Efficacy of Mineral Trioxide Aggregate as an Apical Plug in Non-Vital Young Permanent Teeth: Preliminary Results

2010 ◽  
Vol 35 (2) ◽  
pp. 149-155 ◽  
Author(s):  
Sankar Annamalai ◽  
Jayanthi Mungara
Keyword(s):  
Root Growth ◽  
Success Rate ◽  
Root Canal ◽  
Treatment Protocol ◽  
Mineral Trioxide Aggregate ◽  
Root Canal Treatment ◽  
Permanent Teeth ◽  
Preliminary Results ◽  
Gutta Percha

Purpose: The purpose of this study was to evaluate the efficacy of Mineral trioxide aggregate (MTA) clinically and radiographically as material used to induce root end closure in nonvital permanent teeth with immature apices (apexification) in children. Methods: The study included 30 non vital young permanent,single rooted teeth of 22 children between 8 and 13 years of age. Treatment followed a standard non-surgical root canal treatment protocol and the root canal was filled with a apical plug of 4-5 mm of MTA (white MTA – Angelus, Brazil), followed by gutta-percha obturation. The children were reviewed for 1 year at 3 month interval and the teeth were assessed clinically and radiographically. Results: MTA showed success rate of 100% both clinically and radiographically at the 12th months follow up and root end closure was seen in 86.6% of cases and root growth in 30% of cases. Conclusions: MTA showed clinical and radiographic success as an apexification material by inducing root end closure and root growth in non-vital young permanent teeth.

scholarly journals Clinical and Radiographic Evaluation of Mineral Trioxide Aggregate Pulpotomy in Permanent Teeth

2016 ◽  
Vol 04 (03) ◽  
pp. 183-188
Author(s):  
Neha Verma ◽  
Avninder Kaur ◽  
Shivesh Acharya ◽  
Sunila Sharma
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Root Canal Treatment ◽  
Permanent Teeth ◽  
Radiographic Evaluation ◽  
Future Research ◽  
Standard Protocol ◽  
Radiographic Outcome ◽  
Irreversible Pulpitis

Abstract Aim and objective: The aim of the present study was to evaluate clinical and radiographic outcome of MTA as a pulpotomy agent in permanent teeth as an alternative to conventional root canal treatment. Materials and Methods: Ten permanent teeth with symptoms of irreversible pulpitis with vital pulp were selected for the study. MTAPulpotomy procedure was done in all the cases using standard protocol. Teeth were evaluated for various clinical and radiographic parameters at 3, 6, 9 and 12 months of follow up. Results: None of the patients reported any kind of clinical discomfort or radiographic abnormality during the follow up period of 3, 6, 9 and 12 months. All the teeth responded positive on electric pulp test at all successive follow ups. Conclusions: MTA Pulpotomy may be used as an alternative treatment modality to root canal treatment in permanent teeth with irreversible pulpitis, if future research continues to show promising results.

scholarly journals Materials for pulpotomy in immature permanent teeth: a systematic review and meta-analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yuan Chen ◽  
Xinlei Chen ◽  
Yali Zhang ◽  
Fangjie Zhou ◽  
Jiaxin Deng ◽  
...  
Keyword(s):  
Systematic Review ◽  
Success Rate ◽  
Meta Analysis ◽  
Mineral Trioxide Aggregate ◽  
Systemic Review ◽  
Permanent Teeth ◽  
Cochrane Library ◽  
Success Rates ◽  
The Cochrane Library

Abstract Background Pulpotomy is one of the most widely used methods in preserving vital pulp in teeth, which is of great significance in achieving continue root formation in immature permanent teeth suffering from dental caries or trauma. The aim of this meta-analysis and systemic review is to synthesize the available evidences to compare different pulpotomy dressing agents for pulpotomy treatment in immature permanent teeth. Methods Electronic databases including MEDLINE (via Pubmed), EMBASE, the Cochrane library (CENTRAL) and the clinicaltrials.gov database were searched. The references of all included articles or relevant reviews were cross-checked. Only randomized controlled trials (RCTs) comparing two or more pulp dressing agent in permanent teeth with open apex would be included. Also, the studies should have at least 6 months of follow-up, report clinical and radiographic success in detail and publish in English. Results Five RCTs were included for a systematic review, and all of them had a high risk of bias. There is little difference in success rate between mineral trioxide aggregate (MTA) and calcium hydroxide (CH) at 6-month follow-up (risk ratio (RR) 1; 95% confidence interval (CI) 0.94 to 1.06) and 12-month follow-up (RR 1.04; 95% CI 0.96 to 1.13). There is no difference between MTA versus platelet-rich fibrin and MTA versus calcium-enriched mixture (CEM). There is only weak evidence of increased success rate in using MTA and triple antibiotic paste (TAP) rather than abscess remedy. Conclusions Based on the present evidence, similar success rates with MTA were found between the dressing agents CH, CEM, RPF and TAP as pulpotomy-dressing agents in the treatment of immature permanent teeth. More high-quality RCTs are needed in this field in future studies.

scholarly journals Nonsurgical Retreatment of Lower Incisor with Apical Lesion

2014 ◽  
Vol 3 (2) ◽  
pp. 98-102
Author(s):  
Alberto Dagna
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Canal System ◽  
Lower Incisor ◽  
Endodontic Surgery ◽  
Gutta Percha ◽  
First Choice ◽  
Root Canal System ◽  
The Right

ABSTRACT Orthograde retreatment is the first choice to manage an endodontic failure, because surgical approach not always eliminates from the root canal all those microorganisms that caused the failure. Endodontic surgery is commonly performed, when the root canal space is no longer accessible as a result of the presence coronal obstacles. But this case report demonstrates that the attempt to removal of prosthetic crown and post allows to create the right access and then to perform an adequate shaping, cleansing and sealing of the root canal system, even if the chronic periapical pathology induced an initial apical resorption. When the apical diameter is increased, perfect obturation with gutta-percha is not possible, and the apical sealing can be managed with mineral trioxide aggregate (MTA). Follow-up intraoral periapical radiograph at 20 months shows adequate repair of the periapical rarefaction. How to cite this article Dagna A, Saini R. Nonsurgical Retreatment of Lower Incisor with Apical Lesion. Int J Experiment Dent Sci 2014;3(2):98-102.

scholarly journals In-vitro evaluation of apical microleakage of two obturation methods of immature permanent teeth: orthograde apical plug of Mineral Trioxide Aggregate and root canal filling combining custom gutta-percha cone with Calcium Silicate-based sealer

2017 ◽  
Vol 31 (2) ◽  
pp. 89-95
Author(s):  
Rami Hamdan ◽  
Jérôme Michetti ◽  
Claire Dionnet ◽  
Franck Diemer ◽  
Marie Georgelin-Gurgel
Keyword(s):  
Silver Nitrate ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Optical Microscope ◽  
Permanent Teeth ◽  
Root Canal Filling ◽  
Filling Materials ◽  
Gutta Percha ◽  
The Difference

Aim: The aim of this study was to assess whether an obturation, combining a custom guttapercha cone with the BIOROOTTM-RCS sealer, displays similar sealing quality to the orthograde apical plugs of MTA CAPS1 in immature teeth with irregular wide apices. Methodology: Thirty-four immature permanent premolars with apical diameter varying between (1-3 mm) were chosen for this study and were divided into two groups. They were imbedded in wet sponge, which simulated the periapex. In the first group; 5 mm orthograde plugs of MTAwere placed using an appropriate plugger. In the second group; a custom gutta-percha cone was fabricated and used for root canal filling with the BIOROOTTM-RCS sealer. The specimens were stored at 37 8C and 100% humidity during five weeks to allow the complete set of the filling materials. The apical leakage was evaluated using a dye penetration test with 50%-weight silver-nitrate. The teeth were then embedded in a transparent resin and sectioned transversally at 1 and 3 mm from the apex. The slices were examined under optical microscope and were given scores from (0) to (4). When scoring a slice was difficult, spectroscopy for energy dispersion using a scanning electron-microscope was used to confirm the score. The results were compared using the Fisher test with p < 0.05. Results: Silver-nitrate was found in both groups in all slices at 1 mm. At 3 mm, the difference of micro-leakage was not significant. Conclusions: The custom gutta-percha cone combined with BIOROOTtm-RCS sealer displays similar leakage resistance to the orthograde MTA plugs.

scholarly journals Endodontic treatment of traumatized teeth with chronic periapical lesions using antibiotic paste and mineral trioxide aggregate obturation - a preliminary study

2019 ◽  
Vol 147 (5-6) ◽  
pp. 270-275
Author(s):  
Bojana Cetenovic ◽  
Dejan Markovic ◽  
James Gutmann ◽  
Tamara Peric ◽  
Vukoman Jokanovic
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Complete Regression ◽  
San Jose ◽  
Periapical Lesions ◽  
Significant Difference ◽  
Preliminary Study ◽  
Healing Assessment

Introduction/Objective. The purpose of this study was to assess effectiveness of endodontic root canal procedures in traumatized permanent teeth with necrotic pulps and chronic periapical lesions after definitive obturation with mineral trioxide aggregate (MTA) products. Adobe Photoshop CS (San Jose, CA, USA) image-analysis software was used for healing assessment. Methods. Twenty-seven traumatized single-rooted permanent teeth diagnosed with necrotic pulps and chronic periapical lesions were treated with non-surgical procedure using a tri-antibiotic paste and calcium hydroxide as intra-canal medication. Definitive obturation was performed with ProRoot MTA (Dentsply Tulsa Dental Specialties, Tulsa, OK, USA) or MTA+ Cerkamed (Cerkamed, Stalowa Wola, Poland). Control follow-ups were done three, six, 12, and 24 months following the completion of treatment. Results. The positive clinical outcome was recorded in 24 (88.9%) cases, while radiographic success was present in 26 (96.3%) cases. A statistically significant decrease in the sizes of periapical lesions was consistently observed at follow-up periods (p < 0.001). There was no statistically significant difference between the two tested MTA materials (p > 0.05). Conclusion. The MTA products were effective for the root canal obturation and appeared to contribute to the significant reduction or complete regression of periapical lesions in teeth treated. The presented procedure may be proposed for everyday clinical practice.

scholarly journals Success Rate of Root Canal Treatment by Conventional Root Canal Therapy Without Using Intracanal Medicament in Infected Canals

2017 ◽  
Vol 7 (3) ◽  
pp. 221-223
Author(s):  
Umme Kulsum
Keyword(s):  
Success Rate ◽  
Root Canal ◽  
Treatment Success ◽  
The Body ◽  
Root Canal Treatment ◽  
Canal System ◽  
Conservative Dentistry ◽  
Root Canal System ◽  
Thorough Debridement

Background: Root canal system, when becomes infected is managed by thorough debridement and specific shaping of the root canal. It is to be followed by a specific type of filling. The ultimate goal of these approaches is to create an environment in which the body’s immune system can produce healing of the apical periodontal attachment apparatus. Thorough debridement and shaping are carried out usually by biomechanical preparation of root canal system along with intracranial medicament. The use of intracanal medicaments is still debatable. This study was designed to evaluate the usefulness of root canal treatment without using any biomedical preparation.Methods: The study was carried out in the Department of Conservative Dentistry and Endodontics, BSMMU, Dhaka July 2003 ……to July 2004. In the present study, 36 cases of endodontically involved infected teeth were treated by conventional root canal treatment without using intracanal medicaments and patients were followed up at 6 and 12 months after root canal treatment.Results: At 6 and 12 months follow up, an overall treatment success was revealed in clinical and radiological findings.Conclusion: It is the biomechanical preparation of the canal which decides the success rate of root canal treatment of infected teeth, not the use or nonuse of intracanal medicament.Birdem Med J 2017; 7(3): 221-223

scholarly journals Mandibular lateral incisors with vertucci type III root canal configuration- a case report

2021 ◽  
Vol 12 (1) ◽  
pp. 19-20
Author(s):  
Prabhleen Kaur Brar ◽  
Rajdeep Brar ◽  
Saurabh Gupta ◽  
Ramandeep Singh Gambhir
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Permanent Teeth ◽  
Type Iii ◽  
Anterior Teeth ◽  
Different Types ◽  
Proper Diagnosis ◽  
Root Canal System

Background: Variations in the external morphologic features of the teeth occur in individuals and so does the internal morphology of the crown and the root. Mandibular anteriors are known to have aberrant canals. Based on the possible branching of the root canal system, root canal configurations of permanent teeth were divided into eight different types by Vertucci. Aim: This paper presents a rare case of successful endodontic treatment of mandibular lateral incisors with Vertucci type III canal morphology. Methods: Conventional root canal treatment was done for the mandibular anterior teeth. Results: The treatment was successful and the patient was asymptomatic on follow up, suggesting that conventional methods for root canal treatment are sufficient if proper diagnosis of canal anatomy is done. Conclusion: This case report highlights the importance of adequate pre-operative radiograph evaluation to treat any mandibular anterior tooth with variable anatomy.

scholarly journals Mineral trioxide aggregate for apexification in non-vital teeth with open apices: A case report

2021 ◽  
Vol 9 (2) ◽  
pp. 84-87
Author(s):  
Priya Mendiratta ◽  
Pooja Srivastava ◽  
Bhavna Gupta
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Filling Material ◽  
Cast Metal ◽  
Full Coverage ◽  
Gutta Percha ◽  
Open Apices

Management of immature non-vital teeth poses challenge for the clinician owing to the thin root canal walls and open apices which may show apical divergence. Apexification is the technique of inducing the apical closure with a root end filling material for non-vital immature young permanent teeth. Traditionally, Calcium hydroxide was the material of choice for apexification of immature permanent teeth but introduction of MTA has shown remarkable promise as an alternative to calcium hydroxide. This report presents a case of apexification of anterior two young permanent teeth with open apices using MTA and Gutta percha followed by esthetic build up using cast metal posts and full coverage restorations.

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