ENDODONTIC SURGERY OF A SYMPTOMATIC OVERFILLED MTA APICAL PLUG: A HISTOLOGICAL AND CLINICAL CASE REPORT

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ASGARY SAEED; FAYAZI SARA

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Journal Paper

Paper Information

Journal: IRANIAN ENDODONTIC JOURNAL Year:2017 | Volume:12 | Issue:3 Page(s): 376-380

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Information Journal Paper

Title

ENDODONTIC SURGERY OF A SYMPTOMATIC OVERFILLED MTA APICAL PLUG: A HISTOLOGICAL AND CLINICAL CASE REPORT

Author(s)

ASGARY SAEED | FAYAZI SARA | Issue Writer Certificate

Keywords

APICAL BARRIER

APICOECTOMY

CALCIUM-ENRICHED MIXTURE

CEM CEMENT

ENDODONTICS

MTA

SURGICAL TREATMENT

Abstract

This case report presents the successful surgical treatment of a symptomatic open apex upper central incisor with a failed overfilled mineral trioxide aggregate (MTA) apical plug.Unintentional overextension of the MTA had occurred two years before the initial visit. An apical lesion adjacent to the excess MTA was radio graphically detectable. Endodontic surgery was performed using calcium-enriched mixture (CEM) cement as a root-end filling material.Curettage of the apical lesion showed a mass of unset MTA particles; histopathological examination revealed fragments of MTA and granulation tissues. Up to 18-month follow-up, the tooth was clinically asymptomatic and fully functional. Periapical radiograph and CBCT images showed a normal periodontal ligament around the root. In conclusion, favorable outcomes in this case study suggested that root-end filling with CEM cement might be an appropriate approach; in addition, however many factors probably related to the initial failure of the case, the extrusion of MTA into the periapical area should be avoided.

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APA: Copy

ASGARY, SAEED, & FAYAZI, SARA. (2017). ENDODONTIC SURGERY OF A SYMPTOMATIC OVERFILLED MTA APICAL PLUG: A HISTOLOGICAL AND CLINICAL CASE REPORT. IRANIAN ENDODONTIC JOURNAL (IEJ), 12(3), 376-380. SID. https://sid.ir/paper/302958/en

Vancouver: Copy

ASGARY SAEED, FAYAZI SARA. ENDODONTIC SURGERY OF A SYMPTOMATIC OVERFILLED MTA APICAL PLUG: A HISTOLOGICAL AND CLINICAL CASE REPORT. IRANIAN ENDODONTIC JOURNAL (IEJ)[Internet]. 2017;12(3):376-380. Available from: https://sid.ir/paper/302958/en

IEEE: Copy

SAEED ASGARY, and SARA FAYAZI, “ENDODONTIC SURGERY OF A SYMPTOMATIC OVERFILLED MTA APICAL PLUG: A HISTOLOGICAL AND CLINICAL CASE REPORT,” IRANIAN ENDODONTIC JOURNAL (IEJ), vol. 12, no. 3, pp. 376–380, 2017, [Online]. Available: https://sid.ir/paper/302958/en

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