scholarly journals Management of a Flared Root Canal with an Iatrogenically Widened Apex

2016 ◽  
Vol 6 (3) ◽  
pp. 200-207
Author(s):  
Rashmi V Bolli ◽  
Aanchal M Agrawal
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Root Apex ◽  
Root Canal Treatment ◽  
Root Reinforcement ◽  
Full Coverage

ABSTRACT Overinstrumentation during root canal treatment is one of the causes for iatrogenic enlargement of the root apex. It also leads to unwarranted coronal third widening, which results in thinning of the dentinal walls and makes the tooth susceptible to fracture. Another difficulty arises during control of obturation material within the canal. Such cases can be managed with obturation using mineral trioxide aggregate (MTA) followed by of root reinforcement for the weakened dentinal walls. In the present case, a 5mm MTA plug was placed and root reinforcement was done with the help of Giomer. Postendodontic restoration was done with a cast post and a full coverage porcelain fused to a metal crown was cemented in place. How to cite this article Agrawal AM, Shenoy VU, Sumanthini MV, Bolli RV. Management of a Flared Root Canal with an Iatrogenically Widened Apex. J Contemp Dent 2016;6(3):200-207.

scholarly journals Management of periradicular pathosis by single visit endodontic treatment using calcium hydroxide and mineral trioxide aggregate based sealer

2020 ◽  
Vol 10 (2) ◽  
pp. 10-13
Author(s):  
Md Abdul Hannan Sheikh ◽  
Eyad Al Khalifa ◽  
Mozammal Hossain ◽  
Md Faruk Hossain ◽  
Nazneen Karim ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Statistical Methods ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Radiological Evaluation ◽  
Root Canal Therapy ◽  
Radiological Investigation ◽  
Single Visit

In this study, 120 teeth having periradicular pathosis were treated with single visit root canal treatment and then obturated with either calcium hydroxide containing sealer or mineral trioxide aggregate based sealer. The healing of periradicular pathosis was examined at 3, 6, and 12 months by clinical and radiological evaluation. Collected data were analyzed with standard statistical methods by using SPSS version- 20. The results showed that at 3 and 6 months, the differences between calcium hydroxide containing sealer or mineral trioxide aggregate based sealer were not statistically significant. However, the healing capability of periapical radiolucency at 12 months between two groups was statistically significant (P=0.03). The final outcome of the clinical and radiological investigation showed successful results of 96.6% and 98.1% in calcium hydroxide and mineral trioxide aggregate group, respectively. In conclusion, both calcium hydroxide and mineral trioxide aggregate based sealers are almost equally effective in single visit root canal therapy for the management of periradicular pathosis. Update Dent. Coll. j: 2020; 10 (2): 10-13

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 NON SURGICAL LATROGENIC PERFORATION REPAIR USING MINERAL TRIOXIDE AGGREGATE AND DIRECT RESTORATION WITH FIBER POST ON CENTRAL MAXILLARY INCISOR

2017 ◽  
Vol 6 (2) ◽  
pp. 72
Author(s):  
Hendargo Agung Pribadi ◽  
Yulita Kristanti
Keyword(s):  
Root Canal ◽  
Composite Resin ◽  
Mineral Trioxide Aggregate ◽  
Root Canal Treatment ◽  
Maxillary Incisor ◽  
Fiber Post ◽  
Iatrogenic Perforation ◽  
Long Run ◽  
Direct Restoration ◽  
Treatment Objective

Perforation can be a problem that leading to root canal treatment failure in the long run. Perforation can be caused by iatrogenic factor. The most common iatrogenic perforation was found at maxillary anterior. Non surgery iatrogenic perforation repair can be done using mineral trioxide aggregate and direct restoration. The purpose of this case report was to describe non surgical iatrogenic perforation repair using mineral trioxide aggregate and direct restoration with fiber post. A 27 years old male patient diagnosed for pulpitis came to  RSGM Prof. Soedomo. Root canal treatment (pulp extirpation) had performed before he was referred for further treatment. Objective test showed both percussion and palpation were negative. From periapical radiograph could be noticed that there was no file left in the root canal. Root canal treatment was performed using step back technique and lateral condensation. Perforation was sealed by mineral trioxide aggregate. The tooth was restored using direct restoration with fiber post. Latrogenic perforation can be treated non surgically using mineral trioxide aggregate and directly restored using composite resin with fiber post.

scholarly journals Furcal perforation repair using MTA — A clinical case series

2021 ◽  
Vol 7 (3) ◽  
pp. 226-230
Author(s):  
Avineet Kaur ◽  
Reshma Dodwad ◽  
K. N. Raghu ◽  
Mithun J Kaslekar ◽  
Vikram Shetty ◽  
...  
Keyword(s):  
Root Canal ◽  
Clinical Case ◽  
Case Series ◽  
Mineral Trioxide Aggregate ◽  
Root Canal Treatment ◽  
Glass Ionomer ◽  
Crucial Point ◽  
High Quality ◽  
Cavity Preparation ◽  
Quality Outcomes

The success of any endodontics therapy depends on, the diagnosis, treatment planning, access cavity preparation, maintenance and shaping following the canal obturation. Access is the initial and mainly crucial point of root canal treatment. For a good endodontic results well-designed access preparation is required. Perforations are a possible complication during root canal treatment. An assortment of materials including, calcium hydroxide, amalgam, glass ionomer, zinc oxide–eugenol and resin modified GI are being used for perforations. The idyllic material for treating perforations should be radiopaque and nonabsorbable. Mineral trioxide aggregate (MTA) with distinctiveness are as with high-quality outcomes in repair perforations. The idea of this case series is to explain the handling of furcal perforation. 

scholarly journals Penatalaksanaan Perawatan Saluran Akar pada Fraktur Gigi 21 disertai Perforasi

2019 ◽  
Vol 7 (1) ◽  
pp. 27-32
Author(s):  
Zieta Sakinah Emdi ◽  
Reni Nofika
Keyword(s):  
Root Canal ◽  
Composite Resin ◽  
Mineral Trioxide Aggregate ◽  
Root Canal Treatment ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Direct Restoration ◽  
Procedural Error ◽  
Horizontal Pressure ◽  
Materials Used

Root canal treatment aims to maintain the condition of the teeth in order to keep them functioning. In practice, the treatment procedure does not always run smoothly, the operator can face undesirable conditions that can affect the prognosis of treatment. A common procedural error during root canal treatment is a lateral root perforation which must be treated immediately to avoid further damage. The success of the perforation treatment is determined by the materials used. One of the bicompatible materials to seal lateral perforations using MTA (mineral trioxide aggregate). Successful root canal treatment affects treatment outcomes, so proper restoration is required to reduce the risk of marginal leakage. The choice of final restoration in post-root canal treatment depends on the amount of remaining tooth structure, horizontal pressure and chewing load. For post-root canal treatment anterior teeth with intact marginal edges, direct restoration can be performed using composite resin

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 Fifteen months follow-up of a hopeless tooth treated with two-step procedure involving intentional replantation and free gingival graft

2014 ◽  
Vol 08 (04) ◽  
pp. 559-562 ◽  
Author(s):  
Huseyin Gencay Keceli ◽  
Meltem Karsiyaka Hendek
Keyword(s):  
Root Canal ◽  
Root Apex ◽  
Root Canal Treatment ◽  
Mucogingival Surgery ◽  
Free Gingival Graft ◽  
Step Procedure ◽  
Severe Periodontitis ◽  
Gingival Graft ◽  
Periodontal Healing

ABSTRACTThe aim of the report is to document 15-month results of mucogingival surgery applied following intentional replantation (IntR). A mandibular left lateral incisor with severe periodontitis and malposition was replanted and splinted following root canal treatment. Three months after IntR, a free gingival graft (FGG) was placed. Fifteen months follow-up of the case demonstrated significant improvement in periodontal healing parameters and significant bone fill was detected around the root apex. As a conclusion, IntR may be speculated as a convenient alternative to keep the periodontally hopeless teeth and supportive approaches such as FGGs may improve the outcomes following IntR.

Management of Sodium Hypochlorite Extrusion beyond the Root Apex during Root Canal Treatment: A Case Report

2014 ◽  
Vol 3 (1) ◽  
pp. 72-75 ◽  
Author(s):  
S Kandian ◽  
S Chander ◽  
K Bishop
Keyword(s):  
Case Report ◽  
Sodium Hypochlorite ◽  
Steroid Therapy ◽  
Root Canal ◽  
Root Apex ◽  
Root Canal Treatment ◽  
Intravenous Antibiotic

Sodium hypochlorite (NaOCl) is most commonly used as an irrigating solution in endodontic practice. This paper describes an incident of sodium hypochlorite extrusion past the apex (SHEPA) of the UR3. Management of the condition resulted in hospitalisation of the patient, and intravenous antibiotic and steroid therapy. This case report details the measures that can be employed to reduce the risk of SHEPA and management of its potentially serious complications. The reader should understand the various measures that can be adopted to reduce extrusion of endodontic irrigants beyond the root apex and management following SHEPA.

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 Root-end restoration using MTA against the intractable cases of root canal treatment

2020 ◽  
pp. 01-07
Author(s):  
KITAJIMA Kayoko ◽  
ARAI Kyoko ◽  
YOKOSUKA Takashi ◽  
SATOH Tomonori ◽  
KITANO Yoshie ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Poor Prognosis ◽  
Mineral Trioxide Aggregate ◽  
Apical Part ◽  
The Other ◽  
Root Canal Treatment ◽  
Tooth Root ◽  
Apical Portion ◽  
Patients With Poor Prognosis

Root-end restoration using Mineral Trioxide Aggregate (MTA) was performed on two patients who received root canal treatment but had poor progress. In one case, a large amount of Calcium hydroxide(Ca (OH)2), a intracanal medicament, escaped from a wide-open apex, stagnated around the tooth root, and the apical lesion did not disappear. The other case is a case where the root canal at the apical part has a complicated anatomical form, the root canal cannot be tightly packed, and the apical lesion has not disappeared. Root-end restoration using MTA was performed on these two cases, and improvement of the lesion was confirmed. From these results, it was shown that Root-end restoration using MTA is effective for patients with poor prognosis of root canal treatment for which the apical portion cannot be tightly packed for various reasons. Keywords: Mineral Trioxide Aggregate; MTA; Root-end restoration

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