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Clinical study on the influence of hydroxyapatite on apexogenesis in monkeys.doc

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Clinical study on the influence of hydroxyapatite on apexogenesis in monkeys

ActaVeterinaria(Beograd),Vol.58,No.4,395-409,2008. DOI:10.2298/AVB0804395P UDK619:616.314-089 CLINICALSTUDYONTHEINFLUENCEOFHYDROXYAPATITEONAPEXOGENESISIN MONKEYS PETROVI]VANJA*,MARKOVI]D*,^AKI]S*andKRSTI]N** *SchoolofDentistry,UniversityofBelgrade,Serbia **FacultyofVeterinaryMedicine,UniversityofBelgrade,Serbia (Received8.March2008) Management of the affected pulp in teeth with incomplete root formationisstillanissue.Calciumhydroxideandothermaterialshave been employed for this purpose to a greater or lesser success. Bioceramic materials are in the last decades well established in a numberofdifferentmedicalfields.Havingitsconstituentsthesameas thoseoftheunorganicportionofbonetissue,hydroxiapatite(HAP),one ofthetwoformsofcalcium-phosphateceramics,isalreadyacceptedin endodontictreatmentofteethwithcompletedrootformation. Theaimofthisstudywastoexamineapexogenesisinteethwith immatureroots,followingtheuseofHAPontheiraffectedpulp. Examination was performed on eight young monkeys (Cercopithecus Aethiops) with incomplete root development. The 100mmsyntheticHAPmaterialwasappliedon32teethdividedintotwo groupsof16teetheach.Inonegroupteethunderwentpulpotomy,in theotherhighpulpotomy.Evaluationofrootgrowthwasrecordedfrom radiographs(pre-treatment,3and12monthsfollowingtreatment)and byDemjriansscalefordentalmaturityandtoothagedetermination. On the basis of radiographic analysis, immature teeth with affected pulp treated with HAP, both with pulpotomy and high pulpotomy, reached the same stage of root development as control teeth in 50% of cases at 3-months radiographic assesment. After 12 months all tested teeth had the same rate of root development as controlteeth,exceptfor1of8withhighpulpotomy.Dentinalbridgewas radiographicallyvisiblein50%and87.5%ofpulpotomizedteethafter3 and 12 months, respectively. Neither obliteration of the root canal, presenceofdenticlesnorthepresenceofdeformitiesintheperiapical regionwerefoundinanyoftheobservedteeth. Key words: apexogenesis, hydroxyapati