounding tissue and bone fill on radiographs. Causes of failure include missed canals, improper length determination, ledges, and perforations. The objectives of retreatment are to regain access, remove all materials, disinfect canals, and obtain proper seal length. Techniques include removing posts, solvents or heat to remove fillings, bypassing ledges or separated instruments, and repairing any perforations. Proper case selection, access, and following technical protocols are important for success.
Management of Blunderbuss canals in endodontics /certified fixed orthodontic...
Management of Blunderbuss canals in endodontics /certified fixed orthodontic...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Access - Part 2
This document discusses endodontic access for molar teeth. It begins with general principles for access, including breaking through the roof in three phases: penetration, enlargement, and finishing. It then discusses Krasner and Rankow's laws for locating canal orifices, such as the law of centrality which states the floor is in the center of the tooth. Specific instructions are provided for locating the MB2 canal in maxillary first molars. The document concludes by describing different C-shaped canal configurations that can be present in mandibular molars.
Biomechanical Preparation
The second phase of a root canal treatment.
This presentation covers the most basic techniques of root canal shaping.
provides the reader with a concise overview of the big picture.
Endodontic mishaps - Dr. Jagadeesh kodityala
This document discusses endodontic mishaps and procedural accidents that can occur during root canal treatment. It begins by defining endodontic mishaps and classifying them into categories such as access related, instrumentation related, and obturation related mishaps. Specific mishaps like treating the wrong tooth, missed canals, ledge formation, and perforations are described in detail. The document emphasizes the importance of recognizing mishaps, correcting them properly, and preventing future errors through careful diagnosis, instrumentation techniques, and quality control measures.
Endodontic mishaps short by Dr. Soumya ranjan
This document defines and categorizes endodontic mistakes into four groups: access related, instrumentation related, obturation related, and miscellaneous. Access related mistakes include treating the wrong tooth or missing canals. Instrumentation related mistakes involve ledge formation, canal blockage, or perforations. Obturation related mistakes are overfilling or underfilling the canal. Miscellaneous mistakes cover issues with irrigants, tissue damage, or lost instruments.
Access - Part I
Endodontic Access cavity preparation principles in Anterior and premolar maxillary and mandibular teeth
ENDODONTIC MISHAPS
This document discusses endodontic mishaps that can occur during root canal treatment. It is presented by Sukesh Kumar from the 2007-2008 batch. Procedural errors are classified into those related to access opening, canal cleaning and shaping, obturation, and other miscellaneous errors. Specific errors like treating the wrong tooth, incomplete caries removal, perforations, ledge formation, zipping, and instrument separation are described. Prevention and management of these errors are also discussed.
Biomechanical preparation
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
final impressions anas laheq
1. Polyvinyl siloxane is the material of choice for final impressions due to its dimensional stability, elastic recovery, and dimensional accuracy.
2. After border molding, the wax spacer is removed without dislodging the border molding. Holes are placed in custom trays to allow release of hydraulic pressure during the impression.
3. The final impression technique involves drying tissues, seating the tray from front to back while ensuring proper centering and orientation, and having the patient perform various movements to manipulate tissues.
Canal preparation for RCT
The objectives of root canal preparation are to clean the root canal of organic remnants and shape it to receive a three-dimensional filling. The canal is cleaned primarily through irrigation and shaped primarily by instrumentation to develop a continuously tapering conical form. The preparation should make the canal narrower apically, with the narrowest diameter at the terminus, in multiple planes without transporting the foramen and keeping the apical foramen as small as possible. Sodium hypochlorite is recommended as an irrigant as it dissolves organic debris, has antibacterial properties, and lubricates instrumentation.
cleaning and shaping of root canal therapy
The document discusses various techniques for root canal preparation and shaping. It describes the objectives of cleaning and shaping, which include removing infected tissue, providing space for disinfectants and filling materials, and retaining tooth structure. Several instrumentation techniques are covered, such as step-back preparation, which involves incrementally reducing the working length, and anticurvature filing, which shapes the canal away from thin root sections. The document also addresses other methods like standardized preparation and considerations for curved canals.
Endodontic mishap
The document discusses common endodontic mistakes related to access, instrumentation, and obturation including treating the wrong tooth, ledge formation, perforations, separated instruments, and over/under filled canals. It provides details on causes, recognition, correction, and prevention of each mistake to help endodontists avoid errors and improve treatment outcomes. The document emphasizes the importance of careful diagnosis, conservative access preparation, adhering to principles of instrumentation, and optimizing obturation quality.
Dentinal hypersensitivity
explained with Limited matter moreover I have included all the images. if you go through a standard textbook and referred to this PPT it will help you so much I hope It helps you. ask me for the books details.
Principles of oral surgery
This document outlines principles of surgery including making a proper diagnosis, being prepared for surgery with the correct tools and assistants, maintaining asepsis, and designing flaps. Key aspects of flap design include types of flaps, indications, principles of size, landmarks, thickness, and margins. Gentle tissue handling, hemostasis techniques, preventing dead space, and proper suturing are also covered.
Cleaning and shaping 1
The document discusses cleaning and shaping objectives, principles, and techniques in endodontics. It aims to remove canal contents, irregularities, and obstructions while maintaining the original canal anatomy and foramen size. Cleaning is achieved through instrumentation and irrigation, assessed by debris removal and smooth canal walls. Shaping provides a continuously tapering preparation from crown to apex. Working length is 1 mm from the radiographic apex. Techniques include step-back preparation from apex to crown in phases using increasingly larger instruments supplemented by irrigation and recapitulation.
Cleaning and shaping the root canal system
The document discusses various techniques for cleaning and shaping the root canal during endodontic treatment. The objectives are to remove infected tissue, provide access for irrigants and medicaments, create space for obturation, and maintain tooth integrity. Key steps discussed include determining working length, instrumentation using techniques like step-back preparation, and irrigation. Factors that can affect working length determination and techniques to enhance cleaning and shaping are also outlined.
Apexogenesis and Apexification - pediatric dentistry
This document discusses apexogenesis, apexification, and maturogenesis procedures for immature teeth. Apexogenesis aims to allow continued root development through vital pulp procedures. Apexification induces apical closure in non-vital teeth with open apices through formation of mineralized tissue. Goals include maintaining pulp vitality or inducing a barrier against which gutta percha can be packed during root canal treatment. Calcium hydroxide and MTA are common materials used. Multiple visits over 6 months to 2 years may be needed for apical closure depending on factors like apical size and infection level.
Apexification.ppt
Apexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.ppt
More Related Content
What's hot
Procedural Errors in Biomecanical Preparation
This document discusses common procedural errors that can occur during root canal treatment and provides recommendations for prevention and management. The main points are:
1) Common procedural errors include canal blockage, ledge formation, deviation from normal anatomy, instrument separation, and obstruction from previous obturating materials.
2) Prevention techniques include using smaller instruments first, maintaining patency, and recapitulating. Ledges can be prevented through proper access, assessment of curvature, and avoiding forcing instruments.
3) Separated instruments may require retrieval kits or ultrasonics to remove, while previous fillings need removal through instrumentation, heat, solvents, or ultrasonics to allow retreatment.
Root Canal Preparation Basics
This lecture explain the basic of root canal preparation in endodontic treatment. It is not meant to be a comprehensive lecture, rather an preliminary one
Endo 6 dina
The document discusses objectives and aids in root canal preparation. The objectives are to create a tapered funnel-shaped canal, retain instruments within the canal, develop an apical stop, and retain the original canal shape. Aids include using intracanal irrigants like sodium hypochlorite to flush debris, dissolve tissues, and act as an antibacterial lubricant. Instruments should be examined for defects before each use. Pre-curved instruments may be needed for curved canals, and instruments should be used sequentially from smaller to larger sizes.
retreatment in endo
Endodontic retreatment involves removing previous root canal fillings and materials to address treatment failure. Success is defined as an asymptomatic tooth with healthy surrounding tissue and bone fill on radiographs. Causes of failure include missed canals, improper length determination, ledges, and perforations. The objectives of retreatment are to regain access, remove all materials, disinfect canals, and obtain proper seal length. Techniques include removing posts, solvents or heat to remove fillings, bypassing ledges or separated instruments, and repairing any perforations. Proper case selection, access, and following technical protocols are important for success.
Management of Blunderbuss canals in endodontics /certified fixed orthodontic...
Management of Blunderbuss canals in endodontics /certified fixed orthodontic...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Access - Part 2
This document discusses endodontic access for molar teeth. It begins with general principles for access, including breaking through the roof in three phases: penetration, enlargement, and finishing. It then discusses Krasner and Rankow's laws for locating canal orifices, such as the law of centrality which states the floor is in the center of the tooth. Specific instructions are provided for locating the MB2 canal in maxillary first molars. The document concludes by describing different C-shaped canal configurations that can be present in mandibular molars.
Biomechanical Preparation
The second phase of a root canal treatment.
This presentation covers the most basic techniques of root canal shaping.
provides the reader with a concise overview of the big picture.
Endodontic mishaps - Dr. Jagadeesh kodityala
This document discusses endodontic mishaps and procedural accidents that can occur during root canal treatment. It begins by defining endodontic mishaps and classifying them into categories such as access related, instrumentation related, and obturation related mishaps. Specific mishaps like treating the wrong tooth, missed canals, ledge formation, and perforations are described in detail. The document emphasizes the importance of recognizing mishaps, correcting them properly, and preventing future errors through careful diagnosis, instrumentation techniques, and quality control measures.
Endodontic mishaps short by Dr. Soumya ranjan
This document defines and categorizes endodontic mistakes into four groups: access related, instrumentation related, obturation related, and miscellaneous. Access related mistakes include treating the wrong tooth or missing canals. Instrumentation related mistakes involve ledge formation, canal blockage, or perforations. Obturation related mistakes are overfilling or underfilling the canal. Miscellaneous mistakes cover issues with irrigants, tissue damage, or lost instruments.
Access - Part I
Endodontic Access cavity preparation principles in Anterior and premolar maxillary and mandibular teeth
ENDODONTIC MISHAPS
This document discusses endodontic mishaps that can occur during root canal treatment. It is presented by Sukesh Kumar from the 2007-2008 batch. Procedural errors are classified into those related to access opening, canal cleaning and shaping, obturation, and other miscellaneous errors. Specific errors like treating the wrong tooth, incomplete caries removal, perforations, ledge formation, zipping, and instrument separation are described. Prevention and management of these errors are also discussed.
Biomechanical preparation
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
final impressions anas laheq
1. Polyvinyl siloxane is the material of choice for final impressions due to its dimensional stability, elastic recovery, and dimensional accuracy.
2. After border molding, the wax spacer is removed without dislodging the border molding. Holes are placed in custom trays to allow release of hydraulic pressure during the impression.
3. The final impression technique involves drying tissues, seating the tray from front to back while ensuring proper centering and orientation, and having the patient perform various movements to manipulate tissues.
Canal preparation for RCT
The objectives of root canal preparation are to clean the root canal of organic remnants and shape it to receive a three-dimensional filling. The canal is cleaned primarily through irrigation and shaped primarily by instrumentation to develop a continuously tapering conical form. The preparation should make the canal narrower apically, with the narrowest diameter at the terminus, in multiple planes without transporting the foramen and keeping the apical foramen as small as possible. Sodium hypochlorite is recommended as an irrigant as it dissolves organic debris, has antibacterial properties, and lubricates instrumentation.
cleaning and shaping of root canal therapy
The document discusses various techniques for root canal preparation and shaping. It describes the objectives of cleaning and shaping, which include removing infected tissue, providing space for disinfectants and filling materials, and retaining tooth structure. Several instrumentation techniques are covered, such as step-back preparation, which involves incrementally reducing the working length, and anticurvature filing, which shapes the canal away from thin root sections. The document also addresses other methods like standardized preparation and considerations for curved canals.
Endodontic mishap
The document discusses common endodontic mistakes related to access, instrumentation, and obturation including treating the wrong tooth, ledge formation, perforations, separated instruments, and over/under filled canals. It provides details on causes, recognition, correction, and prevention of each mistake to help endodontists avoid errors and improve treatment outcomes. The document emphasizes the importance of careful diagnosis, conservative access preparation, adhering to principles of instrumentation, and optimizing obturation quality.
Dentinal hypersensitivity
explained with Limited matter moreover I have included all the images. if you go through a standard textbook and referred to this PPT it will help you so much I hope It helps you. ask me for the books details.
Principles of oral surgery
This document outlines principles of surgery including making a proper diagnosis, being prepared for surgery with the correct tools and assistants, maintaining asepsis, and designing flaps. Key aspects of flap design include types of flaps, indications, principles of size, landmarks, thickness, and margins. Gentle tissue handling, hemostasis techniques, preventing dead space, and proper suturing are also covered.
Cleaning and shaping 1
The document discusses cleaning and shaping objectives, principles, and techniques in endodontics. It aims to remove canal contents, irregularities, and obstructions while maintaining the original canal anatomy and foramen size. Cleaning is achieved through instrumentation and irrigation, assessed by debris removal and smooth canal walls. Shaping provides a continuously tapering preparation from crown to apex. Working length is 1 mm from the radiographic apex. Techniques include step-back preparation from apex to crown in phases using increasingly larger instruments supplemented by irrigation and recapitulation.
Cleaning and shaping the root canal system
The document discusses various techniques for cleaning and shaping the root canal during endodontic treatment. The objectives are to remove infected tissue, provide access for irrigants and medicaments, create space for obturation, and maintain tooth integrity. Key steps discussed include determining working length, instrumentation using techniques like step-back preparation, and irrigation. Factors that can affect working length determination and techniques to enhance cleaning and shaping are also outlined.
What's hot (20)
Management of Blunderbuss canals in endodontics /certified fixed orthodontic...
Management of Blunderbuss canals in endodontics /certified fixed orthodontic...
Similar to Apexogenesis
Apexogenesis and Apexification - pediatric dentistry
This document discusses apexogenesis, apexification, and maturogenesis procedures for immature teeth. Apexogenesis aims to allow continued root development through vital pulp procedures. Apexification induces apical closure in non-vital teeth with open apices through formation of mineralized tissue. Goals include maintaining pulp vitality or inducing a barrier against which gutta percha can be packed during root canal treatment. Calcium hydroxide and MTA are common materials used. Multiple visits over 6 months to 2 years may be needed for apical closure depending on factors like apical size and infection level.
Apexification.ppt
Apexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.pptApexification.ppt
DENTAL PULP AND PULP CAPPING.pptx
Dental pulp is the connective tissue inside teeth. Pulp capping procedures involve placing a medicament over exposed pulp to promote healing and formation of new dentin. Indirect pulp capping retains deep caries near the pulp and seals it off, while direct pulp capping treats small mechanical exposures of the pulp. Calcium hydroxide is commonly used as it promotes dentin bridge formation. Success is indicated by maintained vitality, lack of pain, and minimal inflammation over subsequent appointments.
Apexogenesis & apexification
This document discusses apexogenesis and apexification, which are processes for encouraging continued root development in immature permanent teeth with open apices or non-vital pulps. Apexogenesis aims to maintain pulp vitality through treatments like pulpotomy to allow for continued physiological root development, while apexification uses materials like calcium hydroxide or MTA to induce the formation of an apical barrier in a pulpless tooth to enable filling of the root canal. The document provides details on the objectives, materials, techniques and outcomes of these procedures.
APEXOGENESIS AND APEXIFICATION.pptx
Apexogenesis aims to preserve the vital pulp tissue in an immature tooth to allow continued root development. It involves a deep pulpotomy to remove inflamed tissue while maintaining healthy tissue. Apexification induces formation of a calcified barrier at an open apex in a nonvital immature tooth. Calcium hydroxide is typically used over multiple visits but MTA can induce barrier formation in a single visit. The goal is to create an artificial barrier against which root filling can be condensed to allow restoration of the immature tooth.
Management of Deep Carious Lesions in Deciduous Dentition
Class presentation on Management of Deep Carious Lesions in Deciduous Dentition
---
Created: 5th June 2013
Fabrication of Complete Denture.pptx
Complete dentures are removable dental prosthetics that replace all teeth and associated structures in the upper and lower jaw. They are made to restore mastication, aesthetics, and phonetics. The denture has 3 surfaces - impression, occlusal, and polished. It consists of a denture base, flange, border, and artificial teeth. The denture making process involves taking impressions, jaw relations, try-in, processing, curing, finishing, and insertion. Patients may experience pain, discomfort with eating or speech initially but can adapt with time. Proper cleaning is important for denture care.
Avulsion
Dental avulsion occurs when a tooth is completely displaced from its socket due to trauma. Management involves immediate replantation at the site of injury if possible, otherwise storing the tooth in transport media like Hank's balanced salt solution. In the dental office, replanted teeth require splinting for 1-8 weeks depending on factors like root development and mobility. Endodontic treatment may be needed within 10-14 days depending on the extraoral dry time and root development to reduce risks of resorption and ankylosis. Long term follow up is needed to monitor complications.
Management of Ellis Class IV Fracture
This document discusses the management of Class IV Ellis fractures, which involve trauma to teeth resulting in pulp involvement or loss of crown structure. It describes the emergency treatment, which may include reinserting an avulsed tooth. Intermediate treatment options for exposed or necrotic pulps include pulpectomy, apexification, or extraction. Pulpectomy involves conventional root canal treatment to eliminate infection, while apexification induces formation of new tissue at the root end in immature teeth. The document also discusses crown fractures involving enamel, dentin, or both, and the treatment options depending on the extent of injury and pulp involvement. These may include protective dressings, temporary crowns, or reattachment of fragments.
Apexification /prosthodontic courses
The document discusses apexification, a dental procedure used to encourage continued root development or induce formation of a calcified barrier in a tooth with an open apex or incomplete root formation. It reviews various treatment modalities for apexification including the traditional calcium hydroxide method requiring multiple visits over many months and more recent one-visit methods using biocompatible materials like mineral trioxide aggregate which can induce apical closure in a single appointment. The document provides details on the clinical protocols and materials used for different apexification techniques.
Oroantral fistula
This document discusses oroantral communication (OAC), which is a connection between the oral cavity and maxillary sinus that can occur after maxillary molar surgery. Risk factors for OAC include anatomical features like proximity of tooth roots to the sinus. Small OACs under 2mm may heal on their own with proper blood clot formation and sinus precautions. Larger openings may require closure techniques like buccal advancement flaps or palatal pedicle flaps to prevent chronic oroantral fistula formation. Postoperative care includes antibiotics, oral rinses, and avoiding nose blowing or drinking through a straw to allow the opening to heal.
Apexification & apexogenesis
This document discusses apexogenesis and apexification procedures for teeth with open apices. Apexogenesis refers to treatments that maintain pulp vitality and allow continued root development and apex closure. These include indirect pulp capping, direct pulp capping, and apical closure pulpotomy using materials like calcium hydroxide or MTA. Apexification induces artificial root end closure when the pulp is necrotic, using repeated dressings of calcium hydroxide or MTA to encourage hard tissue deposition. Clinical success depends on factors like the treatment material and maintaining a bacteria-tight seal during root development.
Operative Dentistry Viva ques
Operative Dentistry Viva questions. To help you revise your syllabus for examination.
If you found it helpful, please leave a feedback.
Thank You,
Dr. Almas Muhammad Arshad
Dr. Muaaz Amjad
Maxilary sinus augmentation
The document provides information on the anatomy and surgical procedures related to maxillary sinus augmentation. It discusses the maxillary sinus anatomy, blood supply, drainage pathways, and membrane characteristics. It then describes various sinus lift surgical techniques categorized based on residual bone height (SA-1 to SA-4). For each category, it details the surgical steps, grafting materials used, healing timelines and risks. It also outlines post-operative care instructions and possible complications along with their management.
Basic principles of caries treatment as manifested in cavity preparation
This document discusses the principles of caries treatment and cavity preparation. It outlines how treatment differs based on lesion depth - shallow lesions may remineralize with hygiene, while deep lesions require invasive procedures. Cavity preparation considers lesion location/size, remaining tooth structure, and restorative material. Techniques are described for establishing outline, resistance, retention and convenience forms. Moderate lesions have dentin involvement but not pulp exposure, while deep lesions approximate the pulp. Options for deep caries include temporary fillings, pulp capping or removal. Indirect and direct pulp capping techniques aim to maintain pulp vitality and promote remineralization.
Access cavity preparation for maxillary canines
The document summarizes the anatomy and access cavity preparation for maxillary canines. It describes the anatomy of the root canal system and clinical significance. It then outlines the objectives and steps for access cavity preparation, including visualizing internal anatomy, outlining access with a pencil, cutting through the center and extending the opening, removing undercuts to achieve straight-line access to the apical foramen, and irrigating periodically. The maxillary canine has the longest root among human teeth and its complex anatomy requires careful access preparation.
01. history, examination and treatment planning
this lecture covers the history and examination and treatment planning section for complete denture patients
Apexogenesis & apexification in pediatric dentistry
SDDCH Parbhani
Presented by : Vipul GIratkar
Dept. of Pediatric dentitstry
Guided by . Dr. Rehan Khan
DIscussion regarding apexification and apexogenesis
Apex and its significance in endodontics
This document discusses the importance of the root apex in endodontics. It covers the development, anatomy, and variations of the root apex. Achieving a proper seal at the apex is the goal of endodontic therapy but is challenging due to individual variations. The root apex anatomy includes the apical constriction, cemento-dentinal junction, apical foramen and sometimes accessory canals. Obturation techniques aim to fill the canals to the apical constriction and imaging helps evaluate complex apical anatomy. Resection of the apex through apicoectomy can be needed in some cases. Proper treatment of the apical third is important for endodontic success.
Similar to Apexogenesis (20)
Apexogenesis and Apexification - pediatric dentistry
Apexogenesis and Apexification - pediatric dentistry
Management of Deep Carious Lesions in Deciduous Dentition
Management of Deep Carious Lesions in Deciduous Dentition
Basic principles of caries treatment as manifested in cavity preparation
Basic principles of caries treatment as manifested in cavity preparation
Apexogenesis & apexification in pediatric dentistry
Apexogenesis & apexification in pediatric dentistry
Recently uploaded
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
How to Manage Your Lost Opportunities in Odoo 17 CRM
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
How to Add Chatter in the odoo 17 ERP Module
In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
A Survey of Techniques for Maximizing LLM Performance.pptx
A Survey of Techniques for Maximizing LLM Performance
Azure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHat
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptxMohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
Top five deadliest dog breeds in America
Thinking of getting a dog? Be aware that breeds like Pit Bulls, Rottweilers, and German Shepherds can be loyal and dangerous. Proper training and socialization are crucial to preventing aggressive behaviors. Ensure safety by understanding their needs and always supervising interactions. Stay safe, and enjoy your furry friends!
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS Template 2023-2024 by: Irene S. Rueco
Types of Herbal Cosmetics its standardization.
Physiology and chemistry of skin and pigmentation, hairs, scalp, lips and nail, Cleansing cream, Lotions, Face powders, Face packs, Lipsticks, Bath products, soaps and baby product,
Preparation and standardization of the following : Tonic, Bleaches, Dentifrices and Mouth washes & Tooth Pastes, Cosmetics for Nails.
South African Journal of Science: Writing with integrity workshop (2024)
South African Journal of Science: Writing with integrity workshop (2024)Academy of Science of South Africa
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama UniversityAkanksha trivedi rama nursing college kanpur.
Natural birth techniques are various type such as/ water birth , alexender method, hypnosis, bradley method, lamaze method etcবাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
Recently uploaded (20)
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
How to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRM
A Survey of Techniques for Maximizing LLM Performance.pptx
A Survey of Techniques for Maximizing LLM Performance.pptx
Azure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHat
Pride Month Slides 2024 David Douglas School District
Pride Month Slides 2024 David Douglas School District
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Liberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdf
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
South African Journal of Science: Writing with integrity workshop (2024)
South African Journal of Science: Writing with integrity workshop (2024)
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
Apexogenesis
- 2. INTRODUCTION • Physiologic process • Formation of apex in young, vital, immature permanent teeth with appropriate pulp therapy
- 3. • Rootend Developmentoccurs in a tooth with a normal pulpand minimal inflammation • Pulp of immature teeth has significant reparativepotential • Pulprevascularisation and repairoccurs moreefficiently in tooth with an openapex • Poor long term prognosisof an endodontically treated immature teeth Relativelythin dentine in obturated canalsof Immature rootsand open apexareprone to fracture RATIONALE
- 4. • Sustaining aviable Hertwig’ssheath tostimulate continues development of root • Toattain favourable crown:rootratio • Toattain root endclosure • Topreserve pulpvitality tosecure furtherroot development and maturation • Generating dentinal bridge at the site ofpulpotomy GOALS
- 5. • Fractured tooth with pulpal exposure INDICATIONS • Carious exposure • Traumatic luxation
- 6. • Severe crown-root fracture which requires intra-radicular retention forrestoration CONTRAINDICATIONS • Tooth with unfavourable horizontal root fracture i.e. close to gingival margin
- 7. • Necrotic or non vitalpulp • Unrestorable carioustooth
- 8. • Direct pulp capping When pulp chamber is exposed INVOLVES • Indirect pulp capping When a thin dentin layer is present between pulp and cavity • Pulpotomy Extirpation of pulp is restricted strictly to the coronal portion of pulp chamber
- 9. • MTA (Mineral trioxide aggregrate) MATERIALS USED • Calcium hydroxide • Formocresol (as an alternative to calcium hydroxide)
- 10. • Anesthesia application and rubberdam isolation • The instrument of choice for tissueremoval is an abrasive diamond bur at slow speed with adequatewater-cooling PROCEDURE
- 11. • Access is gained into the pulpchamberand infected dentin partlyremoved • Peripheral carious lesion removed witha spoon excavator
- 12. • Following coronal pulp amputation,the pulp chamber is rinsed with sterile saline or sterile water to remove all debris • The excess liquid should then be carefully removed viavacuumorsterile cotton pellets. • Air should not be blown on the exposed pulp, as this may cause desiccation and additional tissuedamage.
- 13. • Once the pulpal bleeding is controlled, calciumhydroxide paste is placed overtheamputation site • Care must be taken to avoid placing the calcium hydroxideon a blood clotand theentire pulpsurface must becovered • Once this is accomplished, a restorative base material should be placed over the calcium hydroxide and then allowed to setcompletely
- 14. • A coronal restoration should then be placed thatwill ensure the maximum long-termseal • The patient should be re-evaluated every three months for the first year, and then every 6 months for 2 to 4 years to determine if successful root formation is taking placeand that thereare no signs of pulp necrosis, rootresorption or periradicularpathosis
- 15. Open apex Root formation complete