Calcium enriched mixture cement for primary molars exhibiting root perforations and extensive root resorption: report of three cases.

Abstract

In primary molars with root perforations of endodontic origin, tooth extraction and space maintainer are recommended. Calcium-enriched mixture (CEM) cement is a new biomaterial demonstrating favorable sealability/biocompatibility. This report presents a novel treatment modality for cases of primary molar teeth with root perforations associated with a periodontal lesion due to extensive inflammatory root resorption, whereby CEM was used as a perforation repair/pulpotomy biomaterial. Three cases of primary molar root perforations due to inflammatory resorption were selected; all cases were associated with furcal lesions of endodontic origin. Pulp chambers were accessed/irrigated with NaOCl; the root canal orifices were filled with CEM and restored with stainless steel crowns. Clinical/radiographic examinations up to 17 months revealed that all teeth were functional and free of signs/symptoms of infection and all had complete bone healing. Further trials are suggested to confirm CEM use for management of root perforations in primary molars exhibiting root perforation.

• Authors: Sara Tavassoli-Hojjati, Somayeh Kameli, Sara Rahimian-Emam, Maryam Ahmadyar, Saeed Asgary
• Journal: Pediatric dentistry (Pediatr Dent) 2014 Jan-Feb Vol. 36 Issue 1 Pg. 23E-27E ISSN: 1942-5473 [Electronic] United States
• PMID: 24717704 (Publication Type: Case Reports, Journal Article)

Chemical References

• Biocompatible Materials
• Calcium Compounds
• Dental Alloys
• Dental Cements
• Root Canal Filling Materials
• Root Canal Irrigants
• Zinc Oxide-Eugenol Cement
• Stainless Steel
• Sodium Hypochlorite

Topics

• Biocompatible Materials (chemistry, therapeutic use)
• Calcium Compounds (chemistry, therapeutic use)
• Child
• Child, Preschool
• Crowns
• Dental Alloys (chemistry)
• Dental Bonding
• Dental Cements (chemistry, therapeutic use)
• Dental Pulp Necrosis (therapy)
• Female
• Follow-Up Studies
• Humans
• Male
• Molar (pathology)
• Periapical Diseases (therapy)
• Pulpectomy (methods)
• Pulpitis (therapy)
• Pulpotomy (methods)
• Root Canal Filling Materials (chemistry, therapeutic use)
• Root Canal Irrigants (therapeutic use)
• Root Canal Preparation (methods)
• Root Resorption (therapy)
• Sodium Hypochlorite (therapeutic use)
• Stainless Steel (chemistry)
• Tooth, Deciduous (pathology)
• Zinc Oxide-Eugenol Cement (therapeutic use)