Journal of Contemporary Dentistry

Register      Login

VOLUME 8 , ISSUE 1 ( January-April, 2018 ) > List of Articles


Management of Traumatic Injury in Maxillary Teeth using EndoSequence: A Cone Beam Computed Tomography Case Report

Richa Nanray

Keywords : Apexification, Cone beam computed tomography, EndoSequence, Periapical lesion, Trauma

Citation Information : Nanray R. Management of Traumatic Injury in Maxillary Teeth using EndoSequence: A Cone Beam Computed Tomography Case Report. J Contemp Dent 2018; 8 (1):45-49.

DOI: 10.5005/jp-journals-10031-1221

License: CC BY-ND 3.0

Published Online: 01-04-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Teeth affected with necrosis, apical periodontitis, large periapical lesion, external resorption, open apex require definitive endodontic therapy in addition to excellent biocompatible tricalcium silicate cement for root repair and regeneration of the periodontium. Mineral trioxide aggregate (MTA) has shown superior prognostic results in the mentioned procedures due to its sealing ability and antibacterial properties. However, certain major drawbacks with MTA are its long setting time, further discoloration of the tooth structure, and difficulty in handling. EndoSequence root repair material (Brasseler, USA) is a recently introduced bioceramic. Several clinical and research studies have shown comparable sealing ability of MTA and EndoSequence in apexification and surgical procedures. Presented here is the successful management of a patient whose maxillary anteriors showed destruction of the periapical tissue. Surgical procedure was performed in right central and lateral incisors along with root-end filling with EndoSequence and apexification in left central incisor with placement of an apical plug of EndoSequence. Follow-up radiographs and 12-month cone beam computed tomography (CBCT) showed formation of bony trabeculae surrounding the apical region and intact lamina dura. Based on the clinical report, it appears that EndoSequence is the new root repair material that is user-friendly for the clinician even in the most challenging situations. How to cite this article Nanray R. Management of Traumatic Injury in Maxillary Teeth using EndoSequence: A Cone Beam Computed Tomography Case Report. J Contemp Dent 2018;8(1):45-49.

PDF Share
  1. Alobaid AS, Cortes LM, Lo J, Nguyen TT, Albert J, Abu-Melha AS, Lin LM, Gibbs JL. A pilot retrospective cohort study. J Endod 2014 Aug;40(8):1063-1070.
  2. Bücher K, Meier F, Diegritz C, Kaaden C, Hickel R, Kühnisch J. Long-term outcome of MTA apexification in teeth with open apices. Quintessence Int 2016 Mar;47(6):473-482.
  3. Tran D, He J, Glickman GN, Woodmansey KF. Comparative analysis of calcium silicate-based root filling materials using an open apex model. J Endod 2016 Apr;42(4):654-658.
  4. Memiş Özgul B, Bezgin T, Şahin C, Sarı Ş. Resistance to leakage of various thicknesses of apical plugs of Bioaggregate using liquid filtration model. Dent Traumatol 2015 Jun;31(3):250-254.
  5. Grech L, Mallia B, Camilleri J. Characterization of set intermediate restorative material, biodentine, bioaggregate and a prototype calcium silicate cement for use as root-end filling materials. Int Endod J 2013 Jul;46(7):632-641.
  6. Rifaey HS, Villa M, Zhu Q, Wang YH, Safavi K, Chen IP. Comparison of the osteogenic potential of mineral trioxide aggregate and endosequence root repair material in a 3-dimensional culture system. J Endod 2016 May;42(5):760-765.
  7. Jung JY, Woo SM, Lee BN, Koh JT, Nör JE, Hwang YC. Effect of biodentine and bioaggregate on odontoblastic differentiation via mitogen-activated protein kinase pathway in human dental pulp cells. Int Endod J 2015 Feb;48(2):177-184.
  8. Zhang J, Zhu L, Yan P, Peng B. Effect of bioaggregate on receptor activator of nuclear factor-kappa B ligand–induced osteoclastogenesis from murine macrophage cell line in vitro. J Endod 2015 Aug;41(8):1265-1271.
  9. Shinbor N, Grama AM, Patel Y, Woodmansey K, He J. Clinical outcome of endodontic microsurgery that uses endosequence BC root repair material as the root-end filling material. J Endod 2015 May;41(5):607-612.
  10. Fuss Z, Tsesis I, Lin S. Root resorption—diagnosis, classification and treatment. choices based on stimulation factors. Dent Traumatol 2003 Aug;19(4):175-182.
  11. Mohammadi Z, Shalavi S, Yazdizadeh M. Antimicrobial activity of calcium hydroxide in endodontics: a review. Chonnam Med J 2012 Dec;48(3):133-142.
  12. Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod 2006 Jul;32(7):601-623.
  13. Zuolo ML, Ferreira MO, Gutmann JL. Prognosis in periradicular surgery: a clinical prospective study. Int Endod J 2000 Mar;33(2):91-98.
  14. Alanexi AZ, Jiang J, Safavi KE, Spangberg LS, Zhu Q. Cytotoxicity evaluation of endosequence root repair material. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010 Mar;109(3):e122-e125.
  15. Heithersay ZS. Calcium hydroxide in the treatment of pulpless teeth with associated pathology. J Br Endo Soc 1975;8:74.93.
  16. Lovato KF, Sedgley CM. Antibacterial activity of endosequence root repair material and ProRoot MTA against clinical isolates of Enterococcus faecalis. J Endod 2011 Nov;37(11):1542-1546.
  17. Nasseh AA. Dental tribune Middle East & Africa Edition. A combined surgical and non-surgical approach to repair an external root resorption utilizing a nano-particulate bioceramic root repair material. Endod Pract 2015 Sep-Oct.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.