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Related Experiment Video

Updated: Apr 19, 2026

Scanning Electron Microscopic Evaluation of Surface Defects of Remover Retreatment File After Single and Multiple Uses
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Scanning Electron Microscopic Evaluation of Surface Defects of Remover Retreatment File After Single and Multiple Uses

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MTA monoblock obturation technique in endodontic retreatment.

Zahid Iqbal1, Abdul Hakeem Qureshi2

  • 1Department of Operative Dentistry and Endodontics, College of Dentistry/Qassim University, Kingdom of Saudi Arabia.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|December 19, 2014
PubMed
Summary

This study shows that Mineral Trioxide Aggregate (MTA) monoblock obturation is effective for re-treating teeth with periapical lesions. The technique successfully healed a patient's acute periapical abscess after previous root canal treatment.

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Area of Science:

  • Dentistry
  • Endodontics
  • Regenerative Medicine

Background:

  • Non-surgical root canal retreatment is often necessary for teeth with persistent periapical lesions.
  • Previous root canal treatments can fail due to inadequate obturation or persistent infection.
  • Periapical lesions and root resorption pose significant challenges in endodontic retreatment.

Purpose of the Study:

  • To evaluate the efficacy of the Mineral Trioxide Aggregate (MTA) monoblock obturation technique in a retreated tooth with an acute periapical abscess and root resorption.
  • To assess periradicular healing one year after non-surgical retreatment using MTA.

Main Methods:

  • A 48-year-old male patient with a symptomatic, previously root canal-treated mandibular right first molar was diagnosed with an acute periapical abscess.
  • The tooth underwent non-surgical retreatment with manual application of MTA in the root canal.
  • Clinical and radiographic follow-up was conducted at one year post-treatment.

Main Results:

  • The patient showed complete resolution of clinical signs and symptoms, including swelling and pain.
  • Radiographic evaluation revealed a substantial reduction (over 50%) in the periapical and furcation radiolucency.
  • No signs of root resorption progression were noted after treatment.

Conclusions:

  • The MTA monoblock obturation technique is a viable and effective method for achieving periradicular healing in retreated teeth with periapical lesions and root resorption.
  • This technique offers a promising approach for managing complex endodontic cases requiring retreatment.
  • Successful outcomes support the use of MTA for regenerative endodontic procedures.