PDF herunterladen
CC BY-NC-ND 4.0 · Eur J Dent 2010; 04(04): 468-474
DOI: 10.1055/s-0039-1697867
Original Article
European Journal of Dentistry

Use of Mineral Trioxide Aggregate in the Treatment of Large Periapical Lesions: Reports of Three Cases

Tahsin Yildirim
a   Karadeniz Technical University, Faculty of Dentistry, Department of Restorative Dentistry, Trabzon, Turkey
,
Nimet Gencoglu
b   Marmara University, Faculty of Dentistry, Department of Endodontics, Istanbul, Turkey
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
30. September 2019 (online)

Auch verfügbar auf
  als PDF herunterladen Lizenzen und Reprints

Pulpal and periradicular pathosis are the result of microbial, mechanical, or chemical invasion. Microorganisms are the main irritants of pulpal and periapical tissues. The goal of the obturation is to obtain a fluid-tight seal of the root canal system from its coronal aspect through its apical extent to preserve from the irritants.. Root apices have morphological irregularities in teeth with periapical lesions. Therefore, it is more difficult to produce hermetically apical stop with conventional guttapercha obturation techniques. This case report describes the treatment and six years follow-up of the teeth with large periapical lesion using MTA as apical filling material. (Eur J Dent 2010;4:468- 474)

Keywords

Mineral trioxide aggregate - Obturation - Periapical lesion - Root canal treatment
 

  • REFERENCES

  • 1 Schilder H. Filling root canals in three dimensions. Dent Clin North Am 1967; 11: 723-745
    Google Scholar
  • 2 Cohen S, Burns R. Pathways of the pulp. 6th ed. St. Louis: C.V. Mosby Co; 1994: 219-220
    Google Scholar
  • 3 The SD. Sectional gutta-percha point, second seal apical and coating of the inner dentinal walls. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1979; 47: 555-557
    CrossrefPubMedGoogle Scholar
  • 4 Dorn SO, Gartner AH. Retrograde filling materials: a retrospective success-failure study of amalgam, EBA, and IRM. J Endod 1990; 16: 391-393
    CrossrefPubMedGoogle Scholar
  • 5 Eguchi DS, Peters D, Hollinger JO, Lorton L. A comparison of the area of the canal space occupied by gutta-percha following four gutta-percha obturation techniques using procosol sealer. J Endod 1985; 11: 66-75
    Google Scholar
  • 6 Peters DD. Two year in vitro solubility evaluation of four guttapercha sealer obturation techniques. J Endod 1986; 12: 139-145
    CrossrefPubMedGoogle Scholar
  • 7 Torabinejad M, Higa RK, McKendry DJ, Pitt TRFord. Dye leakage of four root end filling materials: effects of blood contamination. J Endod 1994; 20: 159-163
    CrossrefPubMedGoogle Scholar
  • 8 Torabinejad M, Hong CU, Pitt TRFord, Kettering JD. Antibacterial effects of some root end filling materials. J Endod 1995; 21: 403-406
    CrossrefPubMedGoogle Scholar
  • 9 Yildirim T, Gencoglu N, Firat I, Guzel O, Perk C. Histologic study of furcation perforation treated with MTA or Super EBA in dog’s teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100: 120-124
    CrossrefPubMedGoogle Scholar
  • 10 Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. Review. J Endod 1999; 25: 197-205
    CrossrefPubMedGoogle Scholar
  • 11 Holland R, de VSouza, Nery MJ, Otoboni JAFilho, Bernabé PF, Dezan J, únior E. Reaction of dogs' teeth to root canal filling with mineral trioxide aggregate or a glass ionomer sealer. J Endod 1999; 25: 728-730
    CrossrefPubMedGoogle Scholar
  • 12 Holland R, Mazuqueli L, de VSouza, Murata SS, Júnior ED, Suzuki P. Influence of the type of vehicle and limit of obturation on apical and periapical tissue response in dogs’ teeth after root canal filling with mineral trioxide aggregate. J Endod 2007; 33: 693-697
    CrossrefPubMedGoogle Scholar
  • 13 O'Sullivan SM, Hartwell GR. Obturation of a retained primary mandibular second molar using mineral trioxide aggregate: a case report. J Endod 2001; 27: 703-705
    CrossrefPubMedGoogle Scholar
  • 14 Tronstad L. (ed) Clinical endodontics. New York: Thieme, New York; 3rd ed. 2008
    Google Scholar
  • 15 Bergenholtz G, HB Preven, Reit C. Textbook of Endodontology Blackwell Munksgard 2003 Chapter 9 Apical periodontitis. Risto-Pekka Happonen and Gunnar Bergenholtz 130-144
    Google Scholar
  • 16 Kontakiotis EG, Wu MK, Wesselink PR. Effect of sealer thickness on long-term sealing ability: a 2-year follow-up study. Int End J 1997; 30: 307-312
    CrossrefGoogle Scholar
  • 17 Torabinejad M, Smith PW, Kettering JD, Pitt TRFord. Comparative investigation of marginal adaptation of mineral trioxide aggregate and other commonly used root-end filling materials. J Endod 1995; 21: 295-299
    CrossrefPubMedGoogle Scholar
  • 18 Pitt TRFord, Torabinejad M, McKendry DJ, Hong CU, Kariyawasam SP. Use of mineral trioxide aggregate for repair of furcal perforations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 79: 756-763
    CrossrefPubMedGoogle Scholar
  • 19 Giuliani V, Bacetti T, Pace R, Papavino G. The use of MTA in teeth with necrotic pulps and open apices. Dent Traumatol 2002; 18: 217-221
    CrossrefPubMedGoogle Scholar
  • 20 Hayashi M, Shimizu A, Ebisu S. MTA for obturation of mandibular central incisors with open apices: Case report. J Endod 2004; 30: 120-122
    CrossrefPubMedGoogle Scholar
  • 21 Yildirim T, Gençoðlu N. Use of mineral trioxide aggregate in the treatment of horizontal root fractures with a 5-year follow-up: report of a case. J Endod 2009; 35: 292-295
    CrossrefPubMedGoogle Scholar
  • 22 Mattison GD, Selivanis PD, Thacker RW, Hassel KJ. Effect of post preparation on the apical seal. J Prosthet Dent 1984; 51: 785-789
    CrossrefPubMedGoogle Scholar
  • 23 Valois CR, Costa Jr ED. Influence of the thickness of mineral trioxide aggregate on sealing ability of root-end fillings in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 97: 108-111
    CrossrefPubMedGoogle Scholar
  • 24 Martin RL, Monticelli F, Brackett WW, Loushine RJ, Rockman RA, Ferrari M, Pashley DH, Tay FR. Sealing properties of mineral trioxide aggregate orthograde apical plugs and root fillings in an in vitro apexification model. J Endod 2007; 33: 272-275
    CrossrefPubMedGoogle Scholar
  • 25 Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990; 16: 498-504
    CrossrefPubMedGoogle Scholar
  • 26 Boutsioukis C, Noula G, Lambrianidis T. Ex vivo study of the efficiency of two techniques for the removal of mineral trioxide aggregate used as a root canal filling material. J Endod 2008; 34: 1239-1242
    CrossrefPubMedGoogle Scholar
  • 27 Bortoluzzi EA, Araújo GS, Guerreiro JMTanomaru, Tanomaru-Filho M. Marginal gingiva discoloration by gray MTA: a case report. J Endod 2007; 33: 325-327
    CrossrefPubMedGoogle Scholar
  • 28 Matt GD, Thorpe JR, Strother JM, McClanahan SB. Comparative study of white and gray mineral trioxide aggregate(MTA) simulating a one- or two-step apical barrier technique. J Endod 2004; 30: 876-879
    CrossrefPubMedGoogle Scholar
  • 29 Molven O, Halse A, Fristad I, MacDonald-Jankowski D. Periapical changes following root-canal treatment observed20-27 years postoperatively. Int End J 2005; 35: 784-790
    Google Scholar
  • 30 Ingle JI. Modern endodontic therapy. In Ingle JI, Taintor JF. eds Endodontics. 3rd ed. Philadelphia: Lea & Febiger; 1988: 439-70
    Google Scholar
  • 31 Sonmez D, Sari S, Cetinbaþ T. A Comparison of four pulpotomy techniques in primary molars: a long-term followup. J Endod 2008; 34: 950-955
    CrossrefPubMedGoogle Scholar
  • 32 Kusgoz A, Yildirim T, Tanriver M, Yesilyurt C. Treatment of horizontal root fractures using MTA as apical plug: report of 3 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: e68-e72
    PubMedGoogle Scholar