Retrospective Evaluation of Healing of Periapical Lesions after Unintentional Extrusion of Mineral Trioxide Aggregate

Demiriz, Levent; Bodrumlu, Ebru Hazar

doi:10.5301/jabfm.5000359

Cited by 8 publications

(11 citation statements)

References 32 publications

(84 reference statements)

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“…[ 14 ] They found that at follow-up, the tooth was asymptomatic after MTA extrusion in molar and at repair of the lesion was evident radiographically. Our results were also in accordance with the study performed by Demiriz et al .,[ 15 ] who showed that MTA extrusion was reduced in 85% and was almost absent in 10% teeth compared with 84% and 12%, respectively, in our study.…”

Section: Discussionsupporting

confidence: 50%

Evaluation of Healing of Periapical Tissue in Permanent Incisors with Open Apices after Unintentional Extrusion of Mineral Trioxide Aggregate – a Retrospective Study

Roy

Kumari²,

Chandra³

et al. 2021

Journal of Pharmacy and Bioallied Sciences

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Aim: The aim of the present study was to retrospectively assess the healing of periapical lesions in permanent central incisors with open apices after unintentional extrusion of mineral trioxide aggregate (MTA). Materials and Methods: The clinical and radiographic records of 75 maxillary permanent central teeth treated by MTA apexification were evaluated. Teeth with unintentionally extruded MTA formed the study group (Group 1, n = 28), whereas the teeth with no MTA extrusion formed the control group (Group 2, n = 47). For both the groups, the records were analyzed for a follow-up period of 3 years. Results: Complete healing (CH) was observed in 25 teeth in the study group, whereas all the teeth in the control group showed CH ( P > 0.05). Within the study group, 6 teeth (21%) showed CH in the 6 th month in Group 1, whereas in the control group, 34 teeth (72.3%) showed CH ( P < 0.001). At the 1-year follow-up appointment, 19 teeth (67.8%) showed CH in Group 1, whereas 9 teeth (19.1%) showed the same result in Group 2 ( P < 0.001). At the end of the 3-year follow-up period, it was noticed that in 21 (84%) teeth, extruded MTA remained unchanged, whereas it was reduced in 4 (16%) of them ( P < 0.001). Conclusion: Extrusion of MTA does not have a significant effect on the healing of the periapical lesion. However, it may lead to a delay in the healing of periapical healing. Patients should be informed about the complication and consequences of extruded MTA and should be kept on follow-up to observe periapical healing.

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Section: Discussionsupporting

confidence: 50%

Evaluation of Healing of Periapical Tissue in Permanent Incisors with Open Apices after Unintentional Extrusion of Mineral Trioxide Aggregate – a Retrospective Study

Roy

Kumari²,

Chandra³

et al. 2021

Journal of Pharmacy and Bioallied Sciences

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“…Traumatic dental injuries leading to pulp necrosis and apical periodontitis were the most common reason for treatment in both RET and MTA study groups. Exhaustive data about the specific type of trauma injury were reported in five of the included studies (Bucher et al 2016 ; Ree and Schwartz 2017 ; Kandemir Demirci et al 2019 ; Chan et al 2017 ; Ulusoy et al 2019 ), and two studies did not state the cause for the treatment (Demiriz and Hazar 2017 ; Mente et al 2013 ). In both study groups, the overall trauma frequency varied between 46 and 100% (Table 9 ).…”

Section: Resultsmentioning

confidence: 99%

“…one to four weeks—with the exception of a prolonged time frame in one of the control groups where the final treatment was postponed until a complete apical calcific barrier was observed radiographically and confirmed clinically (Kandemir Demirci et al 2019 ). Two of the MTA studies did not provide data about the total medication time (Demiriz and Hazar 2017 ; Mente et al 2013 ).…”

Section: Resultsmentioning

confidence: 99%

“…We found that three of the studies from the MTA group reported the level of root filling in relation to the root apex (Bucher et al 2016;Demiriz and Hazar 2017;Mente et al 2013). For example, one of the studies found that 30% of the root-filled teeth were underfilled or overfilled, but this did not affect the healing rate as 90% showed clinical and radiographical success (Bucher et al 2016).…”

Section: Outcome Measures Used In the Included Studiesmentioning

confidence: 99%

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What is the best long-term treatment modality for immature permanent teeth with pulp necrosis and apical periodontitis?

Wikström

Brundin

Lopes

et al. 2021

Eur Arch Paediatr Dent

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Purpose To evaluate and assess the current knowledge about apexification and regenerative techniques as a meaningful treatment modality and to map the scientific evidence for the efficacy of both methods for the management of traumatised immature teeth with pulp necrosis and apical periodontitis. Methods This systematic review searched five databases: PubMed, Web of Science, Cochrane Library, Ovid (Medline), and Embase. Published articles written in English were considered for inclusion. The following keywords were used: Regenerative endodontic treatment OR regenerat* OR revital* OR endodontic regeneration OR regenerative endodontics OR pulp revascularization OR revasculari* OR ‘traumatized immature teeth’. Only peer-reviewed studies with a study size of at least 20 cases followed up for 24 months were included. Eligibility assessment was performed independently in a blinded manner by three reviewers and disagreements were resolved by consensus. Subgroup analyses were performed on three clinical outcomes: survival, success, and continued root development. Results Seven full texts out of 1359 citations were included and conventional content analysis was performed. Most of the identified citations were case reports and case series. Conclusions In the present systematic review, the qualitative analysis revealed that both regenerative and apexification techniques had equal rates of success and survival and proved to be effective in the treatment of immature necrotic permanent teeth. Endodontic regenerative techniques appear to be superior to apexification techniques in terms of stimulation of root maturation, i.e. root wall thickening and root lengthening. Knowledge gaps were identified regarding the treatment and follow-up protocols for both techniques.

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“…The microorganisms are found close to or in the root canal system or at the outside around the root apex (3)(4). Carious and trauma are the most common reasons for the inflammation or necrosis of the pulp tissue in permanent teeth (5). It is recognized that the healing of these lesions depends on proper mechanical and chemical removal of the infected canal content, as well as three-dimensional canal obturation (2)(3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Non-surgical endodontic treatment of long-standing traumatized immature tooth with periapical lesion: a case report

2021

jsurgery

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The treatment of necrotic permanent teeth with immature apices is a daunting challenge. Apexification has been traditionally used to treat immature permanent teeth with lost pulp vitality. This technique promotes the formation of an apical barrier to close the open apex so that filling materials can be confined to the root canal. The authors present a case report of the successful treatment of a traumatized tooth with an open apex that was weakened due to a long-standing infection and thin dentin walls. In this case, we first used a triple antibiotic to disinfect the canal and then placed a calcium-enriched mixture (CEM) cement plug. Follow-up evaluations were performed 15 months after treatment. The CEM-cement appears to be a valid material to obtain periradicular healing in teeth with open apices and necrotic pulps.

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Retrospective Evaluation of Healing of Periapical Lesions after Unintentional Extrusion of Mineral Trioxide Aggregate

Abstract: The unintentional extrusion of MTA does not prevent the healing of periapical lesions, but may be a delaying factor for periapical healing.

Cited by 8 publications

References 32 publications

Evaluation of Healing of Periapical Tissue in Permanent Incisors with Open Apices after Unintentional Extrusion of Mineral Trioxide Aggregate – a Retrospective Study

Evaluation of Healing of Periapical Tissue in Permanent Incisors with Open Apices after Unintentional Extrusion of Mineral Trioxide Aggregate – a Retrospective Study

What is the best long-term treatment modality for immature permanent teeth with pulp necrosis and apical periodontitis?

Non-surgical endodontic treatment of long-standing traumatized immature tooth with periapical lesion: a case report

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