scholarly journals An Atypical Case of Partial Displacement and Wash-out of the Mineral Trioxide Aggregate-based Sealer in Endodontic Surgery

2015 ◽  
Vol 6 (2) ◽  
pp. 108-111
Author(s):  
Mateus Rodrigues Tonetto ◽  
Milton Carlos Kuga ◽  
Flávia Angélica Guiotti ◽  
Andrea Abi Rached Dantas ◽  
Matheus Coelho Bandeca ◽  
...  
Keyword(s):  
Clinical Signs ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Analysis ◽  
Clinical Report ◽  
Cavity Preparation ◽  
Atypical Case ◽  
Endodontic Surgery ◽  
Postoperative Control ◽  
Retrograde Filling ◽  
Partial Displacement

ABSTRACT This clinical report described an atypical case where the mineral trioxide aggregate (MTA)-based sealer added with 20% calcium hydroxyde was used for retrograde filling. The patient was subjected to endodontic surgery to remove persistent apical lesion. After the apicoetomy and apical cavity preparation using an ultrasonic device, MTA-based sealer (MTA Fillapex) added with 20% calcium hydroxide (w/w) was used for retrograde filling. After 48 hours, the radiographic analysis showed partial displacement and wash-out of sealer. The case was only clinically controlled and no surgery was performed. After 10 months, the postoperative control showed reduction of periapical radiolucent image and absence of symptoms, radiographic and clinical signs, presented bone periradicular repair showing partial absence of the sealer in cavity retrograde. How to cite this article Guiotti FA, Kuga MC, Magro MG, Venção AC, Tonetto MR, Jordão-Basso KCF, Bandeca MC, Dantas AAR. An Atypical Case of Partial Displacement and Wash-out of the Mineral Trioxide Aggregate-based Sealer in Endodontic Surgery. World J Dent 2015;6(2):108-111.

scholarly journals Use of mineral trioxide aggregate for retreatment of a tooth with large periapical lesion, wide-open apices and vertical root fracture

2018 ◽  
pp. bcr-2018-227627
Author(s):  
Pragya Pandey ◽  
Tanya Nandkeoliar ◽  
Rhythm Bains ◽  
Diksha Singh
Keyword(s):  
Clinical Signs ◽  
Mineral Trioxide Aggregate ◽  
Signs And Symptoms ◽  
Fracture Line ◽  
Autogenous Bone ◽  
Periapical Lesion ◽  
Vertical Root Fracture ◽  
Periapical Lesions ◽  
Retrograde Filling ◽  
Clinical Signs And Symptoms

Chronic periapical lesions in necrotic teeth with open apex are difficult to manage. The situation becomes more complex if the tooth has a fracture line. This case report describes the management of a traumatised tooth that had already undergone unsuccessful endodontic treatment with a large periapical lesion and open apex along with a fracture line in the root. An attempt was made to save the tooth by using mineral trioxide aggregate (MTA) cement for orthograde filling, retrograde filling and also for sealing of the fracture line. Moreover, the bone defect was filled with autogenous bone harvested from the external oblique ridge. MTA, a bioactive tricalcium silicate cement, has been used in treating complex endodontic cases as it shows promising potential by inducing the biological mechanisms necessary for repair of involved teeth. A 1-year follow-up showed progressive healing as evident by radiographs and lack of any clinical signs and symptoms.

scholarly journals The Invasion of Bacterial Biofilms into the Dentinal Tubules of Extracted Teeth Retrofilled with Fluorescently Labeled Retrograde Filling Materials

2020 ◽  
Vol 10 (19) ◽  
pp. 6996
Author(s):  
Eyal Rosen ◽  
Shlomo Elbahary ◽  
Sohad Haj-Yahya ◽  
Lotof Jammal ◽  
Hagay Shemesh ◽  
...  
Keyword(s):  
Laser Scanning ◽  
Mineral Trioxide Aggregate ◽  
Laser Scanning Microscopy ◽  
Confocal Laser ◽  
Bacterial Invasion ◽  
Human Teeth ◽  
Dentinal Tubules ◽  
Filling Materials ◽  
Retrograde Filling ◽  
Root Apices

In this study, we evaluated the invasion of bacteria into the dentinal tubules of retrofilled extracted human teeth, and the influence of different fluorescently labeled retrograde filling materials on the bacterial invasion and viability, by means of confocal laser scanning microscopy (CLSM). The root apices of extracted teeth were cut, prepared, and filled retrogradely using either intermediate restorative material (IRM), mineral trioxide aggregate (MTA), or Biodentine. The roots were filled with Enterococcus faecalis bacteria from their coronal part for 21 days. Then, 3-mm-long apical segments were cut to get root axial slices, and the bacteria were fluorescently stained and evaluated by CLSM. Bacterial penetration into the dentinal tubules favored the bucco-lingual directions. The filling materials penetrated up to 957 µm into the tubuli, and the bacteria, up to 1480 µm (means: 130 and 167 μm, respectively). Biodentine fillings penetrated less and the associated bacteria penetrated deeper into the tubuli compared to MTA or IRM (p = 0.004). Deeper filling penetration was associated with shallower penetration of both dead and live, or live alone, bacteria (p = 0.015). In conclusion, the current study enables better understanding of the microbiological–pathological course after endodontic surgical procedures. It was found that even with retrograde fillings, bacteria invade deep into the dental tubules, where deeper filling penetration prevents deeper penetration of the bacteria and adversely affects the viability of the bacteria.

scholarly journals Management of an upper central incisor having periapical pathology with unusual presentation

2014 ◽  
Vol 3 (2) ◽  
pp. 39-42
Author(s):  
Mohammad Aminul Islam ◽  
Tasnim Wakia ◽  
Shamima Afroz ◽  
Md Ali Asgor Moral
Keyword(s):  
Soft Tissue ◽  
Mineral Trioxide Aggregate ◽  
Unusual Presentation ◽  
Tissue Loss ◽  
Central Incisor ◽  
Pedicle Flap ◽  
Retrograde Filling ◽  
Flap Design ◽  
Soft Tissue Loss ◽  
Apical Area

The aim of this report is to discuss a case about a traumatized upper left central incisor presented with chronic periapical pathology with unusual presentation. In this case, the apical area of the tooth was exposed for a long period and the apex was open due to loss of affected tooth materials and its surrounding bone and soft tissue loss. The apical area was corrected with apical curettage and retrograde filling with Mineral Trioxide Aggregate (MTA) as well as soft tissue managed with pedicle flap design. The discolouration and mild shortening of the crown due to intrusive effect was managed by lamination of cosmetic restorative material. After 12 months follow up, the offending tooth was accepted both functionally and aesthetically. DOI: http://dx.doi.org/10.3329/updcj.v3i2.17998 Update Dent. Coll. j: 2013; 3 (2): 39-42

scholarly journals Guided Tissue Regeneration Principle with Inserts of PerioGlas in Endodontic Surgery: Two Case Reports

2013 ◽  
Vol 3 (2) ◽  
pp. 72-77
Author(s):  
Sattyam V Wankhade ◽  
Jyoti Lokade ◽  
Monaj Chandak ◽  
Anuja Lanjewar
Keyword(s):  
Tissue Regeneration ◽  
Root Canal ◽  
Case Reports ◽  
Healing Process ◽  
Clinical Signs ◽  
Guided Tissue Regeneration ◽  
Radiographic Examination ◽  
Endodontic Surgery ◽  
Source Of Infection

ABSTRACT Most periapical radiolucent lesions associated with infections of the root canal system heal uneventfully after endodontic treatment. However, some cases may require periradicular surgery in order to remove pathologic tissue from the periapical region and simultaneously eliminate any source of infection that could not be removed by orthograde root canal treatment. With an adequate technique, surgery can address these issues, although it may be insufficient in some situations. This report describes the healing process after surgery in two cases with a 12 months follow-up. In these cases, apicoectomy was followed by retrograde sealing with Super EBA (Harry J. Bosworth Company, Illinois, USA). The bone defect was filled with PerioGlas (NovaBone, Austin, TX, USA) and covered with a resorbable Guidor membrane (Sunstar, Foster Ave, Chicago, USA). No intraoperative or postoperative complications were observed. After 24 months of follow-up, the patient showed no clinical signs or symptoms associated with the lesion and radiographic examination showed progressive resolution of radiolucency. How to cite this article Lokade J, Wankhade S, Chandak M, Lanjewar A. Guided Tissue Regeneration Principle with Inserts of PerioGlas in Endodontic Surgery: Two Case Reports. Int J Prosthodont Restor Dent 2013;3(2):72-77.

Sign in / Sign up

Export Citation Format

Share Document