Proper diagnosis was made with the help of radiological investigations. Arens and torabinejad18 reported that 2 cases are described in which mta was used to repair furcation perforation successfully. Mente j, geletneky b, ohle m, koch mj, friedrich ding pg, wolff d, et al. Mineral trioxide aggregate as pulp dressing agent in pulptomy treatment of primary molars. Treatment outcome of mineral trioxide aggregate in open apex teeth. Mineral trioxide aggregate for the treatment of external. Shortterm treatment outcome of pulpotomies in primary molars. Mineral trioxide aggregate plug and conventional root. Mineral trioxide aggregate mta, is unique endodontic cement that was initially. Mineral trioxide aggregate plug and conventional root canal. Oversell, 384 patients with endodontic disease treated in xuzhou stomatological hospital, xuzhou, china, from june 2015 to june 2017 were selected, and randomly divided into four groups with 96 cases per group.
Treatment outcome of mineral trioxide aggregate in open. The available treatment options were discussed with the patients parents and root canal therapy, using mineral trioxide aggregate, as an apical barrier was carried out in his upper right front teeth. Although the outcome of revascularization procedures remains somewhat unpredictable and the clinical. Longterm observation of the mineral trioxide aggregate. Microsoft word treatment outcome of mineral trioxide aggregate repair of root perforationslongterm results. Repair of furcal iatrogenic perforation with mineral. This controlled, historic cohort study project continues a previously reported trial aiming to assess treatment outcome of direct pulp capping with mineral trioxide aggregate mta versus calcium hydroxide ch. The use of mineral trioxide aggregate mta might improve the prognosis of teeth after pulp exposure. This study aimed to illustrate the treatment outcomes of mineral trioxide aggregate mta pulpotomy in vital permanent teeth with carious pulp exposure. Mineral trioxide aggregate use in pediatric dentistry. Pace et al 19 had done clinical and radiographic followups at 6 months, 1 year, 2 years, and 5 years, and after 5 years, and indicated a successful outcome of sealing. Mineral trioxide aggregate mta is a new material with numerous exciting clinical applications. Rangoonwala college of dental sciences and research centre, pune, maharashtra, india.
All respondents reported that they used mta in their clinical practice, with apexification, perforations, retrograde fillings, and. Shortterm treatment outcome of pulpotomies in primary molars using mineral trioxide aggregate and biodentine. The primary aim was to assess the outcome of the treatment of teeth with open apices managed by the orthograde placement of mineral trioxide aggregate. Mineral trioxide aggregate apical plugs in teeth with open apical foramina. Mineral trioxide aggregate mta is a dental material used extensively for. Treatment outcome of mineral trioxide aggregate repair of. This hydration reaction was found to result in calcium hydroxide ca oh2 as a byproduct 14. Mineral trioxide aggregate repair of lateral root perforation. A case report l kqiku ka ebeleseder k glockner clinical relevance mta combined with glass ionomer cement and composite resin in a sandwich technique showed a favourable clinical outcome for treatment of invasive cervical resorption. The treatment outcome of root perforations repaired between 2000. This historical cohort study follows on a previously reported trial, with the aim of assessing the outcome for teeth with root perforations managed by the orthograde placement of mineral trioxide aggregate mta and identifying potential outcome factors for such treatment with a larger sample size and longer followup periods than in the first phase of the project. Repair of an iatrogenic furcal perforation with mineral. Improvement of the bonding properties of mineral trioxide.
Treatment of pulp floor and stripping perforation by mineral. Comparative evaluation of mineral trioxide aggregate and. Mta is used for creating an apical plug during apexification. Comparative analysis of clinical effects of mineral trioxide. The radiographs were exposed using a standardized longcone technique. The treatment options starts from indirect pulp capping, direct pulp capping, partial pulpotomy, full pulpotomy, apex genesis, apexification and. Mineral trioxide aggregate mta was introduced in endodontics in. A successful outcome was recorded for 78% of teeth 54 of 69 in the mta group and for 60% of teeth 32 of 53 in the calcium hydroxide group. Clinical evaluation of mineral trioxide aggregate and.
Clinical oral investigations ausgabe 72016 autoren. Nov 18, 2015 an ideal pulpotomy agent for primary molars has been sought for many years. In this study, we compared the preliminary clinical results obtained using biodentine and mineral trioxide aggregate mta as pulpdressing agents in pulpotomies of primary molars. The outcomes of singlevisit endodontic treatment of mature teeth with chronic apical abscesses using mta cement were better, but not statistically significant, compared to conventional treatment. A survey was sent to senior members of the endodontic departments of seventeen dental schools. Onestep apexification using mineral trioxide aggregate mta has been reported as an alternative treatment modality with more benefits than the use of longterm calcium hydroxide for teeth with. In conclusion, mta plug is a treatment of choice for cases of small open apex 1mm diameter or less of traumatized nonvital permanent teeth.
Over the past two decades, mta has become one of the most widely studied endodontic materials. Elastinlike polypeptide elp supplementation was previously reported to enhance the physical properties of mineral trioxide aggregate mta. The clinical evaluation of vertical root fracture after. Mente, mineral trioxide aggregate or calcium hydroxide direct pulp cap. Outcome of orthograde retreatment after failed apicoectomy. Two types of elps were synthesized and mixed with mta in a 0. Shortterm treatment outcome of pulpotomies in primary.
We aimed to evaluate the efficacy of mineral trioxide aggregate mta in the treatment of endodontic disease. Mta has several desirable properties in terms of its biocompatiblity, bioactivity, hydrophilicity, radiopacity, sealing ability and low solubility. After treatment of 149 patients between 2001 and 2006, 108 of them 122 treated teeth were available for follow up. Methods the treatment outcome of root perforations repaired between 2000 and 2006 with mta was investigated.
Mta pulpotomy was performed in 66 vital permanent teeth with carious pulp. Reparative dentinogenesis induced by mineral trioxide. Blind to the treatment record, two examiners assessed. Mta has several desirable properties in terms of its biocompatibility, bioactivity, hydrophilicity, radiopacity, sealing ability, and low solubility. Onestep apexification using mineral trioxide aggregate mta has been reported as an alternative treatment modality with more benefits than the. Patients were recalled at 6 months, 12 months and every year thereafter. Root perforation results in the communication between root canal. Combined therapy of mineral trioxide aggregate and guided. The secondary goal was to identify potential outcome factors for this kind of treatment with a larger sample size and longer followup periods than in the first phase of the. Histology of irreversible pulpitis premolars treated with mineral trioxide aggregate pulpotomy operative dentistry, 2010,353, 370374 summary studies show that human permanent teeth with carious pulpal exposures can result in a high clinical success rate when treated with pulpoto my and direct pulp capping with mineral triox. Pdf mineral trioxide aggregate or calcium hydroxide. Aim to assess the outcome of apexification using mineral trioxide aggregate mta methodology fifty. Pitt ford department of conservative dentistry, dental institute, kings college london, london, uk abstract camilleri j, pitt ford tr.
Comparative study between biodentine and mineral trioxide. The patients symptoms ceased and the existing lesions resolved during the 5year followup. The treatment outcome of root perforations repaired between 2000 and 2006 with mta was investigated. Mta is used for perforation repair, retrograde filling, pulp capping, and apexification and for managing root resorption. Recently, new materials that allow regeneration of residual pulp tissue have been developed. The status of mineral trioxide aggregate in endodontics. Mineral trioxide aggregate mta was developed for use as a dental root repair material by mahmoud torabinejad. Reaction of dogs teeth to root canal filling with mineral trioxide aggregate or a glass inomer sealer.
Comparative analysis of clinical effects of mineral. Mta is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, and treating internal root resorption. The importance of careful case assessment and accurate pulpal diagnosis in the treatment of immature teeth with pulpal injury cannot be overemphasized. The aim of this study was to investigate the effect of elp supplementation on the bonding properties of mta to dentin.
Request pdf treatment outcome of mineral trioxide aggregate in open apex teeth this cohort study is the second phase of a previously reported trial. Treatment outcome of mineral trioxide aggregate or calcium. Mente j, hage n, pfefferle t, koch mj, dreyhaupt j, staehle hj, et al. Request pdf treatment outcome of mineral trioxide aggregate or calcium hydroxide direct pulp capping. Treatment of invasive cervical resorption with sandwich. Over the past two decades, mineral trioxide aggregate mta has become one of the most widely studied endodontic materials. Better outcomes in pulpotomies on primary molars with mta. Mineral trioxide aggregate mta in 1999, mineral trioxide aggregate mta was developed for use as a dental root repair material by dr.
Use of a mineral trioxide aggregate apical plug johannes mente, privdoz, dr med dent, meltem leo, dr med dent, annemarie michel, dr med dent, holger gehrig, dr med dent, msc, daniel saure. Biomineralization ability and interaction of mineral trioxide aggregate and white portland cement with dentin in a phosphatecontaining fluid. Tanishii 201 the clinical evaluation of vertical root fracture after endodontic treatment with mineral trioxide aggregate ntegr mol med, 2017 doi. Jan 18, 2007 aim to assess the outcome of apexification using mineral trioxide aggregate mta. Mineral trioxide aggregate for the treatment of external root. Recently, torabinejad and colleagues 1 developed a new cement named mineral trioxide aggregate mta. Histology of irreversible pulpitis premolars treated with. Mineral trioxide aggregate mta is identical to portland cement.
Mineral trioxide aggregate pulpotomies endoexperience. Mineral trioxide aggregate mta has been regarded as an ideal material for perforation repair, retrograde filling, pulp capping, and apexification since its introduction in 1993. An ideal pulpotomy agent for primary molars has been sought for many years. It is formulated from commercial portland cement, combined with bismuth oxide powder for radioopacity. Its currently the preferred material used by endodontists because of its superior properties such as its seal and biocompatibility that significantly improves outcomes of endodontic treatments. Pdf mineral trioxide aggregate or calcium hydroxide direct. Mahmoud torabinejad and was formulated from commercial portland cement combined with bismuth oxide powder for radiopacity. Case outline this case presents external root resorption that was detected 18 months after the avulsion injury in a 9yearold child. Reaction of rat connective tissue to implanted dentin tubes filled with mineral trioxide aggregate or calcium hydroxide. The treatment outcome of teeth after direct pulp capping, either with mineral trioxide aggregate mta or calcium hydroxide controls, was. Treatment of invasive cervical resorption with sandwich technique using mineral trioxide aggregate. A treatment for permanent teeth with necrotic pulp and incomplete root development. Pulp therapy for primary and immature permanent teeth aapd.
Based on animal and human studies, mta is considered a suitable pulp capping material 5, 1417. Proroot mta, dentsply tulsa dental figure 1, which appears to have all of the characteristics of an ideal cement to seal communication between the root canal system and the oral cavity mechanical and carious pulp exposures, and between the root canal system and the periodontium iatrogenic. The mineral trioxide aggregate mta was developed by dr. Pfe dean junior mineral trioxide aggragate repair of lateral root perforation. Mineral trioxide aggregate mta has been shown to prevent dye and bacterial leakage and has a high level of biocompatibility 12. The amalgam was removed and the defect was restored with mineral trioxide aggregate mta. A randomized clinical study was performed in children aged 49 years with at least one primary tooth with decay or caries requiring pulp treatment.
Mineral trioxide aggregate mta was developed more than 20 years ago to seal the pathways of communication of the root canal system. The primary aim was to assess the outcome of the treatment of teeth with open apices managed by the orthograde placement of mineral trioxide aggregate mta apical plugs. Mineral trioxide aggregate mta plug, placed orthogratelly on the apical part, has proven a successful outcome based on a 3year followup. Use of a mineral trioxide aggregate apical plug johannes mente, privdoz, dr med dent, meltem leo, dr med dent, annemarie michel, dr med dent, holger gehrig, dr med dent, msc, daniel saure, msc, and thorsten pfefferle, dr med dent abstract. Treatment outcome of mineral trioxide aggregate in open apex. It is a new remarkable biocompatible material with exciting clinical applications pioneered b slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Jiianghuei jeng, department of dentistry and school of dentistry, national taiwan.
Compared with that of calcium hydroxidebased materials, mta is more efficient at inducing. Treatment of pulp floor and stripping perforation by. The use of mineral trioxide aggregate in clinical and. Comparative study between biodentine and mineral trioxide aggregate in direct pulp capping the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The benefits of mta as being used in endodontic treatment for. Twentysix patients received treatment with mta in 26 teeth with root perforations. Clinical factors influencing the prognosis and healing of root perforations include its treatment. Treatment of tooth discoloration after the use of white. Repair of furcal iatrogenic perforation with mineral trioxide. Mineral trioxide aggregate and portland cement promote biomineralization in vivo. Mineral trioxide aggregate and other bioactive endodontic cements.
Mta is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, and treating. Aug 23, 2016 the outcomes of singlevisit endodontic treatment of mature teeth with chronic apical abscesses using mta cement were better, but not statistically significant, compared to conventional treatment. Mta promises to be one of the most versatile materials of this century in the field of dentistry. Mta is a mineral powder that consists of hydrophilic particles, with principal components as. The use of biocompatible materials like mineral trioxide aggregate mta may improve the prognosis of teeth with root perforations. Pdf treatment outcomes of mineral trioxide aggregate. The aim of this study was to assess the current status of mineral trioxide aggregate mta as an educational material in dental schools in turkey. Its use has been recommended for the treatment of complicated crown fractures 18.
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