Can Metapex be used for apexification?

Metapex® can be used as a medicament to promote root growth and apexification.

What material is used for apexification?

Traditionally, calcium hydroxide has been the material of choice for the apexification of immature permanent teeth; however, Mineral Trioxide Aggregate holds significant promise as an alternative to multiple treatments with calcium hydroxide.

Can Metapex be used as root canal sealer?

Metapex calcium hydroxide with Iodoform is a biocompatible temporary or permanent root canal sealer, for use to stimulate healing process due to the mixture of calcium hydroxide and iodoform and the induction effect of these two ingredients.

Is MTA used in apexification?

MTA offers the option of a two-visit apexification procedure so that the fragile tooth can be restored immediately. However, difficulty in placing the material in the wide apical area requires the use of an apical matrix. Materials such as collagen, calcium sulfate, and hydroxyapatite have been used for this purpose.

Can Metapex be used for pulpotomy?

Conclusion. This in vivo study found that Vitapex and Metapex induced similar pulpal responses but showed poor outcomes compared with using ProRoot MTA. Vitapex and Metapex are therefore not good substitutes for ProRoot MTA in direct pulp capping and pulpotomy.

Simple one-visit apexification technique

What is Metapex?

A temporary root canal filling material with excellent radiopacity, Metapex is an antibacterial, premixed paste composed of calcium hydroxide with iodoform. Priced at less than half the cost of leading brands, Metapex is ideal for many applications: Exposed pulp in capping and pulpotomy.

Can IRM be used for pulpotomy?

Results. Among the 608 teeth (338 patients) treated in a single session with IRM full pulpotomy and stainless steel preformed crowns, 263 (143 patients) were evaluated after a median follow-up period of 24 months. Overall, 89% of the pulpotomies were effective, 7.6% were of uncertain outcome, and 3.4% were ineffective.

Can calcium hydroxide be used for Apexification?

Based on the existing literature and our present cases, both MTA and calcium hydroxide can be used efficiently for apexification procedure. Considering the time duration for the apex closure MTA has superior properties when compared with calcium hydroxide.

What is the difference between Apexification and Apexogenesis?

Apexification is a method of inducing a calcified barrier at the apex of a nonvital tooth with incomplete root formation. Apexogenesis refers to a vital pulp therapy procedure performed to encourage physiological development and formation of the root end.

How do you perform Apexification?

Which is best root canal sealer?

Conclusion: Resin cement sealed the root canals significantly better when compared with zinc oxide eugenol and glass ionomer sealers.

What is the best root canal filling material?

Zinc oxide-eugenol cement (ZOE) has long been used as a root canal filling material for deciduous teeth [5], and in a survey conducted in 1997 it was cited as the preferred root canal filling material by 94% of the chairpersons of predoctoral pediatric dental programs in the Unites States [6].

What is used to seal a root canal?

A root canal sealer (cement) is used in combination with the core root canal filling material, e.g. gutta-percha. The primary role of the sealer is to obliterate the irregularities between the root canal wall and the core material.

When do we use apexification?

The time required to achieve the apical barrier formation varies between 6 and 24 months with an average of 19 months. The barrier that forms does not have Hertwig's epithelial root sheath and has been described as osteoid and/or cementoid.

What is used for Apexogenesis?

Historically, calcium hydroxide (CaOH) has been the preferred material for apexogenesis and apexification. Both therapies require long-term follow-up with clinical and radiographic evaluations to confirm treatment success.

How do you make triple antibiotic paste?

Preparation of triple antibiotic paste

3Mix NO alternate with iodoform: It is prepared using metronidazole 30%, clindamycin 30%, ciprofloxacin 30%, iodoform 10% with a macrogol and propylene glycol (MP) paste.

Is apexification a vital pulp therapy?

Apexification, otherwise known as vital pulp therapy, can help strengthen your natural tooth and keep it healthy for a longer period of time. This is done through an extensive process of tooth restoration and is considered one of the most significant restoration processes in dentistry.

What is the difference between Apexogenesis and pulpotomy?

Apexogenesis is a treatment in preserving vital pulp tissue in the apical part of a root canal to allow the completion in formation of the root apex. This clinical procedure is essentially a deep pulpotomy, aimed to preserve the pulp in immature teeth that have deep pulpal inflammation.

What is apexification Recalcification?

Apexification is a procedure used to stimulate root development or closing of the root end (i.e., open apex). An open apex is often found in teeth that are not fully developed (“immature”) or whose roots have been eroded away by a process known as resorption.

How do you use Biodentine for Apexification?

An apical plug of Biodentine of 5 mm thickness was placed against the matrix using pre-fitted hand pluggers. The remainder of canal was back-filled with thermoplasticized gutta-percha and access cavity was restored with composite resin followed by all-ceramic crown.

When do you use Apexification and Apexogenesis?

Apexogenesis, which can be used when the pulp is injured but not necrotic, leaves the apical one-third of the dental pulp in the tooth, allowing the root to complete formation. Apexification stimulates cells in the periapical area of the tooth to form a dentin-like substance over the apex.

How long should calcium hydroxide be left in a root canal?

The duration of dressing with calcium hydroxide is dependent upon the objective of dressing. If used as a routine antibacterial dressing, then 7 days are sufficient. If the objective is to arrest a weeping canal, then it may be necessary to dress with a stiffer paste for a period of at least 14 days.

Is Zoe and IRM the same thing?

IRM is an intermediate restorative material, composed of polymer reinforcement zinc oxide-eugenol (ZOE).

Why is IRM used in pulpotomy?

Intermediate restorative material (IRM), which is a reinforced zinc oxide eugenol, is used widely for the dressing of the pulpal floor following root canal filling in primary teeth [11–14].

Why do we use IRM?

If you have a rather large cavity, you can remove the bulk of the decay and place an “IRM” filling (Intermediate Restorative), also known as a sedative filling. This will often slow or stop the progression of decay and help the patient feel better.