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Treatment of a dens invaginatus with an apical plug of calcium silicate cement

Introduction Treatment of young permanent teeth with pulp involvement is an endodontic and restorative challenge. When pulp vitality is lost, the formation of dentin stops, resulting in a tooth with thin dentin walls that is prone to fracture. Traditionally, apexification was performed with calcium hydroxide.  It was a lengthy procedure requiring 5-20 months (1) and […]

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A simple trick for a sharp apical barrier placement

One step apexification with MTA is nowadays a widely diffused procedure, although the major problem in cases of a wide open apex is the need to limit and confine the apexification material at the apex, avoiding its extrusion into the periodontal tissue. The use of a biocompatible matrix is advisable because its placement in the […]

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