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Marginal gingiva discoloration by gray MTA: a case report
Eduardo Antunes Bortoluzzi1, Gustavo Sivieri Araújo, Juliane Maria Guerreiro Tanomaru
1Department of Restorative Dentistry, Araraquara Dental School, São Paulo State University, UNESP, Araraquara, SP, Brazil.
Journal of Endodontics
|February 27, 2007
Summary
Root canal perforations can cause discoloration. Replacing gray Mineral Trioxide Aggregate (MTA) with white MTA using a dental operating microscope resolved gingival discoloration and improved esthetics.
Area of Science:
- Endodontics
- Restorative Dentistry
- Dental Materials Science
Background:
- Root canal perforation is a common complication during endodontic post placement.
- Mineral Trioxide Aggregate (MTA) is a biocompatible material frequently used to seal root perforations.
- Gray MTA has been associated with tooth and gingival discoloration.
Observation:
- A clinical case report details a patient experiencing marginal gingival discoloration after a root perforation was sealed with gray MTA.
- The discoloration negatively impacted the patient's esthetics.
Findings:
- Replacement of the gray MTA with white MTA was performed using a dental operating microscope.
- The procedure successfully eliminated the gingival discoloration.
Implications:
- White MTA offers an esthetic alternative for sealing root perforations, especially in visible areas.
- The use of a dental operating microscope is crucial for precise material removal and replacement, ensuring favorable esthetic outcomes.
- This case highlights the importance of material selection in endodontics to prevent esthetic complications.
