Non Surgical Management of Large Periapical Lesion with Mineral Trioxide Aggregate and 4 Years Follow up after Unintentional Extrusion of MTA in Periapical Area: A Case Report
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Published
Aug 10, 2020
Page:
17-22
Main Article Content
Abhilasha Gadkar
Conservative Dentistry and Endodontics Department, Goa Dental College and Hospital, Bambolim, 403202, Goa, India.
Aniket U. Vaidya
Oral Medicine and Radiology Department, Goa Dental College and Hospital, Bambolim, 403202, Goa, India.
Abstract
The immature root (open apex) with a necrotic pulp and apical pathosis presents multiple challenges to successful treatment and is difficult to treat with conventional root canal therapy. Mineral Trioxide Aggregate (MTA) has been successfully used in treatment of open apex. Extrusion of MTA through an open apex is not a commonly seen during the apexification procedure. Here we report the management of a case of a non-vital maxillary incisor with immature root. In this case despite of the use of an apical matrix, accidental extrusion of MTA occurred in the periapical region which did not show any negative effect on healing.
Keywords:
Apexification, open apex, inadvertent extrusion, mineral trioxide aggregate, nonsurgical healing, periapical lesion.
Article Details
How to Cite
Gadkar, A., & Vaidya, A. U. (2020). Non Surgical Management of Large Periapical Lesion with Mineral Trioxide Aggregate and 4 Years Follow up after Unintentional Extrusion of MTA in Periapical Area: A Case Report. International Journal of Research and Reports in Dentistry, 3(3), 17-22. Retrieved from https://journalijrrd.com/index.php/IJRRD/article/view/30121
Section
Case Report
References
Andreasen JO, Flores MT. Injuries to developing teeth. In: Andreasen JO, Andreasen FM, Andersson L, editors. Textbook and color atlas of traumatic injuries to the teeth. 4th Ed. Copenhagen: Munksgaard. 2007;542-76.
Ajwani P, Saini N. Non-surgical management of a mutilated maxillary central incisor with open apex and large periapical lesion. Indian Journal of Dental Research. 2011;22(3):475.
Pawar AM, Kokate SR, Shah RA. Management of a large periapical lesion using Biodentine™ as retrograde restoration with eighteen months evident follow up. Journal of conservative dentistry: JCD. 2013;16(6):573.
Andreasen JO, Farik B, Munksgaard BC. Long term calcium hydroxide as a root canal dressing can increase the risk of root canal fracture. Dental Traumatology. 2002; 18:134-7.
Martin Trope. Treatment of immature teeth with non vital pulps and apical periodontitis. Endotopic. 2007;14:51-59.
Hachmeister DR, Schindler WG, Walker WA (3rd) Thomas DD. The sealing ability and retention characterstics of mineral trioxide aggregate in a model of apexifecation. J Endod. 2002;28(5):386-390.
Zou L, Liu J, Yin S, et al. In vitro evaluation of the sealing ability of MTA used for the repair of furcation perforations with and without the use of an internal matrix. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105(6):61–65.
Simon S, Rilliard F, Berdal A, et al. The use of mineral trioxide aggregate in one-visit apexification treatment: A prospective study. Int Endod J. 2007;40(3):186–197.
Felippe WT, Felippe MC, Rocha MJ. The effect of mineral trioxide aggregate on the apexification and periapical healing of teeth with incomplete root formation. Int Endod J. 2006;39(1):2–9.
Gandolfi MG, Taddei P, Tinti A, et al Apetite- forming ability (bioactivity) of ProRoot MTA. International Endodontics Journal. 2010;43(10):917-29.
Huang TH, Yang CC, Ding SJ, Yeng M, Kao CT, Chou MY Inflammatory cytokines reaction elicited by root-end filling materials. Journal of Biomedical Material Research, Part B Applied Biomaterials. 2005;73:123–8.
Lee AJ, Hodges S, Eastell R. Measurement of osteocalcin. Ann Clin Biochem. 2000;37:432-446.
Schaeffer MA, White RR, Walton RE. Determining the optimal obturation length:a meta analysis of literature. J Endo. 2005; 31:271-4.
Domenico Ricucci, Isabela N. Roc, Flavio R.F. Alves, Simona Loghin, and Jos!e F. Siqueira Jr, Apically Extruded Sealers: Fate and Influence on Treatment Outcome. Journal of Endodontics. 2016;42:243-49.
Schilder H. Filling root canals in three dimensions.Dent Clin North Am. 1967;11: 723-44.
Muruzabal M, Erasquin J, DeVoto FCH. A study of periapical overfilling in root canal treatment in the molar of rat. Arc Oral Biol. 1966;11:373-83.
Ajwani P, Saini N. Non-surgical management of a mutilated maxillary central incisor with open apex and large periapical lesion. Indian Journal of Dental Research. 2011;22(3):475.
Pawar AM, Kokate SR, Shah RA. Management of a large periapical lesion using Biodentine™ as retrograde restoration with eighteen months evident follow up. Journal of conservative dentistry: JCD. 2013;16(6):573.
Andreasen JO, Farik B, Munksgaard BC. Long term calcium hydroxide as a root canal dressing can increase the risk of root canal fracture. Dental Traumatology. 2002; 18:134-7.
Martin Trope. Treatment of immature teeth with non vital pulps and apical periodontitis. Endotopic. 2007;14:51-59.
Hachmeister DR, Schindler WG, Walker WA (3rd) Thomas DD. The sealing ability and retention characterstics of mineral trioxide aggregate in a model of apexifecation. J Endod. 2002;28(5):386-390.
Zou L, Liu J, Yin S, et al. In vitro evaluation of the sealing ability of MTA used for the repair of furcation perforations with and without the use of an internal matrix. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105(6):61–65.
Simon S, Rilliard F, Berdal A, et al. The use of mineral trioxide aggregate in one-visit apexification treatment: A prospective study. Int Endod J. 2007;40(3):186–197.
Felippe WT, Felippe MC, Rocha MJ. The effect of mineral trioxide aggregate on the apexification and periapical healing of teeth with incomplete root formation. Int Endod J. 2006;39(1):2–9.
Gandolfi MG, Taddei P, Tinti A, et al Apetite- forming ability (bioactivity) of ProRoot MTA. International Endodontics Journal. 2010;43(10):917-29.
Huang TH, Yang CC, Ding SJ, Yeng M, Kao CT, Chou MY Inflammatory cytokines reaction elicited by root-end filling materials. Journal of Biomedical Material Research, Part B Applied Biomaterials. 2005;73:123–8.
Lee AJ, Hodges S, Eastell R. Measurement of osteocalcin. Ann Clin Biochem. 2000;37:432-446.
Schaeffer MA, White RR, Walton RE. Determining the optimal obturation length:a meta analysis of literature. J Endo. 2005; 31:271-4.
Domenico Ricucci, Isabela N. Roc, Flavio R.F. Alves, Simona Loghin, and Jos!e F. Siqueira Jr, Apically Extruded Sealers: Fate and Influence on Treatment Outcome. Journal of Endodontics. 2016;42:243-49.
Schilder H. Filling root canals in three dimensions.Dent Clin North Am. 1967;11: 723-44.
Muruzabal M, Erasquin J, DeVoto FCH. A study of periapical overfilling in root canal treatment in the molar of rat. Arc Oral Biol. 1966;11:373-83.