Endodontic treatment with MTA apical plugs: a case report

Ghaziani, P. and Aghasizadeh, N. and Sheikh-Nezami, M. (2007) Endodontic treatment with MTA apical plugs: a case report. Journal of oral science, 49 (4). pp. 325-329.

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Apexification with calcium hydroxide is associated with certain difficulties, such as the very long treatment time required, the possibility of tooth fracture, and incomplete calcification of the bridge. Use of an apical plug is an alternative treatment for open apices, and this has gained popularity in recent years, employing mineral trioxide aggregate (MTA) for optimal results. Here we report the successful treatment of two maxillary central incisors that had open apices and periapical lesions using MTA apical plugs after the root canals had been debrided and rinsed with 2.5 NaOCl. Calcium hydroxide paste was then placed in the canals for 1 week, before the apical portion of the canals (5 mm) was filled with the MTA plug. The remaining portion of the root canal was then sealed with a post and crown. After 6 months of follow-up, the clinical and radiographic appearance of the teeth showed a decrease of the periapical lesions. At 2 years, although the left post had been lost and the periapical lesion of the left central incisor had subsequently deteriorated, the right central incisor had healed successfully. Considering the importance of a coronal seal, the use of MTA for apical plugging appears to be a valid option.

Item Type: Article
Additional Information: Cited By :20 Export Date: 16 February 2020 Correspondence Address: Ghaziani, P.email: pghaziani@yahoo.com
Uncontrolled Keywords: aluminum derivative calcium derivative calcium hydroxide mineral trioxide aggregate oxide root canal filling material silicate unclassified drug adolescent article case report drug combination endodontics growth, development and aging human incisor male methodology tooth crown tooth fracture tooth periapical disease tooth pulp disease tooth root Aluminum Compounds Calcium Compounds Dental Pulp Necrosis Drug Combinations Humans Oxides Periapical Periodontitis Post and Core Technique Root Canal Filling Materials Root Canal Obturation Silicates Tooth Apex Tooth Fractures
Subjects: WK Endocrine System
WU Dentistry. Oral surgery
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib7 lib7
Date Deposited: 25 Apr 2020 09:22
Last Modified: 25 Apr 2020 09:22
URI: http://eprints.mums.ac.ir/id/eprint/16990

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