scholarly journals PULPOTOMY;

2017 ◽  
Vol 24 (12) ◽  
pp. 1909-1913
Author(s):  
Muhammad Saqib ◽  
Muhammad Adeel Ahmed ◽  
Rizwan Jouhar ◽  
Afifa Hemani ◽  
Ziaullah -
Keyword(s):  
Clinical Trials ◽  
Alternative Treatment ◽  
Mineral Trioxide Aggregate ◽  
Good Alternative ◽  
Permanent Teeth ◽  
Spontaneous Pain ◽  
Operative Dentistry ◽  
Carious Exposure ◽  
Irreversible Pulpitis

Objectives: To assess the efficacy of mineral trioxide aggregate (MTA)pulpotomy in mature permanent teeth with irreversible pulpitis due to carious exposure. Placeand Duration: The study was conducted in the Department of Operative Dentistry, AltamashInstitute of Dental Medicine from 05-01-2016 to 05-07-2016. Methodology: A total of 70 teethof 70 patients with irreversible pulpitis were treated with mineral trioxide aggregate (MTA)pulpotomy. The patients were re-evaluated after 2 months. All patients were asked whether theyhad experienced spontaneous pain, pain on chewing or pain stimulated by hot/cold and thetreatment was counted as successful in case of no post-operative symptoms. Results: Efficacyof pulpotomy treatment with mineral trioxide aggregate in symptomatic mature permanentteeth with irreversible pulpitis and normal periapical periodontium was 88.57%. Conclusion:MTA pulputomy is a good alternative treatment for cases of irreversible pulpitis in permanentteeth with mature roots and normal apical periodontium. However, long term clinical trials andhistological assessment is desirable.

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 Case Report: Immediate pain relief after partial pulpotomy of cariously exposed young permanent molar using mineral trioxide aggregate and root maturation, with two years follow-up

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1616
Author(s):  
Passant Nagi ◽  
Nevine Waly ◽  
Adel Elbardissy ◽  
Mohammed Khalifa
Keyword(s):  
Pain Relief ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Carious Lesion ◽  
Permanent Molar ◽  
Initial Setting ◽  
Deep Carious Lesion ◽  
Carious Exposure

Carious exposure of immature first permanent molar is a widespread issue faced in paediatric dentistry. This may be the result of the early eruption of this molar, so parents may think it is replicable to the rest of the deciduous teeth. Preserving pulp vitality is the primary goal in treating those teeth to allow maturation of roots both in length and width. Mineral trioxide aggregate (MTA) is considered a perfect dressing material for pulpotomy (both partial and complete) due to its bio computability and sealing property. We present a case that describes treatment and two years follow-up of a symptomatic immature first permanent molar with a deep carious lesion. For treatment, we started with anaesthesia and rubber dam isolation. After that, the carious lesion was removed, and we performed partial pulpotomy, then applied MTA-Angelos on the fresh wound. Moistened cotton then was lightly packed over MTA for 15 minutes to allow initial setting, followed by application of glass ionomer and final restoration with composite. The following day, the tooth was asymptomatic with the patient reporting pain relief. After three months follow-up, the tooth normally responds to thermal test. After 12 months, a periapical radiograph of the tooth showed root maturation, and after 24 months also, the tooth was clinically and radiographically successful. MTA partial pulpotomy should be considered in the treatment of symptomatic young permanent teeth.

Mineral trioxide aggregate as an alternative treatment for intruded permanent teeth with root resorption and incomplete apex formation

2008 ◽  
Vol 24 (5) ◽  
pp. 565-568 ◽  
Author(s):  
Thais Marchini Oliveira ◽  
Vivien Thiemy Sakai ◽  
Thiago Cruvinel Silva ◽  
Carlos Ferreira Santos ◽  
Ruy Cesar Camargo Abdo ◽  
...  
Keyword(s):  
Alternative Treatment ◽  
Root Resorption ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth

scholarly journals A Prospective Study of Long-Term Regenerative Endodontics Outcomes of Necrotic Immature Permanent Teeth: An 8-Year Follow-Up

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1670
Author(s):  
Sawsan T. Abu Zeid ◽  
Ruaa A. Alamoudi ◽  
Osama S. Alothmani ◽  
Abeer A. Mokeem Saleh ◽  
Amna Y. Siddiqui
Keyword(s):  
Prospective Study ◽  
Mineral Trioxide Aggregate ◽  
Qualitative Evaluation ◽  
Permanent Teeth ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Regenerative Endodontics ◽  
Canal Diameter

For the management of necrotic immature teeth, regenerative endodontics offers the advantage of further root lengthening, thickening of dentin wall, and apical closure. This prospective study aimed to evaluate the long-term outcome of regenerative endodontics in immature necrotic permanent teeth. A total of 23 immature roots were medicated by triple antibiotic paste. After 21 days, bleeding was induced by over-instrumentation, and then mineral trioxide aggregate and coronal restoration were applied. Patients were scheduled for clinical and radiographic follow-up for 8 years. The radiographic changes of root dimensions were assessed using the ImageJ Plugin and statistically analyzed by Kruskal–Wallis test at a 95% confidence level. For qualitative evaluation, images were overlapped and analyzed using Photoshop software. All teeth were asymptomatic one month after the treatment. All teeth (n = 18) with preoperative periapical radiolucency showed complete resolution within 6–9 months. Recall rate at two, three, and eight years was 69.6%, 56.5%, and 34.8%, respectively. Continuous root development with a significant increase in root length and thickening of dentin wall accompanied by a significant decrease in apical canal diameter was seen at the end of the observation period (p < 0.001). In conclusion, the long-term outcome of regenerative endodontics revealed successful clinical and radiographic results with appropriate case selection.

APEXIFICATION REVISITED

2021 ◽  
pp. 68-71
Author(s):  
Jaziya Z ◽  
Suchithra M S ◽  
Rita Zarina A ◽  
Fathima. S
Keyword(s):  
Calcium Hydroxide ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Survival Prognosis ◽  
Crown Root ◽  
The Past ◽  
Regenerative Endodontics ◽  
Open Apices ◽  
Thin Walled

Pulpal necrosis in permanent teeth with immature roots leads to development of roots which are very short, thin walled and an inadequate crown-root ratio, which overshadows their survival prognosis. Traditionally, the apexication procedure has consisted of multiple and long-term applications of calcium hydroxide to create an apical barrier to aid the obturation. Recently, articial apical barriers such as those made with mineral trioxide aggregate (MTA) have been used in teeth with necrotic pulps and open apices. More recently, procedures referred to as regenerative endodontics have received much attention as an option for these teeth. This paper reviews the past, present and recent concepts used for apexication.

Clinical Assessment of Mineral Trioxide Aggregate (MTA) as Direct Pulp Capping in Young Permanent Teeth

2007 ◽  
Vol 31 (2) ◽  
pp. 72-76 ◽  
Author(s):  
Najat Farsi ◽  
Najlaa Alamoudi ◽  
Khalid Balto ◽  
Abdullah Al Mushayt
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Spontaneous Pain ◽  
Direct Pulp Capping ◽  
Pulp Capping ◽  
Immature Teeth ◽  
New Material ◽  
Periapical Healing ◽  
Permanent Molars ◽  
Pulp Exposure

Carious pulp exposure in permanent molars of children is a common incident. Mineral trioxide aggregate is a new material that possesses numerous exciting possibilities for pulp therapy. Aim: The purpose of this study was to evaluate the efficiency of MTA as a direct pulp capping agent in young permanent teeth. Methods: Thirty asymptomatic permanent molars with pulp exposures were treated by pulp capping using MTA. At each recall (6, 12, 18 and 24 months), the teeth were assessed clinically, through pulpal sensitivity tests, as well as radiographically to evaluate periapical healing. Results: None of the cases reported spontaneous pain at the six months follow up and the pulp showed signs of vitality and absence of periapical radiolucency. At 24 months, the clinical and radiographic success rate was 93% with evidence of continued root growth. Conclusion: Pulp capping with MTA is recommended for teeth with carious pulp exposures specially immature teeth with high potential for healing.

scholarly journals RETROSPECTIVE ANALYSIS OF EFFICACY IN APPLYING MINERAL TRIOXIDE AGGREGATE AND CALCIUM-CONTAINING AGENTS FOR APEXIFICATION

2020 ◽  
Vol 20 (1) ◽  
pp. 193-198
Author(s):  
L.M. Bilyshchuk ◽  
V.S. Melnyk ◽  
L.F. Horzov ◽  
R.I. Ratushniy
Keyword(s):  
Retrospective Analysis ◽  
Root Canal ◽  
Root Formation ◽  
Initial Level ◽  
Mineral Trioxide Aggregate ◽  
Apical Part ◽  
Drop Out ◽  
Permanent Teeth ◽  
Lower Success Rate ◽  
Irreversible Pulpitis

Introduction. The algorithm for choosing a method of treatment for permanent teeth with incompletely formed root, described in the study of Shabahang S. (2013), involves the procedure of apexification in cases of irreversible pulpitis and pulp necrosis, and convalescent therapy in cases of diagnosis of recurrent pathological phenomena in the pulp structure. The aim of the study was to conduct a retrospective analysis of the effectiveness of applying mineral trioxide aggregate and calcium-containing agents in order to carry out the apexification procedure according to the data of previous studies. Materials and methods. Relevant publications were searched by Google Scholar search (https://scholar.google.com/), Pubmed databases (https://www.ncbi.nlm.nih.gov/ pubmed /) and ScienceDirect (https://www.sciencedirect.com/). Results. The data available to date are of varying evidence and do not confirm the fact that the mineral trioxide aggregate is more clinically effective than calcium hydroxide for the purpose of apexification in cases of endodontic treatment of incomplete root formation. However, a significant advantage of mineral trioxide aggregate is the possibility of one-stage root canal formation with subsequent permanent obturation of the root canal after complete curing of mineral trioxide aggregate. Conclusion. The reports analyzed are characterized by variability of designs and the use of different approaches to assess the formation of the apical part of the tooth; moreover, most publications do not evaluate the initial level of root formation, which can potentially affect the success of the manipulation. The lower success rate of calcium-containing aids for apexification reported in a number of studies is justified by the prolongation of treatment, during which there is a tendency for patients to miss the check-ups and to drop out of the generated study sample during the relevant monitoring period. In order to formulate appropriate clinical recommendations, it is necessary to ensure that the baseline and treatment outcomes are referenced to a unified system of criteria for interpretation of all quality indicators of apexification achieved.

scholarly journals Pulpotomy vs. pulpectomy techniques, indications and complications

2018 ◽  
Vol 5 (11) ◽  
pp. 4975
Author(s):  
Seraj Al Baik ◽  
Abbas Al Mkenah ◽  
Abdulmomen Khan ◽  
Abdullah Alkhalifa ◽  
Ahmed Al Makinah ◽  
...  
Keyword(s):  
Soft Tissues ◽  
The State ◽  
Permanent Teeth ◽  
Indications And Complications ◽  
Irreversible Pulpitis

Several pulp therapies were developed to maintain the health and integrity of the teeth pulps because of their necessity for physiological growth of healthy permanent teeth with a long-term preserved function. Pulp therapies aims mainly at protecting the teeth that were affected by caries, infection, or trauma. Pulpotomy and pulpectomy are the most common utilized pulp therapies, and the choice between them depends on several factors, for instance, the vitality of the existing pulp, the portion of the pulp involved (e.g. coronal versus radicular portions), the presence or absence of reversible/irreversible pulpitis, the presence or absence of a necrotic pulp, the state of surrounding bones and soft tissues, and the presence or absence of infection, abscesses, fistulae, or underlying cysts. Basically, pulpotomy is usually therapy of option in patients with vital pulps, whilst pulpectomy is preferred in cases with non-vital teeth pulps. This article will review and summarize the main differences between pulpotomy and pulpectomy particularly regarding their definition, indications, techniques, and complications. 

scholarly journals Regenerative Endodontic Procedures Using Contemporary Endodontic Materials

Materials ◽  
2019 ◽  
Vol 12 (6) ◽  
pp. 908 ◽  
Author(s):  
Simone Staffoli ◽  
Gianluca Plotino ◽  
Barbara Nunez Torrijos ◽  
Nicola Grande ◽  
Maurizio Bossù ◽  
...  
Keyword(s):  
Root Development ◽  
Scientific Literature ◽  
Blood Clot ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Root Structure ◽  
Clinical Procedures ◽  
Periodontal Breakdown ◽  
Long Term Prognosis

Calcium hydroxide apexification and Mineral Trioxide Aggregate (MTA) apexification are classical treatments for necrotic immature permanent teeth. The first tend to fail for lack of compliance given the high number of sessions needed; the second has technical difficulties such as material manipulation and overfilling. With both techniques, the root development is interrupted leaving the tooth with a fragile root structure, a poor crown-to-root ratio, periodontal breakdown, and high risk of fracture, compromising long-term prognosis of the tooth. New scientific literature has described a procedure that allows complete root development of these specific teeth. This regenerative endodontic procedure (REP) proposes the use of a combination of antimicrobials and irrigants, no canal walls instrumentation, induced apical bleeding to form a blood clot and a tight seal into the root canal to promote healing. MTA is the most used material to perform this seal, but updated guidelines advise the use of other bioactive endodontic cements that incorporate calcium and silicate in their compositions. They share most of their characteristics with MTA but claim to have fewer drawbacks with regards to manipulation and aesthetics. The purpose of the present article is to review pertinent literature and to describe the clinical procedures protocol with its variations, and their clinical application.

Evaluation of Success of Pulpotomy in Mature Permanent Teeth with Carious exposure using Mineral Trioxide

2021 ◽  
Vol 15 (6) ◽  
pp. 1352-1355
Author(s):  
N. Shafe ◽  
M. B. Munir ◽  
M. Virda ◽  
M. Anwar ◽  
M. Ali ◽  
...  
Keyword(s):  
Case Series ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
P Value ◽  
Dental Hospital ◽  
And Gender ◽  
Level Of Significance ◽  
Age Range ◽  
Carious Exposure

Aim: To evaluate the radiographical success of pulpotomy in cariously exposed mature permanent teeth using mineral trioxide aggregate. Methods:This Descriptive case series was conducted at the Department of Operative Dentistry, de’Montmorency College of Dentistry/ Punjab Dental Hospital, Lahore from December 2015 to December 2016.A total of 75 cases were included using non-probability consecutive sampling..Patients of both genders with age range from 15 to 26 years were considered. Performance of procedure and evaluation of success was done in terms of absence of periapical radiolucency on periapical radiographs.Data was entered and analyzed with IBM SPSS 20. Level of significance was kept at p-value ≤ 0.05 Results: Out of 75 patients, 41 were females and 34 were males.Mean age of patients included in this study was 20.5 ±3.60. Follow up at 6 months showed 92% success, with 69 cases showed absence of periapical radiolucency on periapical radiograph. There was no significant relation of success with age and gender of patient with p- value greater that 0.05. Conclusion: It is concluded from current study that the protocol of pulpotomy using Mineral trioxide Aggregate (MTA) in mature permanent teeth with carious exposure of pulp is encouraging and can be recommended for the treatment of mature permanent teeth with carious exposures. Keywords: Pulpotomy, Mineral trioxide aggregate, periapical radiolucency

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