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Table 4 The major research findings of calcium silicate-based bioceramics in apexification

From: Clinical application of calcium silicate-based bioceramics in endodontics

Application

Material

Main findings

References

Apexification

MTA

Mixing MTA with amalgam might improve root closure.

[106]

  

Apexification with MTA possessed excellent sealing ability and could reduce severe periapical lesions.

[107,108,109,110]

  

The application of absorbable materials and platelet-derived growth factors before the placement of MTA could elevate the success rate of apexification.

[115, 116]

  

The extrusion of MTA might delay the healing of periapical lesion, but it was unnecessary to remove MTA by surgery, if the healing of periapical lesions could continue by itself.

[117,118,119,120]

  

3 mm thickness of MTA followed by post-core and crown repair could achieve better fracture resistance.

[121, 122]

 

Biodentine

Biodentine displayed better aesthetical outcome and induced more deposition of hydroxyapatite crystals on the interface between the material and the dentin.

[125, 126]

  

3 mm thickness of Biodentine or 4 mm thickness of ProRootMTA could achieve the lowest bacterial leakage and the best marginal adaptation in apexification.

[128]