Apical closure of an immature root subsequent to apical curettage. 1992

P K Ohara, and M Torabinejad
School of Dentistry, Loma Linda University, CA 92354.

A 7-year-old female presented with a history of trauma to the mandibular central incisor resulting in pulpal necrosis and soft tissue swelling. During apexification treatment, an ultrasonic file was separated and lodged in the periapical tissues. Surgical retrieval of the broken instrument resulted in complete curettage of the periapical tissues. Apical closure occurred following intracanal calcium hydroxide therapy. The findings suggested that hard tissue barrier formation occurred despite the absence of Hertwig's epithelial root sheath and local periapical tissues.

UI MeSH Term Description Entries
D002126 Calcium Hydroxide A white powder prepared from lime that has many medical and industrial uses. It is in many dental formulations, especially for root canal filling. Hydroxide, Calcium
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003762 Dental Instruments Hand-held tools or implements especially used by dental professionals for the performance of clinical tasks. Instrument, Dental,Dental Instrument,Instruments, Dental
D005260 Female Females
D005547 Foreign Bodies Inanimate objects that become enclosed in the body. Foreign Objects,Gossypiboma,Retained Surgical Instruments,Retained Surgical Items,Retained Surgical Needle,Retained Surgical Sponge,Retained Surgical Tools,Textiloma,Bodies, Foreign,Body, Foreign,Foreign Body,Foreign Object,Gossypibomas,Object, Foreign,Objects, Foreign,Retained Surgical Instrument,Retained Surgical Item,Retained Surgical Needles,Retained Surgical Sponges,Retained Surgical Tool,Surgical Instrument, Retained,Surgical Instruments, Retained,Surgical Item, Retained,Surgical Items, Retained,Surgical Needle, Retained,Surgical Needles, Retained,Surgical Sponge, Retained,Surgical Sponges, Retained,Surgical Tool, Retained,Surgical Tools, Retained,Textilomas
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013357 Subgingival Curettage Removal of degenerated and necrotic epithelium and underlying connective tissue of a periodontal pocket in an effort to convert a chronic ulcerated wound to an acute surgical wound, thereby insuring wound healing and attachment or epithelial adhesion, and shrinkage of the marginal gingiva. The term is sometimes used in connection with smoothing of a root surface or ROOT PLANING. (Jablonski; Illustrated Dictionary of Dentistry, 1982) Gingival Curettage,Periodontal Epithelial Debridement,Curettage, Gingival,Curettage, Subgingival,Curettages, Gingival,Curettages, Subgingival,Debridement, Periodontal Epithelial,Debridements, Periodontal Epithelial,Epithelial Debridement, Periodontal,Epithelial Debridements, Periodontal,Gingival Curettages,Periodontal Epithelial Debridements,Subgingival Curettages
D014092 Tooth Root The part of a tooth from the neck to the apex, embedded in the alveolar process and covered with cementum. A root may be single or divided into several branches, usually identified by their relative position, e.g., lingual root or buccal root. Single-rooted teeth include mandibular first and second premolars and the maxillary second premolar teeth. The maxillary first premolar has two roots in most cases. Maxillary molars have three roots. (Jablonski, Dictionary of Dentistry, 1992, p690) Root, Tooth,Roots, Tooth,Tooth Roots

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