Effect of unintentionally extruded mineral trioxide aggregate in treatment of tooth with periradicular lesion: a case report.

Abstract:

INTRODUCTION:This case report describes the effect of unintentionally extruded mineral trioxide aggregate (MTA) into periradicular lesions and tissues on the prognosis of periradicular healing in maxillary left central incisor with periradicular lesion. METHODS:A 17-year-old girl with a large periradicular lesion from the apices of her maxillary left central to lateral incisors was referred. Tooth #9 had an open apex, but tooth #10 was normal. Conservative root canal treatment was performed to tooth #10. The apical third of the canal of tooth #9 was filled with MTA as an apical plug because of open apex. During this procedure, a radiograph was taken, and it showed an excessive extrusion of MTA into the periradicular lesion. The remaining canal space was filled with gutta-percha and AH Plus sealer by using a lateral condensation technique. RESULTS:At follow-up examinations, the tooth was asymptomatic and radiographically showed repair of the lesion. Healing was achieved without any need for further endodontic surgical intervention. CONCLUSIONS:The results of this case showed that complete periapical healing is possible despite the extrusion of the MTA. This might be due to biologic properties of the MTA. Even so, extrusion of the filling material is not advocated.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Tahan E,Celik D,Er K,Taşdemir T

doi

10.1016/j.joen.2009.11.026

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

760-3

issue

4

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(09)01026-7

journal_volume

36

pub_type

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