Histologic evaluation of the use of membrane, bone graft, and MTA in apical surgery.
The aim of this study was to evaluate the periapical healing after the use of membrane, bone graft, and mineral trioxide aggregate (MTA) in apical surgery of dogs' teeth. Apical lesions were induced in 48 roots of 6 dogs after coronal access and pulpal removal. Apical surgery consisted of osteotomy with trephine bur for the standardization of the critical surgical cavities, followed by apicoectomy, curettage, preparation of the root-end cavities with the aid of the ultrasonic device, and retrofilling with MTA. The surgical sites were divided into: group 1-filled with blood; group 2-filled with blood and recovered with membrane; group 3-filled with bone graft; and group 4-filled with bone graft and recovered with membrane. The results showed that the inflammatory infiltrate, the periapical healing process, and the behavior of MTA was the same in all groups, including the mineralization stimulation. It was concluded that the use of membranes and bone graft materials isolated or associated in apical surgery did not alter the periapical healing process after the root-end filling with MTA.
Bernabé
Pedro Felício Estrada
PF
Department of Endodontics, Araçatuba School of Dentistry, São Paulo State University, Araçatuba, Brazil.
Gomes-Filho
João Eduardo
JE
Cintra
Luciano Tavares Angelo
LT
Moretto
Marcelo Juliano
MJ
Lodi
Carolina Simonetti
CS
Nery
Mauro Juvenal
MJ
Otoboni Filho
José Arlindo
JA
Dezan
Elói
E
D017607:Aluminum Compounds; D000818:Animals; D001047:Apicoectomy; D001861:Bone Regeneration; D016025:Bone Transplantation; D017610:Calcium Compounds; D004285:Dogs; D004338:Drug Combinations; D016557:Guided Tissue Regeneration, Periodontal; D008297:Male; D008567:Membranes, Artificial; D010087:Oxides; D010485:Periapical Periodontitis / Q000601:surgery*; D012184:Retrograde Obturation; D012387:Root Canal Filling Materials; D017640:Silicates
D017607:Aluminum Compounds; D017610:Calcium Compounds; D004338:Drug Combinations; D008567:Membranes, Artificial; D010087:Oxides; D012387:Root Canal Filling Materials; D017640:Silicates; C086631:mineral trioxide aggregate