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Fracture Resistance and Failure Patterns of open apex Root Teeth with Different Posts after Endodontic Treatment

Journal of Huazhong University of Science and Technology(Medical Sciences) 2011年第2期31卷 271-276页

作者：李秋慧闫萍陈智 Key Laboratory for Oral Biomedicine of Ministry of Education School and Hospital of Stomatology Wuhan University

The aim of this study is to investigate the influence of different posts on the fracture mechanics of endodontically-treated teeth with open apex. Forty-eight human maxillary anterior teeth were collected, and the root was transversely sectioned 12 mm under the cementoenamal junction （CEJ）. These samples were then randomly divided into two groups, i.e., minor diameter open apex root （group A） and major diameter open apex root （group B）, with mineral trioxide aggregate （MTA） placed into the apical 4 mm in the root canals. Subsequently, both groups were respectively further divided into three subgroups as follows： fiber-post （subgroup 1）, metal post （subgroup 2） and non-post （subgroup 3） group. Teeth were restored with a composite resin crown and tested by using a universal testing machine at the rate of 1 mm/min cross-head. Values of the maximum fracture resistance and failure patterns were recorded and compared among all subgroups. In addition, the changes of MTA properties were carefully examined via X-ray photography. Our results indicate that （1） In group A, the mean value of fracture resistance for teeth restored with fiber posts were statistically higher than that with either metal post or non-post; （2） In group B, there was no statistically significant difference in the mean value of fracture resistance among three subgroups; （3） No statistical significance in the mean value of fracture resistance was found between group A and group B; （4） The failure modes of most samples （58%） were irreparable; （5） MTA in two teeth developed cracks after loading tests. In conclusion, endodontically-treated teeth restored with fiber posts are more resistant to fracture than those restored with either metal posts or non-post, and most of the fracture modes are catastrophic in nature.

关键词： fiber post MTA open apex fracture resistance

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Present status and future directions:apexification

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World Journal of Methodology 2025年第1期15卷 26-32页

作者： Sachin Chauhan Radha Chauhan Prashant Bhasin Bhavna G Sharaf Department of Conservative Dentistry and Endodontics Sudha Rustagi College of Dental Sciences and ResearchFaridabad 121002HaryanaIndia Department of Prosthodontics and Crown and Bridge and Oral Implantology Mahatma Gandhi Dental College&HospitalJaipur 302022RajasthanIndia Department of Pedodontics and Preventive Dentistry Sudha Rustagi College of Dental Sciences and ResearchFaridabad 121002HaryanaIndia

The success rate of apexification is primarily determined by multiple factors,including the material used,the size of the open apex compared to the length of the root,and the technique used in each *** main objective of this review was to provide an update on the present management of open apex to identify factors and circumstances that may influence the success of apexification using different materials and *** research on apexification should focus on how to treat open apices with wide periapical lesions without ***,the predictability of these parameters with non-surgical procedures was uncertain,but now,with the use of a dental operating microscope,it has become more *** reason could be that extra visits are no longer required due to major advances in the armamentarium and materials used for apexification.

关键词： Bioceramics Magnification Biodentine Mineral trioxide aggregate apexification open apex

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Long-term observation of the mineral trioxide aggregate extrusion into the periapical lesion:a case series

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International Journal of Oral Science 2013年第1期5卷 54-57页

作者： Seok-Woo Chang Tae-Seok Oh WooCheol Lee Gary Shun-Pan Cheung Hyeon-Cheol Kim Department of Conservative Dentistry School of DentistryKyung Hee University Department of Conservative Dentistry The Institute of Oral Health ScienceSamsung Medical CenterSungkyunkwan University School of Medicine Department of Conservative Dentistry School of DentistryDental Research InstituteSeoul National University Area of Endodontics Faculty of Dentistrythe University of Hong Kong Department of Conservative Dentistry School of DentistryPusan National UniversityDental Research Institute

One-step apexification using mineral trioxide aggregate(MTA) has been reported as an alternative treatment modality with more benefits than the use of long-term calcium hydroxide for teeth with open ***,orthograde placement of MTA is a challenging procedure in terms of length *** case series describes the sequence of events following apical extrusion of MTA into the periapical area during a one-step apexification procedure for maxillary central incisor with an infected immature *** long-term observation revealed complete resolution of the periapical radiolucent lesion around the extruded *** cases revealed that direct contact with MTA had no negative effects on healing of the periapical ***,intentional MTA overfilling into the periapical lesion is not to be recommended.

关键词： extrusion immature apex mineral trioxide aggregate one-step apexification open apex periapical healing

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