The use of MTA in teeth with necrotic pulps and open apices.
Three clinical cases have been treated with the use of an apical plug of MTA for apexification. All three cases were central incisors that had suffered premature interruption of root development as a consequence of trauma. According to the treatment protocol, the root canals were rinsed with 5% NaOCl; then, calcium hydroxide paste was placed in the canals for 1 week. Consequently, the apical portion of the canal (4 mm) was filled with MTA. The remaining portion of the root canals was then closed with thermoplastic gutta-percha. At 6-month and 1-year follow-up period the clinical and radiographic appearance of the teeth showed resolution of the periapical lesions. MTA appears to be a valid option for apexification with its main advantage being the speed at which the treatment can be completed.
Giuliani
Valentina
V
Department of Endodontics, The University of Florence, Italy.
Baccetti
Tiziano
T
Pace
Riccardo
R
Pagavino
Gabriella
G
D000293:Adolescent; D000328:Adult; D017607:Aluminum Compounds; D017610:Calcium Compounds; D003751:Dental Fistula / Q000209:etiology / Q000628:therapy; D003790:Dental Pulp Necrosis / Q000150:complications / Q000628:therapy*; D003809:Dentin, Secondary / Q000378:metabolism; D004338:Drug Combinations; D005260:Female; D006801:Humans; D008297:Male; D010087:Oxides; D010485:Periapical Periodontitis / Q000209:etiology / Q000628:therapy; D012387:Root Canal Filling Materials; D012389:Root Canal Obturation / Q000379:methods*; D017640:Silicates; D019227:Tooth Apex / Q000502:physiology*
D017607:Aluminum Compounds; D017610:Calcium Compounds; D004338:Drug Combinations; D010087:Oxides; D012387:Root Canal Filling Materials; D017640:Silicates; C086631:mineral trioxide aggregate