scholarly journals Internal Inflammatory Root Resorption. Management with Mineral Trioxide Aggregate and Gutta-Percha

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Robledo JG ◽  
Fernandez JJ
Keyword(s):  
Root Resorption ◽  
Mineral Trioxide Aggregate ◽  
Gutta Percha

scholarly journals Management of Traumatic Inflammatory External Root Resorption

2019 ◽  
Vol 15 (1) ◽  
pp. 71-74
Author(s):  
Shikha Bantawa ◽  
Navin Agrawal ◽  
Mannu Vikram ◽  
Vimmi Singh ◽  
Ashok Ayer ◽  
...  
Keyword(s):  
Root Canal ◽  
Root Resorption ◽  
Clinical Symptoms ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Apical Region ◽  
Dental Tissue ◽  
Root Canal Filling ◽  
Gutta Percha ◽  
External Root Resorption

Inflammatory external  root resorption is one of the major complications after traumatic dental injury. It is characterized by the loss of mineralized dental tissue which may, ultimately, result in loss of the tooth.    However, with appropriate treatment, prognosis for these teeth may be greatly improved, by preventing or arresting resorption. This is a case report of an 18-year-old male patient presented with root canal treated maxillary central incisors associated with pain; with history of trauma. Radiographic examination revealed periradicular lesion and associated pathologic resorption of the apical region of the root with respect to 11 and calcification of the root canal with inadequate obturation with respect to 21. After removal of the root canal filling, 11 was disinfected with intracanal double antibiotic paste. After 2 weeks, antibiotic dressing was removed, and apical third was sealed with mineral trioxide aggregate (MTA). Canal was obturated with custom-fit gutta-percha and accessory cones with AH plus sealer and restoration was done with composite resin. Retreatment was also done with respect to 21 and obturated with custom-fit gutta-percha. Both teeth were restored with E-max crown. No clinical symptoms were apparent, significant osseous healing of the periradicular region was observed with arrest of external root resorption with respect to 11 and no periapical changes were apparent with respect to 21 on subsequent  follow-up.

scholarly journals Mineral trioxide aggregate for the treatment of external root resorption in an avulsed immature tooth - ten years of follow-up

2020 ◽  
Vol 148 (3-4) ◽  
pp. 231-235
Author(s):  
Tamara Peric ◽  
Dejan Markovic ◽  
Bojan Petrovic
Keyword(s):  
Root Resorption ◽  
Mineral Trioxide Aggregate ◽  
Avulsion Injury ◽  
Tooth Structure ◽  
Immature Teeth ◽  
Gutta Percha ◽  
External Root Resorption ◽  
Progressive Loss ◽  
Radiographic Changes

Introduction. Root resorption may occur as a consequence of avulsion injury and may lead to the progressive loss of tooth structure. The aim was to report the outcome of root resorption treated with mineral trioxide aggregate in a replanted immature permanent incisor after 10 years of follow-up. Case outline. This case presents external root resorption that was detected 18 months after the avulsion injury in a nine-year-old child. Apical portion of the canal was filled with mineral trioxide aggregate and the rest of the canal was filled with a canal sealer and gutta-percha. Control examinations were performed six months after the completion of the endodontic treatment and afterwards yearly. The tooth was asymptomatic clinically and radiographs did not show progression of root resorption up to four years of follow-up. Infraposition of the injured tooth was detected five years after the replantation, but without significant radiographic changes, until the eight-year follow-up, when root resorption was detected again. However, the tooth was still hard and symptomless at the 10-year follow-up. Conclusion. Mineral trioxide aggregate may have an important role in the preservation of replanted immature teeth for a prolonged period.

Mineral Trioxide Aggregate Repair of Perforated Internal Resorption: A Case Report

2012 ◽  
Vol 6 (3) ◽  
pp. 149-150 ◽  
Author(s):  
Yogesh Upadhyay
Keyword(s):  
Root Resorption ◽  
Composite Resin ◽  
Mineral Trioxide Aggregate ◽  
Flap Surgery ◽  
Maxillary Central Incisor ◽  
Gutta Percha ◽  
Unusual Condition ◽  
Extensive Lesion ◽  
Symptoms And Signs

ABSTRACT Internal root resorption is an unusual condition of a tooth when the dentin and pulpal walls begin to resorb centrally within the root canal. A case of internal resorption with buccal perforation was found in a maxillary central incisor. As there was extensive lesion and continuous exudation, envelope flap surgery was suggested. The apical third was obturated with gutta-percha, and the perforated lesion was repaired with mineral trioxide aggregate. Thermo plasticized gutta-percha was filled in the residual canal space and composite resin was used to restore the coronal cavity. The symptoms and signs ceased, and the results were satisfactory at 2-year follow-up.

scholarly journals A 3-Year Follow-up Case Report of a Successfully treated Perforating Internal Root Resorption using MTA

2015 ◽  
Vol 6 (4) ◽  
pp. 235-238
Author(s):  
B Vedavathi ◽  
DV Swapna ◽  
K Rashmi ◽  
Jayshree Hegde ◽  
Veena Suresh Pai ◽  
...  
Keyword(s):  
Case Report ◽  
Poor Prognosis ◽  
Bone Repair ◽  
Root Resorption ◽  
Mineral Trioxide Aggregate ◽  
Definitive Diagnosis ◽  
Cone Beam ◽  
Canal Wall ◽  
Gutta Percha

ABSTRACT Internal root resorption is the progressive destruction of intraradicular dentin along the canal wall as a result of clastic activity. Perforating internal root resorption poses a diagnostic and treatment challenge to the clinician. Poor prognosis of such teeth makes extraction a treatment option. Presented herein is a case report of a mandibular second premolar with advanced perforating internal root resorption in the middle third of the root. Advanced diagnostic method, cone-beam computed tomography (CBCT) was used for definitive diagnosis and treatment planning. Sectional obturation with gutta-percha was performed up to the resorptive defect and mineral trioxide aggregate (MTA) was used to fill the resorptive defect and rest of the canal space. At a follow-up of 3 years, the patient was clinically asymptomatic with good bone repair around the resorptive defect. How to cite this article Rashmi K, Hegde J, Swapna DV, Pai VS, Vedavathi B, Kumar GRK. A 3-Year Follow-up Case Report of a Successfully treated Perforating Internal Root Resorption using MTA. World J Dent 2015;6(4):235-238.

Management of Perforating Internal Root Resorption with Periodontal Surgery and Mineral Trioxide Aggregate: A Case Report with 5-Year Follow-Up

2013 ◽  
Vol 33 (2) ◽  
pp. e65-e71 ◽  
Author(s):  
Alberto Sierra-Lorenzo ◽  
Alejandro Herrera-García ◽  
Luis Oscar Alonso-Ezpeleta ◽  
Juan José Segura-Egea
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Mineral Trioxide Aggregate ◽  
Periodontal Surgery

scholarly journals Healing Process Following Application of Set or Fresh Mineral Trioxide Aggregate as a Root-End Filling Material

2011 ◽  
Vol 05 (01) ◽  
pp. 019-023 ◽  
Author(s):  
Mehdi Habibi ◽  
Jamileh Ghoddusi ◽  
Ataollah Habibi ◽  
Nooshin Mohtasham
Keyword(s):  
Healing Process ◽  
Mineral Trioxide Aggregate ◽  
Histological Evaluation ◽  
Filling Material ◽  
Chi Square ◽  
Unsuccessful Attempt ◽  
Gutta Percha ◽  
Significant Difference ◽  
Chronic Abscess ◽  
The Difference

ABSTRACTObjectives: An unsuccessful attempt to reach the apical area or to place the retrograde material is a major difficulty in periradicular surgery. The aim of this study was to compare the histological evaluation of the healing process following an orthograde versus a retrograde application of mineral trioxide aggregate (MTA) as a root-end filling material during apical surgery on cats’ teeth in order to find out whether orthograde placement of MTA before surgery can be used instead of retrograde placement during surgery. Methods: In this experimental study, 24 canine teeth in 12 mature and healthy cats were filled with either MTA or gutta-percha in an orthograde manner. Two weeks later, the teeth with MTA were surgically exposed and resected to the set-MTA within the canals. The teeth previously filled by gutta-percha were also surgically exposed, and retrograde cavities were prepared at the root ends and filled with fresh-MTA. After 8 weeks, the animals were euthanized by vital perfusion. Six-micron histological slices were prepared from samples, stained by Hematoxylin & Eosin, and histologically studied by means of a light microscope. The collected data was analyzed by the Chi-square and the T-test. Results: One of the samples in the fresh-MTA group was omitted during processing because of inappropriate sectioning. In the set-MTA group, 5 out of 12 showed chronic abscess, while in the fresh-MTA group, 2 out of 11 were discovered to have chronic abscess; however, no significant difference was observed (P>.05). Hard tissue healing (cementum, bone, cementum + bone formation) in the set-MTA and fresh-MTA groups were 7 out of 12 and 9 out of 11, respectively. While healing seemed more likely to occur in the fresh-MTA group, the difference was statistically insignificant (P>.05). The magnitude of bone, cementum, or bone and cementum formation showed slight differences between the two groups; however, the figures failed to show any marked differences (P>.05). Conclusions: Orthograde placement of MTA could be used as an obturation material before surgery. In this way, after root-end resection, there would be no need for root-end preparation and filling procedures. (Eur J Dent 2011;5:19-23)

Successful Use of MTA Fillapex as a Sealant for Feline Root Canal Therapy of 50 Canines in 37 Cats

2020 ◽  
Vol 37 (2) ◽  
pp. 77-87
Author(s):  
Susan Thorne ◽  
Norman Johnston ◽  
Vicki J. Adams
Keyword(s):  
Root Canal ◽  
Root Resorption ◽  
Endodontic Treatment ◽  
Inert Material ◽  
Root Canal Therapy ◽  
Gutta Percha ◽  
Oral Pain ◽  
Single Cone ◽  
Pulp Exposure ◽  
Periapical Disease

Intentional or unintentional pulp exposure of cat canines can lead to periapical disease, osteomyelitis, and oral pain. Root canal therapy (RCT) allows the retention of cat canines with pulp exposure by removing the infected pulp and replacing it with an inert material. This study used MTA Fillapex™ as a root canal sealant with gutta percha single cone obturation in 37 cats (50 canine teeth). Roots were classified as “successful,” “no evidence of failure (NEF),” or “failed” at 6-month radiographic reviews. Therapy was considered “successful” if a preoperative periapical lucency had healed or not formed after treatment and any preoperative external inflammatory root resorption (EIRR) had stabilized without progression. Therapy was categorized as “NEF” if a periapical lucency had remained the same or decreased in size but not completely resolved and any preoperative EIRR had stabilized without progression. “Failed” if a periapical lucency had occurred or increased in size posttreatment or if EIRR had developed or progressed posttreatment. Thirty-two canine teeth (64%) were classified as “successful,” 14 canine teeth (28%) were classified as “NEF,” and 4 canine teeth (8%) were classified as “failed”. The study concluded that RCT using MTA Fillapex as a root canal sealant is a suitable endodontic treatment for fractured cat canines, especially those that are periodontally or endodontically challenged.

scholarly journals Mineral Trioxide Aggregate Applications in Endodontics: A Review

2020 ◽  
Vol 14 (04) ◽  
pp. 683-691
Author(s):  
Gabriele Cervino ◽  
Luigi Laino ◽  
Cesare D’Amico ◽  
Diana Russo ◽  
Ludovica Nucci ◽  
...  
Keyword(s):  
Root Resorption ◽  
Mineral Trioxide Aggregate ◽  
Point Of View ◽  
Dental Material ◽  
Clinical Aspects ◽  
Root Canal Therapy ◽  
Dental Tissues ◽  
Current Topic ◽  
Conservative Dentistry ◽  
A Current

AbstractA current topic in dentistry concerns the biocompatibility of the materials, and in particular, conservative dentistry and endodontics ones. The mineral trioxide aggregate (MTA) is a dental material with biocompatibility properties to oral and dental tissues. MTA was developed for dental root repair in endodontic treatment and it is formulated from commercial Portland cement, combined with bismuth oxide powder for radiopacity. MTA is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, treating internal root resorption, and pulp capping. The objective of this article is to investigate MTA features from a clinical point of view, even compared with other biomaterials. All the clinical data regarding this dental material will be evaluated in this review article. Data obtained from the analysis of the past 10 years’ literature highlighted 19 articles in which the MTA clinical aspects could be recorded. The results obtained in this article are an important step to demonstrate the safety and predictability of oral rehabilitations with these biomaterials and to promote a line to improve their properties in the future.

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