PDF: Apexogenesis treatment with mineral trioxide aggregate: long-term follow-up of two cases


Apexogenesis is the treatment of choice for traumatized or carious teeth which, at the time of exposure, have a vital pulp and open apex. This article describes two cases of permanent teeth with carious exposures, treated with direct pulp capping procedures using mineral trioxide aggregate (MTA).



Radiographic and clinical examination, including testing reaction to cold, showed that both teeth were immature and in a stage of reversible pulpitis. The caries was identified using caries detector dye and removed using a rotary bur. Sodium hypochlorite solution was applied to the exposed pulp to achieve haemostasis. 


MTA paste was then placed on the pulp exposure and surrounding dentine. In the first case, the MTA was covered with a glass-ionomer restorative material; in the second case, the MTA was covered with a glass-ionomer cement and restored with composite resin.

SADJ March 2018, Vol 73 no 2 p78 - p82
PJ van der Vyver,1 N Potgieter,2 B Selvan.3
1. Peet J van der Vyver, BChD, PG Dip Dent (Endo), PG Dip
Dent (Aesthet Dent), MSc, PhD (Pret). Division of Endodontics,
Department of Odontology, School of Dentistry, Faculty of Health
Sciences, University of Pretoria, Gauteng, South Africa; Private
Practice, Sandton, South Africa
2. Nicoline Potgieter, BChD, PG Dip Dent (Endo)(Pret), PG Dip
(Paedo)(UWC), MSc (Pret). Division of Paedodontics, Department
of Odontology, School of Dentistry, Faculty of Health Sciences,
University of Pretoria, Gauteng, South Africa.
3. Brad D Selvan, BDS (Wits), PG Dip Dent (Endo)(Pret). Private
Practice, Midrand, South Africa.






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