Related Experiment Video
Updated: May 10, 2025
07:14
Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
Published on: May 24, 2022
4.3K
Postoperative Outcomes in Surgical Endodontic Treatment Using Various Root-End Filling Materials for Immature Root
Sweta Rastogi1, Shahnaz Nabi1, Sanjay Miglani1
1Conservative Dentistry and Endodontics, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, IND.
Cureus
|April 21, 2025
Summary
This case series shows successful surgical endodontic treatment for immature teeth using Mineral Trioxide Aggregate (MTA) and Biodentine. Both materials promoted healing and bone regeneration, emphasizing personalized care for complex cases.
Area of Science:
- Endodontics
- Regenerative Dentistry
- Oral Surgery
Background:
- Immature root apices present unique challenges in endodontic treatment due to thin dentinal walls and open apices.
- Surgical endodontics offers a viable treatment option for teeth with immature apices that fail to respond to conventional non-surgical root canal therapy.
- Evaluating different root-end filling materials is crucial for optimizing periapical healing and long-term tooth survival.
Observation:
- Three cases of young patients with non-vital, immature teeth underwent periapical surgery with varied root-end filling materials: no filling, Mineral Trioxide Aggregate (MTA), and Biodentine.
- Treatments involved thorough pre-surgical evaluation, non-surgical root canal therapy, and magnification-assisted periapical surgery.
- Clinical and radiographic assessments were conducted over 6-24 months post-surgery.
Findings:
- All cases demonstrated successful clinical and radiographic outcomes, including favorable periapical healing and functional restoration.
- Mineral Trioxide Aggregate (MTA) and Biodentine proved effective as root-end filling materials, promoting significant periapical bone regeneration.
- Individualized treatment planning, precise surgical techniques, and diligent postoperative care were critical factors contributing to successful outcomes.
Implications:
- Contemporary root-end filling materials like MTA and Biodentine are highly effective in managing immature root apices in surgical endodontics.
- Personalized treatment strategies are essential for addressing the complexities associated with immature root apices.
- Further research is warranted to refine treatment protocols and long-term efficacy of various root-end filling materials in regenerative endodontic procedures.
