Yıl: 2019 Cilt: 6 Sayı: 2 Sayfa Aralığı: 177 - 181 Metin Dili: İngilizce DOI: 10.15311/selcukdentj.396838 İndeks Tarihi: 17-10-2020

Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report

Öz:
The study aims to determine the efficiency and effectiveness ofapexification treatment using mineral trioxide aggregate (MTA). For thispurpose, two cases were taken into consideration in the examinationon the basis of clinical records in the Faculty of Dentistry at RecepTayyip Erdoğan University. These cases were a female patient at theage of 16 and a male patient at the age of 8. A treatment protocol wasdesigned for and applied on both cases. This way, the whole treatmentcould be divided into three stages: preoperative, procedural andfollow-up steps. The follow-up process consisted of two parts: clinicaland radiographic examinations. In the procedural stage, the clinicianfirst rinsed the root canals with 5 ml of 2.5% NaOCl and administeredcalcium hydroxide (CH) in the canals and allowed it to remain within a1 -week period in order to fill the apical area (4 mm) of the immature,necrotic permanent incisors with an MTA plug. After MTA application,the clinic doctor filled the rest with gutta-percha cones. On the clinicaland radiographic follow-ups performed semi-annually within one year,the lesions were dissected, and the tissues were regenerated in theperiradicular area. In conclusion, use of MTA material was determinedas an efficient and effective method in apexification with respect to timeand quality of treatment and it is still a well-accepted technique.
Anahtar Kelime:

Açık apeksli dişlerde mineral trioksit agregat ile alternatif tedavi yöntemi: Olgu sunumu

Öz:
Bu olgu sunumunun amacı apeksi açık dişlerde Mineral Trioksit Aggregat (MTA) kullanımı sonucunda apeksifikasyon tedavisinin verimliliğinin ve etkinliğinin belirlemesidir. Bu amaçla, Recep Tayyip Erdoğan Üniversitesi Diş Hekimliği Fakültesi'nde klinik kayıtlara göre 16 yaşında bir bayan ve 8 yaşında bir erkek olmak üzere 2 vaka ele alındı. Her iki olgu için ameliyat öncesi, uygulama ve takip aşamaları olmak üzere üç aşama planlandı. Takip süreci ise klinik ve radyografik incelemeler olarak belirlendi. Uygulamanın ilk aşamasında, kök kanalları 5 ml %2.5’lik NaOCl ile yıkandı ve bir hafta süre ile kalsiyum hidroksit (CH) uygulandı. Kök kanallarının apikal 4 mm’lik kısmı MTA ile kapatıldıktan sonra kalan kısmı gütta perka konileri ile dolduruldu. Bir yıl içerisinde altı ay ara ile yapılan klinik ve radyolojik takiplerde periapikal bölgedeki dokuların yeniden yapılandığı ve lezyonların iyileştiği tespit edildi. Sonuç olarak, MTA materyali apeksifikasyon tedavisinde tedavi süresi ve kalitesi de göz önünde bulundurulduğunda hala kabul edilebilen güçlü bir alternatif yöntemdir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Moretton TR, Brown CE, Legan JJ, Kafrawy A. Tissue reactions after subcutaneous and intraosseous implantation of mineral trioxide aggregate and ethoxybenzoic acid cement. Journal of Biomedical Materials Research Part A, 2000, 52: 528-33.
  • 2. Pinar Erdem A, Sepet E. Mineral trioxide aggregate for obturation of maxillary central incisors with necrotic pulp and open apices. Dental Traumatology, 2008, 24.
  • 3. Bakland L. Management of traumatically injured pulps in immature teeth using MTA. Journal of the California Dental Association, 2000, 28: 855-8.
  • 4. Schumacher JW, Rutledge RE. An alternative to apexification. Journal of endodontics, 1993, 19: 529-31.
  • 5. Torabinejad M, Ford T. Root end filling materials: a review. Dental Traumatology, 1996, 12: 161 -78.
  • 6. Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. Journal of endodontics, 1999, 25: 197-205.
  • 7. Moretti A, Oliveira T, Sakai V, Santos C, Machado M, Abdo R. Mineral trioxide aggregate pulpotomy of a primary second molar in a patient with agenesis of the permanent successor. International endodontic journal, 2007, 40: 738- 45.
  • 8. Torabinejad M, Watson T, Ford TP. Sealing ability of a mineral trioxide aggregate when used as a root end filling material. Journal of endodontics, 1993, 19: 591 -5.
  • 9. Felippe W, Felippe M, Rocha M. The effect of mineral trioxide aggregate on the apexification and periapical healing of teeth with incomplete root formation. International endodontic journal, 2006, 39: 2-9.
  • 10.Shabahang S, Torabinejad M, Boyne PP, Abedi H, McMillan P. A comparative study of root-end induction using osteogenic protein-1, calcium hydroxide, and mineral trioxide aggregate in dogs. Journal of endodontics, 1999, 25: 1 -5.
  • 11.Metzger Z, Solomonov M, Mass E. Calcium hydroxide retention in wide root canals with flaring apices. Dental Traumatology, 2001, 17: 86-92.
  • 12.Schwartz RS, Mauger M, Clement DJ, Walker WA. Mineral trioxide aggregate: a new material for endodontics. The Journal of the American Dental Association, 1999, 130: 967-75.
  • 13.Sarkar N, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I. Physicochemical basis of the biologic properties of mineral trioxide aggregate. Journal of endodontics, 2005, 31: 97-100.
  • 14.Hargreaves KM, Geisler T, Henry M, Wang Y. Regeneration potential of the young permanent tooth: what does the future hold? Journal of endodontics, 2008, 34: 51 -6.
  • 15.Kim J-H, Kim Y, Shin S-J, Park J-W, Jung I-Y. Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. Journal of endodontics, 2010, 36: 1086-91.
  • 16.Reynolds K, Johnson J, Cohenca N. Pulp revascularization of necrotic bilateral bicuspids using a modified novel technique to eliminate potential coronal discolouration: a case report. International endodontic journal, 2009, 42: 84-92.
  • 17.Chen MH, Chen KL, Chen CA, Tayebaty F, Rosenberg P, Lin L. Responses of immature permanent teeth with infected necrotic pulp tissue and apical periodontitis/abscess to revascularization procedures. International endodontic journal, 2012, 45: 294-305.
  • 18.Nosrat A, Homayounfar N, Oloomi K. Drawbacks and unfavorable outcomes of regenerative endodontic treatments of necrotic immature teeth: a literature review and report of a case. Journal of endodontics, 2012, 38: 1428-34.
  • 19.Petrino JA, Boda KK, Shambarger S, Bowles WR, McClanahan SB. Challenges in regenerative endodontics: a case series. Journal of endodontics, 2010, 36: 536-41.
  • 20.Shabahang S, Torabinejad M. Treatment of teeth with open apices using mineral trioxide aggregate. Practical Periodontics and Aesthetic Dentistry, 2000, 12: 315-20.
  • 21.Pace R, Giuliani V, Pini Prato L, Baccetti T, Pagavino G. Apical plug technique using mineral trioxide aggregate: results from a case series. International endodontic journal, 2007, 40: 478-84.
  • 22.Mente J, Hage N, Pfefferle T, Koch MJ, Dreyhaupt J, Staehle HJ, Friedman S. Mineral trioxide aggregate apical plugs in teeth with open apical foramina: a retrospective analysis of treatment outcome. Journal of endodontics, 2009, 35: 1354-58.
  • 23.Hachmeister DR, Schindler WG, Walker WA, Thomas DD. The sealing ability and retention characteristics of mineral trioxide aggregate in a model of apexification. Journal of endodontics, 2002, 28: 386-90.
  • 24.Aminoshariae A, Hartwell GR, Moon PC. Placement of mineral trioxide aggregate using two different techniques. Journal of endodontics, 2003, 29: 679- 82.
APA Arıcıoğlu B, Hatipoğlu Ö (2019). Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report. , 177 - 181. 10.15311/selcukdentj.396838
Chicago Arıcıoğlu Banu,Hatipoğlu Ömer Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report. (2019): 177 - 181. 10.15311/selcukdentj.396838
MLA Arıcıoğlu Banu,Hatipoğlu Ömer Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report. , 2019, ss.177 - 181. 10.15311/selcukdentj.396838
AMA Arıcıoğlu B,Hatipoğlu Ö Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report. . 2019; 177 - 181. 10.15311/selcukdentj.396838
Vancouver Arıcıoğlu B,Hatipoğlu Ö Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report. . 2019; 177 - 181. 10.15311/selcukdentj.396838
IEEE Arıcıoğlu B,Hatipoğlu Ö "Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report." , ss.177 - 181, 2019. 10.15311/selcukdentj.396838
ISNAD Arıcıoğlu, Banu - Hatipoğlu, Ömer. "Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report". (2019), 177-181. https://doi.org/10.15311/selcukdentj.396838
APA Arıcıoğlu B, Hatipoğlu Ö (2019). Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report. Selcuk Dental Journal, 6(2), 177 - 181. 10.15311/selcukdentj.396838
Chicago Arıcıoğlu Banu,Hatipoğlu Ömer Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report. Selcuk Dental Journal 6, no.2 (2019): 177 - 181. 10.15311/selcukdentj.396838
MLA Arıcıoğlu Banu,Hatipoğlu Ömer Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report. Selcuk Dental Journal, vol.6, no.2, 2019, ss.177 - 181. 10.15311/selcukdentj.396838
AMA Arıcıoğlu B,Hatipoğlu Ö Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report. Selcuk Dental Journal. 2019; 6(2): 177 - 181. 10.15311/selcukdentj.396838
Vancouver Arıcıoğlu B,Hatipoğlu Ö Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report. Selcuk Dental Journal. 2019; 6(2): 177 - 181. 10.15311/selcukdentj.396838
IEEE Arıcıoğlu B,Hatipoğlu Ö "Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report." Selcuk Dental Journal, 6, ss.177 - 181, 2019. 10.15311/selcukdentj.396838
ISNAD Arıcıoğlu, Banu - Hatipoğlu, Ömer. "Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report". Selcuk Dental Journal 6/2 (2019), 177-181. https://doi.org/10.15311/selcukdentj.396838