Role of mineral trioxide aggregate in management of external root resorption

Ashwini, TS; Hosmani, Namrata; Patil, C. S.; Yalgi, Viraj S

doi:10.4103/0972-0707.120937

Cited by 4 publications

(5 citation statements)

References 8 publications

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“…MTA was chosen as the root canal filling material because of its reported properties such as biocompatibility, antimicrobial activity, hydrophilicity, and excellent sealing ability. Consistent with this case report, previous studies have reported the successful use of MTA in teeth with necrotic pulps and open apices associated with external root resorption 19 …”

Section: Discussionsupporting

confidence: 91%

“…Consistent with this case report, previous studies have reported the successful use of MTA in teeth with necrotic pulps and open apices associated with external root resorption. 19 A surgical intervention was subsequently done with an objective of complete debridement of the osseous defect, root end resection, and reshaping to reposition the root within the alveolar housing. 7,12 The ultimate goal of periodontal therapy is to prevent further loss of attachment and restore the supporting periodontal tissues lost due to disease or trauma.…”

Section: Case Reportmentioning

confidence: 99%

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Successful management of a large mucosal fenestration at 18‐months follow‐up

Yadav

Gupta

Chawla

et al. 2021

J Esthet Restor Dent

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Objectives Mucosal fenestrations are infrequent and often challenging to treat depending on the extent of soft and hard tissue destruction. This article presents the successful management of a relatively larger mucosal fenestration associated with complete absence of buccal bone plate in a mandibular incisor secondary to trauma‐induced periapical pathosis. Clinical considerations After non‐surgical endodontic therapy, surgery was performed for debridement of the osseous defect, root resection/shaping, connective tissue graft (CTG) placement on the affected root surface and platelet rich fibrin (PRF) in periapical osseous defect rather than use of bone graft and/or barrier membrane. Healing was uneventful, however, a small mucosal defect remained at 2 weeks follow‐up. After 3 months of primary surgery, a corrective surgery was performed utilizing an “incision‐free” approach i.e. tunnel technique with CTG in contrast to the contemporary flap approach. At 18 months follow‐up, complete closure of the mucosal defect with a thick gingival biotype, normal sulcus depth, and good esthetic outcome were achieved. No recurrence and any clinical signs of infection or inflammation were observed. Conclusions Based on the outcomes of present case, an early intervention utilizing the minimally invasive surgical therapy and autologous biomaterials may be considered a viable approach to treat such complex lesions. Clinical significance Endodontic therapy in combination with PRF and CTG appears to provide successful outcomes in treatment of a large mucosal fenestration with periapical osseous defect.

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Section: Discussionsupporting

confidence: 91%

Section: Case Reportmentioning

confidence: 99%

Successful management of a large mucosal fenestration at 18‐months follow‐up

Yadav

Gupta

Chawla

et al. 2021

J Esthet Restor Dent

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“…[2122] The high pH increases the permeability of cell membranes with leakage of intracellular components. [13] Therefore, MTA and calcium hydroxide seem to possess similar antimicrobial action.…”

Section: Discussionmentioning

confidence: 99%

“…Regarding the antifungal action of MTA, it has been shown that the mechanism of action of MTA involves the dissolution of calcium oxide, which increases pH by releasing Ca +2 and OH − . [ 21 22 ] The high pH increases the permeability of cell membranes with leakage of intracellular components. [ 13 ] Therefore, MTA and calcium hydroxide seem to possess similar antimicrobial action.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of antifungal activity of white-colored mineral trioxide aggregate on different strains of Candida albicans in vitro

Bhardwaj¹,

Bhardwaj²,

Rao

2014

J Conserv Dent

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Aim:The purpose of this study was to evaluate the antifungal action of various concentrations of white mineral trioxide aggregate (MTA) against seven different strains of Candida albicans using the tube dilution test.Materials and Methods:Fresh mix of MTA was prepared at concentrations of 100, 50, 25, and 12.5 mg/ml and added to a broth tube containing Sabouraud's liquid medium. A total of 1287 broth tubes were prepared and divided into experimental and control groups. Stock cultures of seven strains of C. albicans were obtained. Fresh inoculate of the microorganism was prepared by growing overnight cultures. Aliquots of the test C. albicans were taken and added to the test tubes. All tubes were incubated at 37°C for 1-, 24-, 72-, and 168-h time periods. At each time period, the presence of C. albicans colonies was assessed.Statistical analysis used:Differences among the groups were statistically analyzed using Kruskal–Wallis and Mann–Whitney U tests.Results:Results showed that one strain showed resistance even after 3 days at the lower MTA concentrations of 12.5 and 25 mg/ml. Growth reoccurred with three strains at MTA concentration of 12.5 mg/ml after 7 days. A significant difference was found between strain 3 and other strains at MTA concentrations of 12.5 and 25 mg/ml at the 3-days time period and between tubes containing 12.5 mg/ml and tubes containing higher concentrations of MTA at the 7-days time period.Conclusion:White MTA in concentrations of 100 and 50 mg/ml is effective in inhibiting the seven tested strains of C. albicans for periods up to 1 week.

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“…One of the major challenges in endodontic treatment of teeth with open apices due to resorption is achieving effective debridement, canal disinfection and subsequent sealing of the root canal space. The key point is to form an apical barrier or a stop against which one can place the sealer and gutta-percha, while avoiding over-extrusion 17,21 .Mineral trioxide aggregate (MTA) is a reliable material due to its biocompatibility and good sealing properties,which providesopportunities for the regeneration of periapical tissues,such as periodontal ligament, bone and cementum 1,2,15 .…”

Section: Introductionmentioning

confidence: 99%

Orthograde Apical Application of an MTA Plug in a Tooth without Constriction - A Case Report

2016

IJSR

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Abstract:The periapical area in teeth with chronic lesions is characterized by changes in the adjacent bone structure and periodontal ligaments, as well as in the cement and dentine. In a large percentage of cases, the apical physiological constriction is ether absent or expanded. The absence of a constriction makes it a challenge to achieve satisfactory treatment results.The present case report describes the re-treatment of a case of a mandibular molar, complicated by lack of constriction and a separated endodontic instrument. Mineral trioxide aggregate (MTA) was used for a 5-mm apical plug to avoid overfilling of the sealer when the root canal was definitely obturated. The periapical radiographs showed satisfactory images of periapical bone density and the tooth was asymptomatic on precision. MTA is proved to be an appropriate material for apical sealing in cases with resorption, as it leads to avoidance of apical surgical procedures with a similar prognostic outcome.

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Role of mineral trioxide aggregate in management of external root resorption

Cited by 4 publications

References 8 publications

Successful management of a large mucosal fenestration at 18‐months follow‐up

Successful management of a large mucosal fenestration at 18‐months follow‐up

Evaluation of antifungal activity of white-colored mineral trioxide aggregate on different strains of Candida albicans in vitro

Orthograde Apical Application of an MTA Plug in a Tooth without Constriction - A Case Report

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