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Endodontic treatment with MTA apical plugs: a case report
Pari Ghaziani1, Navid Aghasizadeh, Mahshid Sheikh-Nezami
1Department of Endodontics, Faculty of Dentistry and Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. pghaziani@yahoo.com
Journal of Oral Science
|January 16, 2008
Summary
Mineral trioxide aggregate (MTA) apical plugs offer a viable alternative to traditional apexification for open apices. This case study shows successful healing of periapical lesions in one tooth, highlighting MTA
Area of Science:
- Endodontics
- Regenerative Dentistry
Background:
- Traditional apexification with calcium hydroxide presents challenges including prolonged treatment duration, risk of tooth fracture, and incomplete calcification.
- Mineral trioxide aggregate (MTA) has emerged as a popular alternative for open apex treatment due to its favorable outcomes.
Observation:
- Two cases of maxillary central incisors with open apices and periapical lesions were treated using MTA apical plugs.
- Treatment involved root canal debridement, irrigation with 2.5% sodium hypochlorite (NaOCl), a 1-week calcium hydroxide paste placement, and a 5mm MTA apical plug.
- The remaining root canal was sealed with a post and crown.
Findings:
- Radiographic and clinical evaluation at 6 months showed a reduction in periapical lesions for both teeth.
- At 2 years, one tooth demonstrated successful healing, while the other experienced deterioration after post loss.
- The importance of a coronal seal was underscored by the differing outcomes.
Implications:
- Mineral trioxide aggregate (MTA) apical plugging is a potentially effective treatment option for immature teeth with open apices and periapical pathology.
- Successful outcomes are contingent on factors including the integrity of the coronal seal.
- Further research is warranted to optimize treatment protocols and long-term success rates.