8
Regenerative Management of an Infected Pulp of a Permanent Tooth Using Bioceramics
Antonis Chaniotis1 and Viresh Chopra2,3,4
1 Private Practice Endodontics, NKUA (National Kapodistrian University of Athens), Zografou, Greece
2 Adult Restorative Dentistry, Oman Dental College, Muscat, Oman
3 Endodontology, Oman Dental College, Muscat, Oman
4 Bart’s London School of Medicine and Dentistry, Queen Mary University, London, UK
8.1 Introduction
Newer advancements are happening in the field of endodontics on a daily basis. There have been significant advancements in regard to endodontic materials [1]. Bioceramics are amongst the recently introduced materials in endodontics and have changed the face of endodontics. They are biocompatible ceramic materials or metal oxides with enhanced physicochemical and biological properties that are useful in medicine and dentistry. They include alumina and zirconia, bioactive glass, glass ceramics, calcium silicates, hydroxyapatite and resorbable calcium phosphates, and radiotherapy glasses [2].
In endodontics they are used in obturation, perforation repair, retrograde filling, pulpotomy, resorption, apexification, and regenerative endodontics [3]. At present they are one of the best bioactive materials present in endodontics.
This case report aims to present the use of bioceramics as a regenerative material. It also emphasizes the protocol used for regeneration and disinfection in cases with longstanding infection.
8.2 Patient Information
- Age: nine‐year‐old
- Gender: Male
- Medical history: Noncontributory
8.2.1 Tooth
- Identification: Mandibular left first molar (tooth 36)
- Dental history: Intraoral swelling in the lower left mandibular area associated with a badly decayed first mandibular molar. Initial swelling had been managed with intraoral antibiotics regimen for one week before the visit to the clinic. The antibiotics regimen was amoxicillin 1 g twice per day for six days.
- Clinical examination findings: Distal decay and badly broken‐down dental structures of tooth 36. Periodontal probing within normal limits. Asymptomatic. Negative thermal and electrical vitality testing for tooth 36.
- Preoperative radiological assessment: The preoperative intraoral periapical radiograph revealed a decayed first left mandibular molar with periapical lesion. The apices of tooth 36 were immature (Figure 8.1
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