scholarly journals Use of mineral trioxide aggregate in the treatment of traumatized teeth in children: Two case reports

2013 ◽  
Vol 70 (8) ◽  
pp. 781-784 ◽  
Author(s):  
Bojana Cetenovic ◽  
Dejan Markovic ◽  
Bojan Petrovic ◽  
Tamara Peric ◽  
Vukoman Jokanovic
Keyword(s):  
Treatment Option ◽  
Treatment Time ◽  
Case Reports ◽  
Mineral Trioxide Aggregate ◽  
Clinical Findings ◽  
Permanent Teeth ◽  
Periapical Lesions ◽  
Root Canals ◽  
Alternative Treatment Option ◽  
Dental Injuries

Introduction. Dental injuries in immature permanent teeth often result in endodontic complications. Apexification technique using calcium hydroxide is associated with certain flaws, such as long treatment time, the possibility of tooth fracture and incomplete calcification. The use of an apical plug employing mineral trioxide aggregate (MTA) is an alternative treatment option. Case report. We reported the successful treatment of 4 maxillary incisors (in a 7-year-old boy and a 10-year-old girl) with open apices and periapical lesions. Apical portions of the canals were filled with MTA plugs in both cases. Coronal parts of the root canals were filled with gutta-percha and sealer. Clinical findings were clear 6 months after the definite obturation with no pathological changes on the radiographs in both cases. Conclusion. The use of MTA for apical plugging appears to be a valid treatment option in traumatized immature teeth with endodontic complications.

scholarly journals Plasma Rich in Growth Factors in the Treatment of Endodontic Periapical Lesions in Adult Patients: Case Reports

2021 ◽  
Vol 22 (17) ◽  
pp. 9458
Author(s):  
Katarzyna Machut ◽  
Agata Zoltowska ◽  
Elzbieta Pawlowska ◽  
Marcin Derwich
Keyword(s):  
Case Reports ◽  
Autologous Blood ◽  
Healing Process ◽  
Venous Blood ◽  
Permanent Teeth ◽  
Periapical Lesions ◽  
Root Canals ◽  
Leading Role ◽  
Canal Systems ◽  
Mechanical Shaping

Platelet-rich fibrin (PRF) is an autologous blood concentrate obtained without anticoagulants by centrifugation of patients’ peripheral venous blood. PRF is considered to enhance the formation of new bone. The aim of this manuscript was to present two case reports of permanent teeth with closed apexes with periapical lesions, treated endodontically with the use of PRF. The root canals were mechanically cleaned and shaped with NiTi files and irrigated with 5.25% sodium hypochlorite (NaOCl), 40% citric acid (CA), and triple distillated water. Before the canal systems were obturated, A-PRF was used as a scaffold and was placed below the cementodentinal junction with hand pluggers. Cone beam computerized tomography (CBCT) was used to assess the resolutions of periapical radiolucencies. After 6 months, the measurements of both periapical lesions were significantly reduced. Although the performed root canal treatments (RCTs) can definitely be recognized as successful, it must be emphasized that mechanical shaping and cleaning of the root canals with special disinfecting solutions significantly affect the clinical efficacy of RCT. It seems impossible to state that PRF played a leading role in the healing process of the presented periapical lesions. Further studies must be performed to assess whether RCT of mature teeth with an additional PRF application is superior to RCT performed alone.

Continued Root-End Growth and Apexification Using a Calcium Hydroxide and Iodoform Paste (Metapex®): Three Case Reports

2010 ◽  
Vol 11 (5) ◽  
pp. 63-70 ◽  
Author(s):  
Shobha Tandon ◽  
N. Sridhar
Keyword(s):  
South Korea ◽  
Root Growth ◽  
Calcium Hydroxide ◽  
Clinical Significance ◽  
Case Reports ◽  
Endodontic Treatment ◽  
Permanent Teeth ◽  
Root Canals ◽  
Disposable Plastic ◽  
Clinical Cases

Abstract Aim The aim of these case reports is to present a treatment to promote root-end growth and apexification in nonvital immature permanent teeth in children. Methods and Materials Three cases were presented where the calcium hydroxide and iodoform paste Metapex® was placed in the root canals of immature permanent teeth using disposable plastic tips. The teeth involved were evaluated radiographically at regular intervals for the first 12 months after placement of the paste. At the end of 12 months all the cases showed continued root growth and apical closure (apexification) with no evidence of periapical pathology. Conventional endodontic treatment was then performed. Results In all three of the clinical cases presented, a combination of calcium hydroxide and iodoform paste (Metapex®) was used and showed promising results in inducing root-end growth and closure after 12 months. Conclusion In these three clinical cases, the calcium hydroxide and iodoform paste Metapex® (Meta Biomed Co. Ltd., South Korea) was found to induce apical closure when assessed radiographically. Over a period of 12 months all the cases showed continued root growth. Clinical Significance The calcium hydroxide and iodoform paste Metapex® promoted continued root-end growth with apexification in the nonvital immature permanent teeth treated. Citation Sridhar N, Tandon S. Continued Root-Growth and Apexification Using a Calcium Hydroxide and Iodoform Paste (Metapex®): Three Case Reports. J Contemp Dent Pract [Internet]. 2010 October; 11(5):063-070. Available from: http://www.thejcdp.com/journal/view/volume11- issue5-sridhar

scholarly journals New Insights into the Microbial Profiles of Infected Root Canals in Traumatized Teeth

2020 ◽  
Vol 9 (12) ◽  
pp. 3877
Author(s):  
Lokeshwaran Manoharan ◽  
Malin Brundin ◽  
Olena Rakhimova ◽  
Luis Chávez de Paz ◽  
Nelly Romani Vestman
Keyword(s):  
Root Canal ◽  
Permanent Teeth ◽  
Root Canals ◽  
Tooth Position ◽  
Root Canal Disinfection ◽  
Infected Root ◽  
Traumatic Dental Injuries ◽  
Molecular Sequencing ◽  
Dental Injuries ◽  
Oral Microorganisms

Traumatic dental injuries in young individuals are often exposed to the invasion of oral microorganisms that leads to pulp necrosis. Infective necrosis in permanent teeth not-fully-developed causes aberrant root formation. Regeneration endodontic treatments (RETs) have shown promising results by promoting continued root development by stem cells. Critical to the success of RET is the thorough disinfection of the pulpal space. To establish effective antimicrobial protocols for root canal disinfection, the invading microorganisms need to be identified. In the present study, we use a combination of culture-based and high-throughput molecular sequencing techniques to investigate the microbial profiles from traumatized teeth (30 cases) and controls, i.e., teeth with pulp infections not caused by trauma (32 cases). Overall, a high microbial diversity in traumatized necrotic teeth was observed. Eubacterium yurii subsps. yurii and margaretiae, as well as key ‘bridging oral species’ F. nucleatum sp., Polymorphum and Corynebacterium matruchotti, were highly associated with traumatized teeth. The microbial compositions of traumatized teeth differed considerably from those of infected teeth not caused by trauma. Age and tooth position also influence microbial compositions. In conclusion, we show that the root canal microflora of traumatized teeth is highly diverse, and it differs from root canal infections not caused by trauma.

Topical Testosterone Gel for the Treatment of Male Hypogonadism

2012 ◽  
Vol 4 ◽  
pp. CMT.S7348
Author(s):  
Dioma U. Udeoji ◽  
Anita Phan ◽  
Peter Katsiyiannis ◽  
Robert Willix ◽  
Ernst R. Schwarz
Keyword(s):  
Treatment Option ◽  
Clinical Studies ◽  
Late Onset ◽  
Current Knowledge ◽  
Case Reports ◽  
Testosterone Replacement Therapy ◽  
Male Hypogonadism ◽  
Search Term ◽  
Alternative Treatment Option ◽  
Testosterone Gel

Objective This review describes the current knowledge of biological external testosterone (T) application using dermal products for the treatment of late-onset male hypogonadism (LOH). Methods An English language search of medical literature using Pubmed was conducted between January of 1984 and March of 2012 using the search term ‘testosterone gel’. Special emphasis was given to clinical controlled trials and large case studies. Results We describe the current knowledge on testosterone replacement therapy using gel applications. A reference search revealed 1567 publications; 44 were clinical studies in human patients with male hypogonadism, 80 were reviews, 27 were case reports, and 9 were retrospective studies. Data from the literature and from 20 clinical studies involving human patients were analyzed since they met the inclusion criteria of testosterone gel administration in hypogonadal males. For the purpose of this review, a total number of 2,378 human patients were studied. Overall, biological T administration resulted in improvement of sexual dysfunction and symptoms of metabolic syndrome and represented an effective and safe treatment option for hypogonadal men. Conclusions Administration of biological T gel appears to represent a valid alternative treatment option for male hypogonadism with a favorite efficacy and safety profile.

scholarly journals AN INNOVATIVE APPROACH TO THE TREATMENT OF TRANSVERSE FRACTURES OF MOLAR ROOTS

2021 ◽  
Vol 20 (3) ◽  
pp. 90-96
Author(s):  
N.A. Baitus ◽  
◽  
Y.P. Chernyavski ◽  
Keyword(s):  
Traumatic Injury ◽  
Mineral Trioxide Aggregate ◽  
Clinical Effectiveness ◽  
Permanent Teeth ◽  
Tooth Root ◽  
Root Canals ◽  
Periodontal Tissues ◽  
The Moment ◽  
Tissue Recovery ◽  
Destructive Processes

A tooth fracture is a traumatic injury to a tooth with the disturbance of its crown or root part integrity. A root fracture is a fracture that involves cementum, dentin, periodontium and, in some cases, dental pulp. Root fractures occur in 0.2-7% of all cases of permanent teeth injuries. The aim of the study was to investigate clinical effectiveness of using a material based on hydroxyapatite «Bioplast-Dent» paste and a material based on mineral trioxide aggregate - «Rutsil» in the treatment of a transverse fracture of the medial tooth root 4.6 (clinical case). The object of the study was a patient with a fracture of the medial tooth root 4.6 and destructive processes in the tissues of the apical periodontium of tooth 4.6, who applied to the Chair of Restorative Dentistry with the course of the Faculty for Advanced Training & Retraining of «VSMU» in 2019. Temporary obturation of the root canals of the root of tooth 4.6 was performed using the material based on hydroxyapatite «Bioplast-Dent» in the form of a paste. Permanent obturation of the root canals of the root of tooth 4.6 was carried out using domestic material based on mineral trioxide aggregate (MTA) - «Rutsil». The final restoration of the tooth crown was carried out after X-ray control from the moment of permanent obturation of the root canals in 3 months. Additionally, dynamic R-control was performed in 12 months. The results of the treatment have shown that the use of hydroxyapatite-containing paste and domestic material based on mineral trioxide aggregate - «Rutsil» brings about activation of osteogenesis in periodontal tissues and stops the process of resorption in the fracture line, shortening the time of bone tissue recovery and contributing to a greater success of treatment.

scholarly journals Endodontic treatment of traumatized teeth with chronic periapical lesions using antibiotic paste and mineral trioxide aggregate obturation - a preliminary study

2019 ◽  
Vol 147 (5-6) ◽  
pp. 270-275
Author(s):  
Bojana Cetenovic ◽  
Dejan Markovic ◽  
James Gutmann ◽  
Tamara Peric ◽  
Vukoman Jokanovic
Keyword(s):  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Complete Regression ◽  
San Jose ◽  
Periapical Lesions ◽  
Significant Difference ◽  
Preliminary Study ◽  
Healing Assessment

Introduction/Objective. The purpose of this study was to assess effectiveness of endodontic root canal procedures in traumatized permanent teeth with necrotic pulps and chronic periapical lesions after definitive obturation with mineral trioxide aggregate (MTA) products. Adobe Photoshop CS (San Jose, CA, USA) image-analysis software was used for healing assessment. Methods. Twenty-seven traumatized single-rooted permanent teeth diagnosed with necrotic pulps and chronic periapical lesions were treated with non-surgical procedure using a tri-antibiotic paste and calcium hydroxide as intra-canal medication. Definitive obturation was performed with ProRoot MTA (Dentsply Tulsa Dental Specialties, Tulsa, OK, USA) or MTA+ Cerkamed (Cerkamed, Stalowa Wola, Poland). Control follow-ups were done three, six, 12, and 24 months following the completion of treatment. Results. The positive clinical outcome was recorded in 24 (88.9%) cases, while radiographic success was present in 26 (96.3%) cases. A statistically significant decrease in the sizes of periapical lesions was consistently observed at follow-up periods (p < 0.001). There was no statistically significant difference between the two tested MTA materials (p > 0.05). Conclusion. The MTA products were effective for the root canal obturation and appeared to contribute to the significant reduction or complete regression of periapical lesions in teeth treated. The presented procedure may be proposed for everyday clinical practice.

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.

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