COMPARATIVE ANALYSIS OF CALCIUM HYDROXIDE, MTA ANDBIODENTINE IN FORMATION AN APICAL BARRIER IN IMMATUREPERMANENT TEETH WITH CHRONIC APICAL PERIODONTITIS
DOI:
https://doi.org/10.34689/r34xm964Keywords:
apical periodontitis , apexification , immature permanent teeth , calcium hydroxide , MTA , BiodentineAbstract
Introduction. Chronic apical periodontitis is one of the major problems in pediatric endodontics, resulting in delayed
development and root formation of permanent teeth. Apexification is an important treatment for immature permanent teeth with
open apex.
Aim: Literature analysis on the issue of calcium hydroxide, MTA and Biodentine effectiveness in the clinical and
radiological success of apexification of necrotic immature permanent teeth.
Search strategy. The search was carried out in the databases PubMed, Web of Science, Scopus, eLibrary, Cochrane
Library, Google Scholar, Research Gate: randomized controlled trials, prospective and retrospective studies in English and
Russian, dated 2012 - 2022. Key words were used for the following sections: pathology: "apical periodontitis", "immature permanent teeth"; treatment: "apexification"; medicaments: "calcium hydroxide", "MTA", "Biodentine"; studies: "randomized
controlled trial". A total of 7 full-text studies were included in the analysis.
Results. Literature analysis revealed that Biodentine is the most effective according to clinical and radiological results. It
reduces the number of patients’ visits up to one visit. It has the best performance characteristics, as well as setting time is
about 12 minutes. As a result, one-stage root canal obturation is possible. MTA has less favorable outcomes, causing staining
of tooth enamel. However, the presence of MTA modifications like white MTA diminished these shortcomings. Calcium
hydroxide is a reasonable and quite effective solution for apexification. To this day, calcium hydroxide is widely used both
abroad and in the Republic of Kazakhstan.
Conclusions. Between three apexification materials presented, Biodentine and MTA are the most clinically and
radiologically effective materials. Calcium hydroxide remains as the drug of choice, although it has several disadvantages.
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Copyright (c) 2026 Мадина Курманалина, Айгуль Суманова, Виолетта Деточкина, Жанара Шабанбаева (Автор)
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