The Effect of Mineral Trioxide Aggregate on the Periapical Tissues after Unintentional Extrusion beyond the Apical Foramen

Introduction. Single-step apexification procedures using mineral trioxide aggregate (MTA) have been reported as favorable treatment options for teeth with an open apex, posing greater benefits compared to the other available medicaments. However, controlled apical placement of MTA is a challenging p...

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Main Authors: Pradnya S. Nagmode, Archana B. Satpute, Ankit V. Patel, Pushpak L. Ladhe
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/3590680
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author Pradnya S. Nagmode
Archana B. Satpute
Ankit V. Patel
Pushpak L. Ladhe
author_facet Pradnya S. Nagmode
Archana B. Satpute
Ankit V. Patel
Pushpak L. Ladhe
author_sort Pradnya S. Nagmode
collection DOAJ
description Introduction. Single-step apexification procedures using mineral trioxide aggregate (MTA) have been reported as favorable treatment options for teeth with an open apex, posing greater benefits compared to the other available medicaments. However, controlled apical placement of MTA is a challenging procedure to perform using orthograde approach. This case series describes the outcome of the unintentional extrusion of MTA into periradicular tissues during apexification, in three separate cases. Methods. Three adult patients reported to the Department of Conservative Dentistry and Endodontics for the management of maxillary incisors with open apices. After isolation, conventional access, and cleaning and shaping procedures, one-step MTA apexification was performed. On subsequent radiographs, a considerable amount of MTA was seen to be extruded in all the three cases. Results. During follow-up examination the teeth were seen to be asymptomatic in all cases and radiographically demonstrated repair of the periapical lesion. Conclusion. The results of these cases suggest that extrusion of MTA into the periapical tissues does not cause any detrimental effect, which could be attributed to the biologic properties of MTA.
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spelling doaj-art-67b5e56d51a44b01bade84f9d660c0812025-02-03T05:45:46ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/35906803590680The Effect of Mineral Trioxide Aggregate on the Periapical Tissues after Unintentional Extrusion beyond the Apical ForamenPradnya S. Nagmode0Archana B. Satpute1Ankit V. Patel2Pushpak L. Ladhe3Department of Conservative Dentistry and Endodontics, SMBT Dental College & Hospital, Sangamner, IndiaDepartment of Conservative Dentistry and Endodontics, SMBT Dental College & Hospital, Sangamner, IndiaDepartment of Conservative Dentistry and Endodontics, SMBT Dental College & Hospital, Sangamner, IndiaDepartment of Conservative Dentistry and Endodontics, SMBT Dental College & Hospital, Sangamner, IndiaIntroduction. Single-step apexification procedures using mineral trioxide aggregate (MTA) have been reported as favorable treatment options for teeth with an open apex, posing greater benefits compared to the other available medicaments. However, controlled apical placement of MTA is a challenging procedure to perform using orthograde approach. This case series describes the outcome of the unintentional extrusion of MTA into periradicular tissues during apexification, in three separate cases. Methods. Three adult patients reported to the Department of Conservative Dentistry and Endodontics for the management of maxillary incisors with open apices. After isolation, conventional access, and cleaning and shaping procedures, one-step MTA apexification was performed. On subsequent radiographs, a considerable amount of MTA was seen to be extruded in all the three cases. Results. During follow-up examination the teeth were seen to be asymptomatic in all cases and radiographically demonstrated repair of the periapical lesion. Conclusion. The results of these cases suggest that extrusion of MTA into the periapical tissues does not cause any detrimental effect, which could be attributed to the biologic properties of MTA.http://dx.doi.org/10.1155/2016/3590680
spellingShingle Pradnya S. Nagmode
Archana B. Satpute
Ankit V. Patel
Pushpak L. Ladhe
The Effect of Mineral Trioxide Aggregate on the Periapical Tissues after Unintentional Extrusion beyond the Apical Foramen
Case Reports in Dentistry
title The Effect of Mineral Trioxide Aggregate on the Periapical Tissues after Unintentional Extrusion beyond the Apical Foramen
title_full The Effect of Mineral Trioxide Aggregate on the Periapical Tissues after Unintentional Extrusion beyond the Apical Foramen
title_fullStr The Effect of Mineral Trioxide Aggregate on the Periapical Tissues after Unintentional Extrusion beyond the Apical Foramen
title_full_unstemmed The Effect of Mineral Trioxide Aggregate on the Periapical Tissues after Unintentional Extrusion beyond the Apical Foramen
title_short The Effect of Mineral Trioxide Aggregate on the Periapical Tissues after Unintentional Extrusion beyond the Apical Foramen
title_sort effect of mineral trioxide aggregate on the periapical tissues after unintentional extrusion beyond the apical foramen
url http://dx.doi.org/10.1155/2016/3590680
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