CC BY-NC-ND 4.0 · Eur J Dent 2010; 04(04): 475-481
DOI: 10.1055/s-0039-1697868
Original Article
European Journal of Dentistry

Repair of Furcal Iatrogenic Perforation with Mineral Trioxide Aggregate: Two Years Follow-up of Two Cases

Gul Celik Unal
a   Suleyman Demirel University, Faculty of Dentistry, Department of Endodontics, Isparta, Turkey
,
Murat Maden
a   Suleyman Demirel University, Faculty of Dentistry, Department of Endodontics, Isparta, Turkey
,
Tugba Isidan
a   Suleyman Demirel University, Faculty of Dentistry, Department of Endodontics, Isparta, Turkey
› Author Affiliations
Further Information

Publication History

Publication Date:
30 September 2019 (online)

Furcal perforation is usually an undesired complication that can occur during preparation of endodontic access cavities or exploring canal orifice of multirooted teeth. Inadequacy of the repair materials has been a contributing factor to the poor outcome of repair procedures. On the basis of the recent physical and biologic property studies of the relatively new introduced mineral trioxide aggregate, this material may be suitable for closing the communication between the pulp chamber and the underlying periodontal tissues. There are few reports on repair of furcal perforation with MTA in molar teeth. The purpose of this case report was to describe the treatment of two furcal perforation using MTA in molar teeth. The perforations were cleaned with NaOCl and saline solution and sealed with MTA without internal matrix. Finally, the teeth were endodontically treated and coronally restored with composite resin and ceramic veneer crown and bridge. After 2 years, the absence of periradicular radiolucent lesions, pain, and swelling along with functional tooth stability indicated a successful outcome of sealing perforations in two cases. (Eur J Dent 2010;4:475-481)

 
  • REFERENCES

  • 1 Lee SJ, Monsef M, Torabinejad M. Sealing ability of a mineral trioxide aggregate for repair of lateral root perforations. J Endod 1993; 19: 541-544
  • 2 Osorio RM, Hefti A, Vertucci FJ, Shawley AL. Cytotoxicity of endodontic materials. J Endod 1998; 24: 91-96
  • 3 Torabinejad M, Hong CU, Lee SJ, Monsef M, Pitt TRFord. Investigation of mineral trioxide aggregate for root-filling in dogs. J Endod 1995; 21: 603-608
  • 4 Torabinejad M, Pitt TRFord. Root-end filling materials: a review. Endod Dent Traumatol 1996; 12: 161-178
  • 5 Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. J Endod 1999; 25: 197-205
  • 6 Mc PSCabe. The clinical applications of mineral trioxide aggregate. J Ir Dent Assoc 2003; 49: 123-131
  • 7 Hardy I, Liewehr FR, Joyce AP, Agee K, Pashley DH. Sealing ability of One-Up Bond and MTA with and without a secondary seal as furcation perforation repair materials. J Endod 2004; 30: 658-661
  • 8 Daoudi MF, Saunders WP. In vitro evaluation of furcal perforation repair using mineral trioxide aggregate or resin modified glass ionomer cement with and without the use of the operating microscope. J Endod 2002; 28: 512-515
  • 9 Nakata TT, Bae KS, Baumgartner JC. Perforation repair comparing mineral trioxide aggregate and amalgam using an anaerobic bacterial leakage model. J Endod 1998; 24: 184-186
  • 10 Hashem AAR, Hassanien EE. ProRoot MTA, MTA-Angelus, and IRM used to repair large furcation perforations: sealability study. J Endod 2008; 34: 512
  • 11 De-Deus G, Reis C, Brandão C, Fidel S, Fidel RA. The ability of Portland cement, MTA and MTA Bio to prevent throughand-through fluid movement in repaired furcal perforations. J Endod 2007; 33: 1374-1377
  • 12 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
  • 13 Roberts HW, Toth JM, Berzins DW, Charlton DG. Mineral trioxide aggregate material use in endodontic treatment: a review of the literature. Dent Mater 2008; 24: 149-164
  • 14 Bargholz C. Perforation repair with mineral trioxide aggregate: a modified matrix concept. Int Endod J 2005; 38: 59-69
  • 15 Frank RJ. Endodontic mishaps: Their detection, correction, and prevention. Ingle JI, Bakland LK. eds Endodontics. 5th ed. London: BC Decker Inc; 2002: 769-794
  • 16 Roda RS. Root perforation repair: surgical and nonsurgical management. Pract Proced Aesthet Dent 2001; 13: 467-472
  • 17 Fuss Z, Trope M. Root perforations: classification and treatment choices based on prognostic factors. Endod Dent Traumatol 1996; 12: 255-264
  • 18 Arens DE, Torabinejad M. Repair of furcal perforations with mineral trioxide aggregate-two case reports. Oral Surg 1996; 82: 84-88
  • 19 Pace R, Giuliani V, Pagavino G. Mineral trioxide aggregate as repair material for furcal perforation: case series. J Endod 2008; 34: 1130-1133
  • 20 Oliveira TM, Sakai VT, Silva TC, Santos CF, Machado MA, Abdo RC. Repair of furcal perforation treated with mineral trioxide aggregate in a primary molar tooth: 20-month follow-up. J Dent Child (Chic) 2008; 75: 188-191
  • 21 Silveira CM, Sánchez-Ayala A, Lagravère MO, Pilatti GL, Gomes OM. Repair of furcal perforation with mineral trioxide aggregate: long-term follow-up of 2 cases. J Can Dent Assoc 2008; 74: 729-733
  • 22 Torabinejad M, Pitt TRFord, McKendry DJ, Abedi HR, Miller A, Kariyawasam SP. Histologic assessment of mineral trioxide aggregate as a root-end filling in monkeys. J Endod 1997; 23: 225-228
  • 23 Wu M, Kontakiotis EG, Wesselink PR. Long-term seal provided by some root-end filling materials. J Endod 1998; 24: 557-560
  • 24 Shabahang S, Torabinejad M, Boyne PP, Abedi H, McMillan P. A comparative study of root-end induction using osteogenic protein-1, calcium hydroxide and mineral trioxide aggregate in dogs. J Endod 1999; 25: 1-5
  • 25 Bates CF, Carners DL, Del CERio. Longitunal sealing ability of MTA as a root-end filling material. J Endod 1996; 22: 575-578
  • 26 Keiser K, Johnson C, Tipton DA. Cytotoxicity of MTA using human periodontal ligament fibroblasts. J Endod 2000; 26: 288-289
  • 27 Main C, Mirzayan N, Shabahang S, Torabinejad M. Repair of root perforations using mineral trioxide aggregate: a longterm study. J Endod 2004; 30: 80-83
  • 28 Economides N, Pantelidou O, Kokkas A, Tziafas D. Shortterm periradicular tissue response to mineral trioxide aggregate(MTA) as a root-end filling material. Int Endod J 2003; 36: 44-48
  • 29 Holland R, Filho JA, De VSouza, Nery MJ, Bernabe PF, Junior ED. Mineral trioxide aggregate repair of lateral root perforations. J Endod 2001; 1: 281-284
  • 30 Yaltirik M, Ozbas H, Bilgic B, Issever H. Reactions of connective tissue to mineral trioxide aggregate and amalgam. J Endod 2004; 30: 95-99
  • 31 Tsesis I, Rosen E, Schwartz-Arad D, Fuss Z. Retrospective evaluation of surgical endodontic treatment: traditional versus modern technique. J Endod 2006; 32: 412-416
  • 32 Rafter M, Baker M, Alves M, Daniel J, Remeikis N. Evaluation of healing with use of an internal matrix to repair furcation perforations. Int Endod J 2002; 35: 775-783
  • 33 Alhadainy HA. Root perforations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1994; 78: 368-374
  • 34 Holland R, Bisco LFerreira, de VSouza, Otoboni JAFilho, Murata SS, Dezan Jr E. Reaction of the lateral periodontium of dogs' teeth to contaminated and noncontaminated perforations filled with mineral trioxide aggregate. J Endod 2007; 33: 1192-1197
  • 35 Ingle JI, Simon JH, Machtou P, Bogaerts P. Outcome of endodontic treatment and retreatment. In Ingle JI, Bakland LK. eds Endodontics. 5th ed. London: BC. Decker Inc; 2002: 753-755
  • 36 Nicholls E. Treatment of traumatic perforations of the pulp cavity. Oral Surg Oral Med Oral Pathol 1962; 15: 603-612
  • 37 Ikebe K, Nokubi T, Morii K, Kashiwagi J, Furuya M. Association of bite force with ageing and occlusal support in older adults. J Dent 2005; 33: 131-137
  • 38 Miyaura K, Matsuka Y, Morita M, Yamashita A, Watanabe T. Comparison of biting forces in different age and sex groups: a study of biting efficiency with mobile and nonmobile teeth. J Oral Rehabil 1999; 26: 223-227
  • 39 Yamashita S, Sakai S, Hatch JP, Rugh JD. Relationship between oral function and occlusal support in denture wearers. J Oral Rehabil 2000; 27: 881-886
  • 40 Torabinejad M, Hong CU, McDonald F, Pitt TRFord. Physical and chemical properties of a new root-end filling material. J Endod 1995; 21: 349-353
  • 41 Bargholz C. Perforation repair with mineral trioxide aggregate: A modified matrix concept. Int Endod J 2005; 38: 59-69