Clinical and Radiographic Evaluation of Two Bioactive Materials in Revascularization of Immature Young Permanent Teeth: Randomize Control Trial

Document Type : Original Article

Authors

1 Department of Pedodontics and Oral Health , Faculty of Den tistry, Al-Azhar University, As siut Branch, Assiut, Egypt.

2 Department of Pedodontics and Oral Health , Faculty of Dentistry, Al-Azhar University, Cairo, Boyes), Egypt.

3 Department of Pedodontics and Oral Health , Faculty of Dentistry, Al-Azhar University, Assiut Branch, Assiut, Egypt.

Abstract

 Aim: The advantages of two bioactive coronal plug materials Bioceramic Root 
Repair vs. Bio-MTA for the revascularization of necrotic, immature, permanent teeth 
with apical periodontitis were assessed from a clinical and radiographic standpoint in 
this randomized clinical trial (RCT). Subject and Methods: Children between the 
ages of seven and twelve who had apical periodontitis in twenty-eight permanent, 
immature, non-vital teeth participated in this RCT. Samples were randomized into two 
groups according to type the coronal plug materials used: Bioceramic Root Repair 
(group I) and Bio-MTA (mineral trioxide aggregate) (group II) (n = 14). A clinical and 
radiographic follow-up was conducted for a one year in order to evaluate the level of 
clinical success and efficacy in apical root closure. Results: With respect to the level 
of clinical success, every single instance (100%) accomplished the main objective, 
which was the eradication of symptoms and the demonstration of bone healing. 
There was no significant difference between the groups (p > 0.05). Clinical results for 
both bioceramic cements were good. For every individual studied group, there was 
a significant increase in the apical dentin root thickness over time, nevertheless, the 
differences between the two examined groups were not statistically significant (p > 0.05).  
Conclusion: Bioceramic cements might be regarded as viable materials for the 
revascularization of non-vital immature permanent teeth with apical periodontitis.

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