Use of mineral trioxide aggregate in the treatement of traumatized teeth in children--two case reports.
BACKGROUND
Dental injuries in immature permanent teeth often result in endodontic complications. Apexification technique using calcium hydroxide is associated with certain flaws, such as long treatment time, the possibility of tooth fracture and incomplete calcification. The use of an apical plug employing mineral trioxide aggregate (MTA) is an alternative treatment option.


METHODS
We reported the successful treatment of 4 maxillary incisors (in a 7-year-old boy and a 10-year-old girl) with open apices and periapical lesions. Apical portions of the canals were filled with MTA plugs in both cases. Coronal parts of the root canals were filled with gutta-percha and sealer. Clinical findings were clear 6 months after the definite obturation with no pathological changes on the radiographs in both cases.


CONCLUSIONS
The use of MTA for apical plugging appears to be a valid treatment option in traumatized immature teeth with endodontic complications.
Department of Paediatric and Preventive Dentistry, Faculty of Dentistry, University of Belgrade, Belgrade, Serbia.
Bojana
B
Cetenović
Dejan
D
Marković
Bojan
B
Petrović
Tamara
T
Perić
Vukoman
V
Jokanović
D017607:Aluminum Compounds / Q000627:therapeutic use*; D056624:Apexification / Q000379:methods*; D017610:Calcium Compounds / Q000627:therapeutic use*; D002126:Calcium Hydroxide / Q000627:therapeutic use; D002648:Child; D003738:Dental Cements / Q000627:therapeutic use; D004338:Drug Combinations; D005260:Female; D006171:Gutta-Percha / Q000627:therapeutic use*; D006801:Humans; D007180:Incisor / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D010087:Oxides / Q000627:therapeutic use*; D011859:Radiography; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D012389:Root Canal Obturation / Q000379:methods*; D017640:Silicates / Q000627:therapeutic use*; D013812:Therapeutics; D014082:Tooth Fractures / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
D017607:Aluminum Compounds; D017610:Calcium Compounds; D003738:Dental Cements; D004338:Drug Combinations; D010087:Oxides; D012387:Root Canal Filling Materials; D017640:Silicates; C086631:mineral trioxide aggregate; D006171:Gutta-Percha; D002126:Calcium Hydroxide