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Related Experiment Videos

Apical plug technique using mineral trioxide aggregate: results from a case series.

R Pace1, V Giuliani, L Pini Prato

  • 1Department of Endodontics, The University of Florence, Florence, Italy.

International Endodontic Journal
|April 4, 2007
PubMed
Summary

Mineral trioxide aggregate (MTA) apical plugs successfully treated immature teeth with open apices and necrotic pulps. This nonsurgical technique promoted periradicular healing in most cases, showing promising clinical and radiographic results.

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Area of Science:

  • Endodontics
  • Regenerative Dentistry
  • Dental Materials Science

Background:

  • Premature root development interruption in immature teeth presents significant endodontic challenges.
  • Necrotic pulps in immature teeth with open apices require innovative treatment approaches for apexification and periradicular healing.

Purpose of the Study:

  • To evaluate the clinical and radiographic outcomes of immature teeth treated with a mineral trioxide aggregate (MTA) apical plug.
  • To assess the efficacy of MTA in achieving periradicular healing in teeth with open apices and necrotic pulps.

Main Methods:

  • Eleven immature teeth with open apices and necrotic pulps were treated nonsurgically.
  • Mineral trioxide aggregate (MTA) was manually applied as an apical plug under microscopic vision.

Related Experiment Videos

  • Follow-up evaluations were conducted at 1-2 years post-treatment.

    • Main Results:

    • The MTA apical plug technique was employed in 11 teeth across 11 patients.
    • Ten out of eleven treated teeth demonstrated periradicular health at the 1-2 year follow-up.
    • Clinical and radiographic assessments indicated successful treatment outcomes.

    Conclusions:

    • Mineral trioxide aggregate (MTA) is a viable material for apexification and periradicular healing in immature teeth.
    • The nonsurgical MTA apical plug technique offers a favorable prognosis for teeth with open apices and necrotic pulps.
    • The study supports MTA's effectiveness in promoting healing and preserving immature dentition.