RESUMO
The management of teeth with open apices poses unique challenges in endodontics, requiring effective strategies to promote continued root development and maintain pulp vitality. This abstract explores the utilization of bioactive materials in the treatment of open apices, specifically focusing on their role in achieving optimal outcomes. Bioactive materials, such as Biodentine (Septodont, Saint-Maur-des-Fossés, France), have gained prominence for their favourable physiochemical properties, biocompatibility, and ability to stimulate dentinogenesis. The application of a bioactive material as an apical plug not only addresses immediate concerns but also contributes to long-term health and stability. This abstract reviews relevant literature, discusses clinical cases, and emphasizes the importance of tailoring treatment plans to the individual characteristics of open apex cases. The findings underscore the promising role of bioactive materials in reshaping the landscape of endodontic interventions for teeth with open apices, highlighting their potential to enhance both clinical and radiographic success.
RESUMO
A complicated crown fracture in a permanent incisor is one of the most difficult traumatic dental injuries to deal with. Treatment involves multiple visits and invasive intraoperative interventions and this is a very costly procedure. However, progress in vital pulp therapy and adhesive dentistry may allow practitioners to treat these injuries with a conservative method. Correct diagnosis of the pulp is important as it forms the basis for the establishment of an appropriate management strategy. A partial pulpotomy is indicated if the patient has significant pulp exposure or if it is reported after a considerable delay. It has been reported that partial pulpotomies after complicated crown fractures have a 96% success rate. Other studies have reported that partial pulpotomy is a treatment of choice after a complicated traumatic crown fracture, with a very high success record. Traditionally, calcium hydroxide has been applied as a dressing agent. However, research has recently focused on other calcium silicate cements (CSC), such as Biodentine (BD). This study aimed to illustrate the successful management of a vital permanent incisor with complicated crown fractures, which were treated by partial pulpotomy using Biodentine material and evaluated for healing clinically and radiographically. No radiographic signs of failure or clinical symptoms were detected over a one-year period.