Repair of Furcal Iatrogenic Perforation with Mineral Trioxide Aggregate: Two Years Follow-up of Two Cases

Furcal perforation is usually an undesired complication that can occur during preparation of endodontic access cavities or exploring canal orifice of multirooted teeth. Inadequacy of the repair materials has been a contributing factor to the poor outcome of repair procedures. On the basis of the recent physical and biologic property studies of the relatively new introduced mineral trioxide aggregate, this material may be suitable for closing the communication between the pulp chamber and the underlying periodontal tissues. There are few reports on repair of furcal perforation with MTA in molar teeth. The purpose of this case report was to describe the treatment of two furcal perforation using MTA in molar teeth. The perforations were cleaned with NaOCl and saline solution and sealed with MTA without internal matrix. Finally, the teeth were endodontically treated and coronally restored with composite resin and ceramic veneer crown and bridge. After 2 years, the absence of periradicular radiolucent lesions, pain, and swelling along with functional tooth stability indicated a successful outcome of sealing perforations in two cases. (Eur J Dent 2010;4:475-481)

Download Full-text

Radicular Perforation Repair with Mineral Trioxide Aggregate: A Case Report with 10-Year Follow-up

The Open Dentistry Journal ◽

10.2174/1874210601610010733 ◽

2016 ◽

Vol 10 (1) ◽

pp. 733-738 ◽

Cited By ~ 3

Author(s):

Leopoldo Cosme-Silva ◽

Breno Carnevalli ◽

Vivien Thiemy Sakai ◽

Naiana Viana Viola ◽

Leon Franco de Carvalho ◽

...

Keyword(s):

Case Report ◽

Root Canal ◽

Mineral Trioxide Aggregate ◽

Radiographic Examination ◽

Root Canal Filling ◽

Second Molar ◽

Iatrogenic Perforation ◽

Iatrogenic Complications ◽

Root Canal Retreatment

Background: Iatrogenic complications such as accidental perforation of the root or the floor of the pulp chamber may occur. Case Report: Patient was referred for root canal retreatment of the mandibular left second molar with periapical lesion evidenced through radiographic examination. During post removal, iatrogenic perforation occurred at the mesial face of the distal root. After clinical localization of the perforation and bleeding control, MTA was applied. In a second appointment, the root canal filling was removed and the chemical-surgical retreatment of the canals was performed, followed by the obturation with gutta-percha and sealer. Patient returned after three days reporting no pain. After 6 months, 3, 7 and 10 years of follow-up. Conclusion: Absence of pain, normal periodontal probing and lack of radiolucent area at the region of perforation and the periapices were detected, which evidenced the successful repair of the tooth.

Download Full-text

Comparative Evaluation of Formocresol and Mineral Trioxide Aggregate in Pulpotomized Primary Molars - 2 Year Follow Up

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.37.2.h427vr8157444462 ◽

2012 ◽

Vol 37 (2) ◽

pp. 143-147 ◽

Cited By ~ 12

Author(s):

P Airen ◽

A Shigli ◽

B Airen

Keyword(s):

Comparative Evaluation ◽

Primary Teeth ◽

Clinical Success ◽

Mineral Trioxide Aggregate ◽

Clinical Success Rate ◽

Primary Molars ◽

Second Primary ◽

Pulp Chamber ◽

Aggre Gate

Aim: The aim of the present study was to clinically and radiographically evaluate Mineral Trioxide Aggre-gate (MTA) as an agent for pulpotomy in primary teeth and to compare it with that of Formocresol (FC) pulpotomy. Method: Seventy first and second primary mandibular molars of children were chosen on patients who required minimum two pulpotomies in either arch or same arch. After the standardized technique of Pulpotomy with MTA and Formocresol, all molars were treated with a thick mix of Zinc oxide Eugenol cement into the coronal pulp chamber followed by preformed stainless steel crown. The children were followed up for clinical and radio graphical examination after 6,12 and 24 month for Pain, Swelling, Sinus/ fistula, Periapical changes, Furcation radiolucency and internal resorption. Results: MTA represents 97% clinical success rate in comparison to Formocresol with 85% success. Radiographically also MTA showed more promising results with 88.6% success in comparison to Formocresol with 54.3%. Conclusions: Thus, MTA pulpotomy has emerged as an easier line of treatment to save the premature loss of primary teeth due to caries or trauma.

Download Full-text

Comparison of successful outcome of pit and fissure sealants bonded with etch-and-rinse adhesive and self-etch adhesive system

Technology and Health Care ◽

10.3233/thc-202679 ◽

2021 ◽

pp. 1-7

Author(s):

Jiand Malik Baloch ◽

Muhammad Adeel Ahmed ◽

Azeem Ul Yaqin Syed ◽

Muhammad Zohaib Younus ◽

Muhammad Owais Nasim ◽

...

Keyword(s):

Adhesive System ◽

Successful Outcome ◽

Fissure Sealants ◽

Pit And Fissure Sealants ◽

Etch And Rinse ◽

Molar Teeth ◽

Group A ◽

Group B ◽

Self Etch

BACKGROUND: Dental caries is one of the most common diseases around the world. The newly erupted permanent posterior teeth are at great risk due to the complex occlusal morphology of pits and fissures, infraocclusion and incomplete maturation of enamel. Pit and fissure sealants are the treatment of choice in such conditions. OBJECTIVES: To compare the successful outcome of pit and fissure sealants bonded with etch-and-rinse adhesive system and self-etch adhesive systems in newly erupted permanent first molars. METHODS: This randomized clinical trial was conducted at the Fatimah Jinnah Dental Hospital from June 2017 to May 2019. Children aged between 6 to 9 years who fulfilled the inclusion criteria were recruited for this study after parents’ consent. Patients were randomly divided into two groups by the lottery method. Thirty patients with 60 first molar teeth in Group A were treated with etch-and-rinse adhesive system, while the other thirty patients with 60 first molar teeth in Group B were treated with self-etch adhesive system. After adhesive placement, all children received the same fissure sealants in newly erupted maxillary and mandibular permanent first molar. Each group was clinically evaluated at 6 and 12 months follow-up visit. Modified United States Public Health Service (USPHS) criteria were used for direct clinical evaluation of successful outcomes such as sealant retention and marginal discoloration. RESULTS: Successful outcome was statistically significant in Group B compared to Group A (60% vs. 30% p= 0.020) at 12 months follow-up. Stratification analysis was performed with respect to age in which a successful outcome was not significant (p= 0.43) between groups for 6 to 7 years of age, while it was significant (p= 0.012) between groups in 8 to 9 years of age children. CONCLUSION: Self-etch adhesive system is better than etch-and-rinse adhesive system in terms of long-term sealant retention. In addition, the bonding procedure is simple with relatively short clinical application time therefore it would offer great benefit to clinicians in treating pediatric patients.

Download Full-text

Non-surgical retreatment of a failed apicoectomy without retrofilling using white mineral trioxide aggregate as an apical barrier

Brazilian Dental Journal ◽

10.1590/s0103-64402012000200013 ◽

2012 ◽

Vol 23 (2) ◽

pp. 167-171 ◽

Cited By ~ 3

Author(s):

Spyridon Stefopoulos ◽

Giorgos N. Tzanetakis ◽

Evangelos G. Kontakiotis

Keyword(s):

Surgical Procedure ◽

Mineral Trioxide Aggregate ◽

Central Incisor ◽

Maxillary Central Incisor ◽

Immature Teeth ◽

Functional Tooth ◽

End Resection ◽

Apical Area ◽

White Mineral

Root-end resected teeth with persistent apical periodontitis are usually retreated surgically or a combination of non-surgical and surgical retreatment is employed. However, patients are sometimes unwilling to be subjected to a second surgical procedure. The apical barrier technique that is used for apical closure of immature teeth with necrotic pulps may be an alternative to non-surgically retreat a failed apicoectomy. Mineral trioxide aggregate (MTA) has become the material of choice in such cases because of its excellent biocompatibility, sealing ability and osseoinductive properties. This case report describes the non-surgical retreatment of a failed apicoectomy with no attempt at retrofilling of a maxillary central incisor. White MTA was used to induce apical closure of the wide resected apical area. Four-year follow-up examination revealed an asymptomatic, fully functional tooth with a satisfactory healing of the apical lesion. White MTA apical barrier may constitute a reliable and efficient technique to non-surgically retreat teeth with failed root-end resection. The predictability of such a treatment is of great benefit for the patient who is unwilling to be submitted to a second surgical procedure.

Download Full-text

Management of Iatrogenic Furcation Perforation in Mandibular First Molar With Biodentine- Two Years Follow Up

Dental Journal of Advance Studies ◽

10.1055/s-0038-1672081 ◽

2017 ◽

Vol 05 (01) ◽

pp. 047-050 ◽

Cited By ~ 1

Author(s):

Savita Thakur ◽

Anuradha Rani ◽

Nisha Garg ◽

Keyword(s):

Case Report ◽

Treatment Failure ◽

Endodontic Treatment ◽

Successful Outcome ◽

Successful Management ◽

Full Coverage ◽

Functional Tooth ◽

Mandibular First Molar

AbstractSuccessful management of furcation perforations poses a challenge for a clinician. The perforation can result from iatrogenic causes, caries or resorption. It is advisable to repair the perforation as soon as it is identified, since any delay allows the bacterial ingress leading to a complicated endodontic–periodontal lesion and ultimately in the treatment failure. This case report describes successful management of a furcal perforation in a mandibular first molar, which was repaired using Biodentine. The endodontic treatment was completed and the tooth was coronally restored with composite followed by full coverage restoration. Two years follow up of the case showing absence of pain; periradicular healing of the lesion, along with functional tooth stability indicated a successful outcome of endodontic treatment and sealing the perforation using Biodentine.

Download Full-text

Root resorption after dental trauma in permanent molar: a 5-year follow-up

Brazilian Dental Science ◽

10.14295/bds.2016.v19i2.1175 ◽

2016 ◽

Vol 19 (2) ◽

pp. 116

Author(s):

Manoela Teixeira de Sant'Anna Dadalti ◽

Fabíola Orgima Barbosa Soares ◽

Heloísa Carla Dell Santo Gusman ◽

Patrícia De Andrade Risso

Keyword(s):

Root Resorption ◽

Mineral Trioxide Aggregate ◽

Dental Trauma ◽

Successful Outcome ◽

Posterior Teeth ◽

Dental Injury ◽

Permanent Molar ◽

Mechanical Preparation ◽

Low Incidence

Introduction: There is low incidence of trauma in posterior teeth, and their complications are rarely reported in the literature. This report describes a case of internal root resorption with communication with the periodontal area as a result of traumatic dental injury of a permanent molar tooth. Case Report: The treatment consisted of chemo-mechanical preparation and the use of calcium hydroxide as intracanal medication, followed by filling and sealing of the resorption area with mineral trioxide aggregate. Results: After 5 years of follow-up, the tooth was in function, without signs or symptoms and the resorption area was repaired. Conclusion: We emphasize the importance of follow-up in cases of dental trauma, even in cases of low severity, such as subluxative injury, in order to predict possible sequelae in advance. The correct approach to treatment of the resorption area and sealing with mineral trioxide aggregate ensured the successful outcome of the case.KeywordsMolar; Permanent dentition; Tooth injuries; Root resorption.

Download Full-text

Ferric sulfate as pulpotomy agent in primary teeth: twenty month clinical follow-up

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.24.4.d7u6405nw1132705 ◽

2000 ◽

Vol 24 (4) ◽

pp. 269-272 ◽

Cited By ~ 28

Author(s):

Hamijeta Ibricevic ◽

Qumasha Al-Jame

Keyword(s):

Success Rate ◽

Primary Teeth ◽

Root Resorption ◽

Clinical Success ◽

Clinical Success Rate ◽

Ferric Sulfate ◽

Primary Molar ◽

Molar Teeth ◽

The Moment

Seventy primary molar teeth, carious exposed, symptom free, without any sign of root resorption in children aged from 3 to 6 years (main age 4.3yr) were treated with conventional pulpotomy procedures. Ferric sulfate 15.5% solution (applied for 15 second for 35 teeth) and formocresol solution (five minute procedure of Buckley's formula for next 35 teeth) have been used as pulpotomy agents. In both groups, pulp stumps were covered with zinc-oxide eugenol paste. Permanent restorations were stainless steel crowns. Clinical check up was every three-months and radiographic follow-up time was six and twenty months after treatment. Our results within this period revealed 100% clinical success rate in both groups. Radiographic success rate was in both groups 97.2%, while in 2.8% cases has shown internal root resorption. On the basis of these results, we can recommend ferric sulfate as a pulpotomy agent in primary teeth in substitution for formocresol at the moment.

Download Full-text

Clinical Outcomes of Percutaneous Plantar Fasciotomy Using Microdebrider Coblation Wand

Foot & Ankle International ◽

10.1177/1071100719883266 ◽

2019 ◽

Vol 41 (2) ◽

pp. 187-192

Author(s):

Ricardo E. Colberg ◽

Monte Ketchum ◽

Avani Javer ◽

Monika Drogosz ◽

Melissa Gomez ◽

...

Keyword(s):

Conservative Treatment ◽

Plantar Fasciitis ◽

Case Series ◽

Successful Outcome ◽

Oral Steroid ◽

Tarsal Tunnel ◽

Retrospective Case ◽

Level Of Evidence ◽

Plantar Fasciotomy

Background: Plantar fasciitis is the most common cause of heel pain in adults. Multiple conservative treatment plans exist; however, some cases do not obtain significant clinical improvement with conservative treatment and require further intervention. This retrospective case study evaluated the success rate of percutaneous plantar fasciotomy and confounding comorbidities that negatively affect outcomes. Methods: A series of 41 patients treated with percutaneous plantar fasciotomy using the Topaz EZ microdebrider coblation wand were invited to participate in this retrospective follow-up study, and 88% ( N = 36) participated. A limited chart review was completed and the patients answered a survey with the visual analog scale (VAS) for pain and the Foot and Ankle Ability Measure (FAAM) questionnaire. Average outcomes were calculated and 45 variables were analyzed to determine if they were statistically significant confounders. Patients had symptoms for an average of 3 years before the procedure and were contacted for follow-up at an average of 14 months after the procedure. Results: The average VAS for pain score was 1.3 ± 1.8 and the average FAAM score was 92 ± 15. Eighty-nine percent of patients had a successful outcome, defined as FAAM greater than 75. In addition, patients at 18 months postprocedure reported complete or near-complete resolution of symptoms with an FAAM score greater than 97. Concurrent foot pathologies (eg, tarsal tunnel syndrome), oral steroid treatment prior to the procedure, and immobilization with a boot prior to the procedure were statistically significant negative confounders ( P < .05). Being an athlete was a positive confounder ( P = .02). Conclusion: Percutaneous plantar fasciotomy using a microdebrider coblation was an effective treatment for plantar fasciitis, particularly without concurrent foot pathology, with a low risk of complications. Level of Evidence: Level IV, retrospective case series.

Download Full-text

Shear bond strength of novel calcium aluminate-based cement (EndoBinder) to root dentine

European Journal of Dentistry ◽

10.4103/1305-7456.143632 ◽

2014 ◽

Vol 08 (04) ◽

pp. 498-503 ◽

Cited By ~ 1

Author(s):

Lucas da Fonseca Roberti Garcia ◽

Hebert Luis Rossetto ◽

Fernanda de Carvalho Panzeri Pires-de-Souza

Keyword(s):

Bond Strength ◽

Calcium Aluminate ◽

Shear Bond Strength ◽

Testing Machine ◽

Mineral Trioxide Aggregate ◽

Acrylic Resin ◽

Promising Alternative ◽

Mean Values ◽

Significant Difference ◽

Molar Teeth

ABSTRACT Objective: To evaluate the shear bond strength of a novel calcium aluminate-based cement, EndoBinder (EB), to dentine in comparison with Grey and White Mineral Trioxide Aggregate (MTA). Materials and Methods: Root canal hemi-sections obtained from 30 extracted molar teeth were embedded in self-polymerized acrylic resin and were grounded wet in order to obtain a flat dentine surface. Next, the roots were randomly assigned into three groups (n = 10), according to the cement used, as follows: EB: EndoBinder; WMTA: White MTA and GMTA: Grey MTA. The shear bond strength test was performed using a Universal Testing Machine (0.5 mm/min) and the data were submitted to statistical analysis (1-way ANOVA and Tukey tests, P < 0.05). Results: EB presented the highest shear bond strength values; however, there was no statistically significant difference in comparison with GMTA (P > 0.05). WMTA presented the lowest mean values, which were significant in comparison with EB (P < 0.05). Conclusions: The novel calcium aluminate-based cement presented higher shear bond strength than WMTA, and should be considered as a promising alternative in endodontic therapy.

Download Full-text

Is Continuous Eruption Related to Periodontal Changes? A 16-Year Follow-up

Journal of Dental Research ◽

10.1177/0022034521999363 ◽

2021 ◽

pp. 002203452199936

Author(s):

C. Wiedemann ◽

C. Pink ◽

A. Daboul ◽

S. Samietz ◽

H. Völzke ◽

...

Keyword(s):

Tooth Wear ◽

Total Sample ◽

Population Based ◽

Tooth Eruption ◽

Reference Points ◽

3 Dimensional ◽

Probing Depth ◽

Molar Teeth ◽

Using Data

The aims of this study were to 1) determine if continuous eruption occurs in the maxillary teeth, 2) assess the magnitude of the continuous eruption, and 3) evaluate the effects of continuous eruption on the different periodontal parameters by using data from the population-based cohort of the Study of Health in Pomerania (SHIP). The jaw casts of 140 participants from the baseline (SHIP-0) and 16-y follow-up (SHIP-3) were digitized as 3-dimensional models. Robust reference points were set to match the tooth eruption stage at SHIP-0 and SHIP-3. Reference points were set on the occlusal surface of the contralateral premolar and molar teeth, the palatal fossa of an incisor, and the rugae of the hard palate. Reference points were combined to represent 3 virtual occlusal planes. Continuous eruption was measured as the mean height difference between the 3 planes and rugae fix points at SHIP-0 and SHIP-3. Probing depth, clinical attachment levels, gingiva above the cementoenamel junction (gingival height), and number of missing teeth were clinically assessed in the maxilla. Changes in periodontal variables were regressed onto changes in continuous eruption after adjustment for age, sex, number of filled teeth, and education or tooth wear. Continuous tooth eruption >1 mm over the 16 y was found in 4 of 140 adults and averaged to 0.33 mm, equaling 0.021 mm/y. In the total sample, an increase in continuous eruption was significantly associated with decreases in mean gingival height ( B = −0.34; 95% CI, −0.65 to −0.03). In a subsample of participants without tooth loss, continuous eruption was negatively associated with PD. This study confirmed that continuous eruption is clearly detectable and may contribute to lower gingival heights in the maxilla.

Download Full-text