scholarly journals Apexification or regeneration? A case report of a short mineral trioxide aggregate apical plug: 8-year follow-up

Endodontology ◽  
2021 ◽  
Vol 33 (1) ◽  
pp. 49
Author(s):  
Olcay Özdemir ◽  
Levent Demiriz

2016 ◽  
Vol 10 (1) ◽  
pp. 733-738 ◽  
Author(s):  
Leopoldo Cosme-Silva ◽  
Breno Carnevalli ◽  
Vivien Thiemy Sakai ◽  
Naiana Viana Viola ◽  
Leon Franco de Carvalho ◽  
...  

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.



2013 ◽  
Vol 33 (2) ◽  
pp. e65-e71 ◽  
Author(s):  
Alberto Sierra-Lorenzo ◽  
Alejandro Herrera-García ◽  
Luis Oscar Alonso-Ezpeleta ◽  
Juan José Segura-Egea




2013 ◽  
Vol 03 (01) ◽  
pp. 86-89
Author(s):  
Aditya Shetty ◽  
C. Ravi Chandra ◽  
Mithra N. Hegde ◽  
Uday S. Mahale ◽  
Ganesh Bhat

AbstractInjury to anterior teeth is a relatively common event. Dentists regularly deal with management of dental trauma and restoration of fractured teeth. Hence the treatment approach and medicaments that assures the biologically acceptable healing and improve long term success rate are of potential value and should be considered.A big cystic lesion, which is unable to heal non-surgically, heals well with use of Mineral Trioxide Aggregate (MTA Angelus) by surgical approach. Results of clinical trials have recommended the use of MTA as the most suitable root end filling material.This article presents the case report of management of big cystic lesion along with the lateral root perforation with maxillary left central incisor. Root canal treatment was followed by the resection of root end of tooth in question at the level of perforation and sealed with MTA. 12 month's follow up radiograph showed completely healed Cystic lesion.



2019 ◽  
Vol 21 (4) ◽  
pp. 336
Author(s):  
Danielle Alves Pinto Baia ◽  
André Augusto Franco Marques ◽  
Emílio Carlos Sponchiado-Júnior ◽  
Lucas Da Fonseca Roberti Garcia ◽  
Mariana Travi Pandolfo ◽  
...  

AbstractNon-surgical endodontic retreatment should always be the first option for reintervention when the initial endodontic treatment fails. The surgical treatment, called periradicular surgery, will be the procedure of choice when there is no success after the conventional endodontic retreatment. The purpose of this article is to describe clinical case of endodontic surgery, associated with guided tissue regeneration (GTR). A male patient, 24 years old, was referred for endodontic surgery on tooth 12 after two unsuccessful endodontic interventions. During the surgery, osteotomy, lesion curettage, apicectomy, retrograde obturation with Mineral Trioxide Aggregate (MTA), and filling of the bone failure with lyophilized bone and reabsorbable collagen membrane were performed. After six months of follow-up, the patient did not present any type of painful symptomatology. The endodontic surgery, associated with a technique of guided tissue regeneration, was efficient to solve this clinical case. Keywords: Endodontics. Apicoectomy. Guided Tissue Regeneration. Resumo O retratamento endodôntico não cirúrgico deve sempre ser a primeira opção de reintervenção quando o tratamento endodôntico inicial falha. Já o tratamento cirúrgico, ou cirurgia parendodôntica, será o procedimento de escolha quando não há sucesso após o retratamento endodôntico convencional. O objetivo deste artigo é descrever um caso clínico de cirurgia parendodôntica, associada à regeneração tecidual guiada (RTG). O paciente, gênero masculino, 24 anos, foi encaminhado para cirurgia parendodôntica no dente 12 após duas intervenções endodônticas sem sucesso. Durante a cirurgia foram realizadas manobras de osteotomia, curetagem da lesão, apicectomia, obturação retrógrada com Mineral Trióxido Agregado (MTA), além de preenchimento da falha óssea com osso liofilizado e membrana de colágeno reabsorvível. Após seis meses de acompanhamento do caso, o paciente não apresentou nenhum tipo de sintomatologia dolorosa. A cirurgia parendodôntica, associada à técnica de regeneração tecidual guiada, foi eficiente para solucionar este caso clínico. Palavras-chave: Endodontia. Apicectomia. Regeneração Tecidual Guiada.



2021 ◽  
Vol 13 (5) ◽  
pp. 881
Author(s):  
VP Hariharavel ◽  
Sankar Annamalai ◽  
Kavitha Ramar ◽  
Victor Samuel


2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Qingan Xu ◽  
Zhou Li

Regenerative endodontic treatment was performed on a mature maxillary premolar diagnosed as chronic pulpitis. The root canals were chemomechanically prepared and placed intracanal medicaments at the first appointment. Then 2 weeks later, a blood clot was created in the canals, over which mineral trioxide aggregate was placed. At 6-month follow-up, cementum-like tissue seemed to be formed in the root canal along with nearly recovered pulp vitality. At 12-month recall, the radiographic results revealed evidence of root wall thickening. At 30-month recall, no periapical lesion was found. This case report indicates that regenerative endodontic treatment for the mature premolar is feasible. More cases are needed for further validation.



2020 ◽  
Vol 46 (3) ◽  
pp. 452-457
Author(s):  
Rui Pereira da Costa ◽  
Sérgio André Quaresma ◽  
Fabiane Carneiro Lopes ◽  
Rafael Camargo ◽  
Mariana Domingos Pires ◽  
...  


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sahar Ameli ◽  
Karim Jafari ◽  
Firouz Zadfatah ◽  
Mehrdad Blurian ◽  
Somayeh Hekmatfar

Introduction: Dental avulsion is a severe injury in which the tooth is totally displaced out of its alveolar socket. Replantation of avulsed teeth is a standard procedure. The success of the treatment of traumatized teeth revolves around the status of periodontium since it is a vital structure. Furthermore, other factors, including extra-alveolar time period, choice of storage media, and contamination of the avulsed tooth, can determine the success of replantation. Delay in the replantation of avulsed incisors increases the risk of dentoalveolar ankylosis and replacement root resorption. Case Presentation: This case report presented a 9-year-old girl with tooth avulsion subjected to a 3-year follow-up after the replantation of avulsed maxillary central incisors kept in dry conditions for seven days. The avulsed mature permanent teeth were managed through the application of treatment guidelines with prolonged extra-oral time. The avulsed teeth were replanted and splinted for four weeks. The canals of both teeth were filled with calcium hydroxide and replaced by mineral trioxide aggregate after six months. Two months after replantation, there were signs of external root resorption in tooth 21. Conclusions: In the third year of follow-up, both teeth were infraoccluded, although they had an acceptable level of functionality and appearance. These ankylosed incisors can be managed successfully with the decoronation technique in the future.



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