Non Surgical Endodontic Retreatment Of Maxillary Central Incisor Having Blunderbuss Apex With Mineral Trioxide Aggregate (Mta)

2010 ◽  
Vol 2 (3) ◽  
pp. 86-89
Author(s):  
K Sirisha
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Endodontic Retreatment

scholarly journals Nonsurgical Endodontic Retreatment of Advanced Inflammatory External Root Resorption Using Mineral Trioxide Aggregate Obturation

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Shivani Utneja ◽  
Gaurav Garg ◽  
Shipra Arora ◽  
Sangeeta Talwar
Keyword(s):  
Root Canal ◽  
Root Resorption ◽  
Clinical Symptoms ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Apical Region ◽  
Central Incisor ◽  
Root Canal Filling ◽  
Maxillary Central Incisor ◽  
External Root Resorption

Inflammatory external root resorption is one of the major complications after traumatic dental injury. In this case report, we describe treatment of a maxillary central incisor affected by severe, perforating external root resorption. An 18-year-old patient presented with a previously traumatized, root-filled maxillary central incisor associated with pain and sinus tract. Radiographic examination revealed periradicular lesion involving pathologic resorption of the apical region of the root and lateral root surface both mesially and distally. After removal of the root canal filling, the tooth was disinfected with intracanal triple antibiotic paste for 2 weeks. The antibiotic dressing was then removed, and the entire root canal was filled with mineral trioxide aggregate. The endodontic access cavity was restored with composite resin. After 18 months, significant osseous healing of the periradicular region and lateral periodontium had occurred with arrest of external root resorption, and no clinical symptoms were apparent.

scholarly journals Mixed Periapical Lesion: An Atypical Radicular Cyst with Extensive Calcifications

2014 ◽  
Vol 25 (5) ◽  
pp. 447-450 ◽  
Author(s):  
Flávia Maria de Moraes Ramos-Perez ◽  
Andréa dos Anjos Pontual ◽  
Talita Ribeiro Tenório de França ◽  
Maria Luiza dos Anjos Pontual ◽  
Ricardo Villar Beltrão ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Microscopic Examination ◽  
Rare Case ◽  
Squamous Epithelium ◽  
Radicular Cyst ◽  
Central Incisor ◽  
Periapical Lesion ◽  
Radiographic Image ◽  
Maxillary Central Incisor ◽  
Endodontic Retreatment

The radicular cyst is an inflammatory odontogenic cyst of endodontic origin. Radiographically, the lesion appears as a periapical radiolucent image. This report describes a very rare case of a mixed periapical radiographic image diagnosed as a radicular cyst. A 37-year-old female patient presented a mixed, well-circumscribed image located in the periapical region of the left maxillary central incisor, which presented unsatisfactory endodontic treatment. Microscopic examination revealed a cavity lined by non-keratinized squamous epithelium and extensive calcifications in the cystic lumen and lining epithelium. Diagnosis of radicular cyst with extensive calcifications was established. Endodontic retreatment was performed and no radiographic signs of recurrence were observed 18 months after treatment. Although very rare, a radicular cyst should be considered in the differential diagnosis of a mixed periapical image associated to teeth with pulp necrosis.

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.

scholarly journals Intraradicular Splinting with Endodontic Instrument of Horizontal Root Fracture

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Ersan Çiçek ◽  
Neslihan Yılmaz ◽  
Mustafa Murat Koçak
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Central Incisor ◽  
Radiographic Findings ◽  
Maxillary Central Incisor ◽  
Central Tooth ◽  
Root Fractures ◽  
The Right ◽  
Dental Injuries

Introduction. Root fractures, defined as fractures involving dentine, cementum, and pulpal and supportive tissues, constitute only 0.5–7% of all dental injuries. Horizontal root fractures are commonly observed in the maxillary anterior region and 75% of these fractures occur in the maxillary central incisors.Methods. A 14-year-old female patient was referred to our clinic three days after a traffic accident. In radiographic examination, the right maxillary central incisor was fractured horizontally in apical thirds. Initially, following local infiltrative anesthetics, the coronal fragment was repositioned and this was radiographically confirmed. Then the stabilization splint was applied and remained for three months. After three weeks, according to the results of the vitality tests, the right and left central incisors were nonvital. For the right central incisor, both the coronal and apical fragments were involved in the endodontic preparation.Results. For the right central tooth, both the coronal and apical root fragments were endodontically treated and obturated at a single visit with white mineral trioxide aggregate whilst the fragments were stabilized internally by insertion of a size 40 Hedstrom stainless-steel endodontic file into the canal.Conclusion. Four-year follow-up examination revealed satisfactory clinical and radiographic findings with hard tissue repair of the fracture line.

scholarly journals Non-surgical retreatment of a failed apicoectomy without retrofilling using white mineral trioxide aggregate as an apical barrier

2012 ◽  
Vol 23 (2) ◽  
pp. 167-171 ◽  
Author(s):  
Spyridon Stefopoulos ◽  
Giorgos N. Tzanetakis ◽  
Evangelos G. Kontakiotis
Keyword(s):  
Surgical Procedure ◽  
Mineral Trioxide Aggregate ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Immature Teeth ◽  
Functional Tooth ◽  
End Resection ◽  
Apical Area ◽  
White Mineral

Root-end resected teeth with persistent apical periodontitis are usually retreated surgically or a combination of non-surgical and surgical retreatment is employed. However, patients are sometimes unwilling to be subjected to a second surgical procedure. The apical barrier technique that is used for apical closure of immature teeth with necrotic pulps may be an alternative to non-surgically retreat a failed apicoectomy. Mineral trioxide aggregate (MTA) has become the material of choice in such cases because of its excellent biocompatibility, sealing ability and osseoinductive properties. This case report describes the non-surgical retreatment of a failed apicoectomy with no attempt at retrofilling of a maxillary central incisor. White MTA was used to induce apical closure of the wide resected apical area. Four-year follow-up examination revealed an asymptomatic, fully functional tooth with a satisfactory healing of the apical lesion. White MTA apical barrier may constitute a reliable and efficient technique to non-surgically retreat teeth with failed root-end resection. The predictability of such a treatment is of great benefit for the patient who is unwilling to be submitted to a second surgical procedure.

scholarly journals Apeksifikasi Menggunakan Mineral Apeksifikasi Menggunakan Mineral Trioxide Aggregate dan Bleaching Intrakoronal pada Insisivus Sentralis Kanan Maksila

2016 ◽  
Vol 1 (1) ◽  
pp. 54
Author(s):  
Caecilia Lelia Rahmawati ◽  
Tunjung Nugraheni
Keyword(s):  
Composite Resin ◽  
Chemical Activation ◽  
Mineral Trioxide Aggregate ◽  
Dental Composite ◽  
Central Incisor ◽  
Class Iii ◽  
Pulp Tissue ◽  
Maxillary Central Incisor ◽  
Composite Resin Restorations ◽  
Resin Restorations

Trauma pada gigi yang dialami pada saat muda dapat menyebabkan gigi immature non vital dengan apek terbuka, yang berlanjut pada infeksi pada jaringan pulpa dan diskolorasi gigi. Laporan kasus ini menyajikan penggunaan MTA (Mineral Trioxide Aggregate) sebagai bahan apeksifikasi, perawatan bleaching intrakoronal serta restorasi resin komposit dengan pasak resin komposit aktivasi kimia pada gigi insisivus sentralis kanan maksila, sehingga dapat mempertahankan dan mengembalikan fungsi gigi. Seorang pasien wanita muda datang ke RSGM Prof. Soedomo untuk merawatkan gigi insisivus sentralis kanan maksila yang patah 11 tahun yang lalu karena jatuh. Diagnosa gigi insisivus sentralis kanan maksila fraktur Kelas IV Ellis, pulpa nekrosis dengan lesi periapikal, apeks terbuka, dan diskolorasi. Prosedur perawatan diawali dengan preparasi saluran akar teknik konvensional, apeksifikasi menggunakan MTA dan bleaching intrakoronal teknik walking bleach, restorasi resin komposit kavitas kelas IV dengan teknik mock up dan pasak resin komposit. Apeksifikasi dan bleaching intra koronal disertai pasak dan restorasi resin komposit adalah perawatan yang baik yang dapat dilakukan pada gigi insisivus sentralis kanan maksila imature, dengan pulpa terbuka dan diskolorasi. Pasien merasa puas dengan perawatan yang telah dilakukan dan fungsi gigi juga telah dapat dikembalikan, antara lain fungsi estetik dan fonetik. ABSTRACT: Apexification Using Mineral Trioxide Aggregate, Intracoronal Bleaching, and Composite Resin Restoration with Dental Composite Resin Posts Right Central Maxillary. Trauma to teeth in a young age can cause non vital immature teeth with open apex, which leads to the infection in the pulp tissue and discoloration of the teeth. This case report is to present the use of MTA (Mineral Trioxide Aggregate) as apexification material, intracoronal bleaching treatments and composite resin restorations with composite resin chemical activation posts on the maxillary right central incisor, so as to maintain and restore tooth function. A young female patient came to Prof. Soedomo Dental Hospital to repair right maxillary central incisors which were broken 11 years previously because of falling. The diagnosis was right maxillary central incisor Ellis Class III fractures, pulp necrosis with periapical lesions, open apex, and discoloration. The treatment procedure began with the conventional root canal preparation techniques, apexification using Mineral Trioxide Aggregate (MTA) and intracoronal bleaching with the technique of walking bleach. The composite resin restorations class IV cavities used a mock-up technique and composite resin post. Apexification and intra-coronal bleaching with post and composite resin restorations are good treatments that can be performed on the immature right maxillary central incisor, without exposing pulp and discoloration. The patient was satisfied with the care that had been done and also; the function of her teeth could be restored, including aesthetic and phonetic functions.

Sign in / Sign up

Export Citation Format

Share Document