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 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 BiodentineTM Full Pulpotomy in Mature Permanent Teeth with Irreversible Pulpitis and Apical Periodontitis

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 720
Author(s):  
Xuan Vinh Tran ◽  
Lan Thi Quynh Ngo ◽  
Tchilalo Boukpessi
Keyword(s):  
Root Canal ◽  
Periodontal Ligament ◽  
Clinical Signs ◽  
Apical Periodontitis ◽  
Permanent Teeth ◽  
Definitive Treatment ◽  
Capping Agent ◽  
Root Canal Therapy ◽  
Pulp Capping ◽  
Irreversible Pulpitis

Vital pulp therapy, including direct pulp capping and partial and full pulpotomy, is primarily indicated for immature or mature permanent teeth with reversible pulpitis. Mature permanent teeth with irreversible pulpitis are frequently treated with root canal therapy. This report presents two cases of full pulpotomy using BiodentineTM in mature permanent teeth with irreversible pulpitis and acute apical periodontitis. The periapical radiograph illustrated a deep carious lesion extended to the pulp with apical radiolucency lesion or widened periodontal ligament space. Full pulpotomy with a tricalcium silicate-based cement was chosen as the definitive treatment. After decayed tissue excavation under a rubber dam, the exposed pulp tissue was amputated to the level of the canal orifice with a new sterile bur. BiodentineTM was applied as the pulp capping agent after hemostasis was obtained and for temporary restoration. The clinical signs disappeared quickly after the treatment. After one month, the coronal part of the temporary restoration was removed, and a composite resin was placed over the capping agent as a final restoration. At two-year follow-ups, the teeth were asymptomatic. Radiographs showed healing of the periapical lesion and periodontal ligament. BiodentineTM full pulpotomy of mature permanent teeth with irreversible pulpitis and apical periodontitis can be an alternative option to root canal therapy.

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.

Conservative management of long-standing traumatised maxillary central incisor with incomplete apex and severe internal resorption using triple antibiotic paste, mineral trioxide aggregate and fiber-reinforced composite

2021 ◽  
Vol 14 (10) ◽  
pp. e244818
Author(s):  
Vivek Mehta ◽  
Anupma Raheja ◽  
Rajeev Kumar Singh
Keyword(s):  
Root Formation ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Successful Management ◽  
Maxillary Central Incisor ◽  
Reinforced Composite ◽  
Triple Antibiotic Paste ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

Traumatic dental injuries result in damage to many dental and periradicular structures. They can be conservatively managed depending on the extent of the injury. Maxillary central incisors are most commonly involved in traumatic dental injuries mainly because of their anterior and protrusive positioning. The treatment of immature permanent teeth with severe internal resorption poses a lot of challenges to the clinician. The objective of the present article is to report successful management of traumatised maxillary central incisor with incomplete root formation and severe internal resorption in a 10-year-old boy using triple antibiotic paste, mineral trioxide aggregate and fibre-reinforced composite.

Dental Pulp Revascularization of Necrotic Permanent Teeth with Immature Apices

2016 ◽  
Vol 40 (5) ◽  
pp. 361-366 ◽  
Author(s):  
Eman A El Ashiry ◽  
Najat M Farsi ◽  
Sawsan T Abuzeid ◽  
Mohamed M El Ashiry ◽  
Hammam A Bahammam
Keyword(s):  
Root Canal ◽  
Blood Clot ◽  
Mineral Trioxide Aggregate ◽  
Pediatric Dentistry ◽  
Sinus Tract ◽  
Apical Periodontitis ◽  
Permanent Teeth ◽  
Revascularization Procedure ◽  
Underlying Mechanisms ◽  
Pulp Revascularization

Objectives: The treatment of immature necrotic teeth with apical periodontitis presents challenges in endodontic and pediatric dentistry. Revascularization is a recent treatment for such cases as an alternative to conventional apexification. The purpose is to examine the effect of a pulpal revascularization procedure on immature necrotic teeth with apical periodontitis. Study design: Twenty patients were enrolled for pulp revascularization procedure by root canal disinfection using a triple antibiotic mixture for 1–2 weeks, followed by creating a blood clot, sealing the root canal orifice using white mineral trioxide aggregate and a coronal seal of composite resin. Patients were recalled periodically for up to 24 months. Results: During follow-up, all patients were asymptomatic. Three cases of chronic apical periodontitis showed clinical disappearance of the sinus tract 2 weeks after treatment. Radiography revealed progressive periapical radiolucency resolution within the first 12 months. Within 12–24 months, the treated teeth showed progressive increases in dentinal wall thickness, root length and continued root development. Conclusions: Clinical and radiographic evidence showed successful revascularization treatments of immature necrotic permanent teeth with apical periodontitis. More studies are necessary to understand the underlying mechanisms and to perform histopathology of the pulp space contents after revascularization procedures.

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.

scholarly journals Resolution of a large periapical lesion in an immature maxillary lateral incisor with the aid of triple antibiotic paste

2021 ◽  
Vol 76 (09) ◽  
pp. 560-564
Author(s):  
Nicoline Potgieter ◽  
Glynn Buchanan
Keyword(s):  
Root Canal ◽  
Root Formation ◽  
Surgical Intervention ◽  
Lateral Incisor ◽  
Permanent Teeth ◽  
Periapical Lesion ◽  
Periapical Lesions ◽  
Triple Antibiotic Paste ◽  
Maxillary Lateral Incisor ◽  
And Control

Apexification procedures are frequently performed on immature permanent teeth with incomplete root formation, open apices and necrotic pulp status with or without  periapical lesions in order to induce a calcific barrier prior to root canal therapy. The elimination and control of infection in the root canal space is critical to the success of these procedures. A healthy 21-year old male presented with pulpal necrosis, a large periapical lesion, incomplete root formation and an open apex on a maxillary right lateral incisor. Triple antibiotic paste was used to achieve antimicrobial control after traditional calcium hydroxide paste medicament failed to resolve the symptoms. Obturation was achieved using MTA and the conventional apexification technique. Excellent healing of the large periapical lesion was achieved without surgical intervention and the 4-year follow-up CBCT demonstrated complete bone fill of the lesion. Clinicians should be aware that alternative antimicrobial medicaments, such as triple antibiotic paste, may be beneficial in situations where conventional medicaments prove unsuccessful. The use of triple antibiotic paste may result in sufficient healing of the periapical lesion to justify placement of an MTA apical barrier without the need for surgical intervention

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.

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