Dental caries represents a significant risk to developing teeth, often leading to irreversible damage to the dental pulp. This can culminate in pulpal necrosis and hindered root development. Preservation of pulp vitality is essential in managing immature permanent teeth, as it supports continued root development, apical closure, and improved structural integrity of the tooth. This approach, known as apexogenesis, focuses on vital pulp therapy to facilitate the natural formation and closure of the tooth’s apex.
Advances in Apexogenesis Materials
Apexogenesis relies on materials that promote healing and encourage root development. Traditional choices include calcium hydroxide, mineral trioxide aggregate (MTA), calcium-enriched mixture (CEM), biodentine, Portland cement, and enamel matrix derivative. Each material has shown varying levels of efficacy in supporting the desired outcomes.
A novel addition to this list is Bio-C Repair (Angelus, Londrina, Brazil), a calcium silicate-based endodontic cement. This bioactive material has demonstrated promising results in tissue repair and biomineralization. Bio-C Repair is designed to overcome common challenges such as moisture sensitivity, offering streamlined application via a single-use syringe format that enhances clinical efficiency.
Case Overview
This report highlights the successful use of Bio-C Repair in the apexogenesis of an immature permanent maxillary molar diagnosed with reversible pulpitis. The bioceramic material’s bioactivity played a pivotal role in promoting tissue repair and facilitating continued root development.
Clinical Implications
The case underscores the potential of Bio-C Repair as a vital addition to the apexogenesis toolkit. With its ease of application and favorable biological properties, it offers a compelling option for clinicians aiming to preserve pulp vitality and promote optimal outcomes in immature teeth.
This success story adds to the growing body of evidence supporting advanced bioceramics in modern endodontic treatment, ensuring better prognoses for patients with complex dental needs.
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