Volume : VI, Issue : IV, April - 2017

Efficacy of Mineral trioxide aggregate in apexification in maxillary anterior teeth

Tapas Kumar Sarkar, Mrinal Kanti Chakraborty, Divya Pandya, Soumik Roy

Abstract :

 Introduction

Endodontic treatment of the pulpally involved permanent tooth with an immature root apex poses a special challenge for the clinician. The main difficulty encountered is lack of an apical stop against which an obturating material can be compacted. Apexification procedure was widely used for such teeth and many materials including calcium hydroxide has been tried but none had been completely successful, thus a new material with successful results was introduced as Mineral trioxide aggregate (MTA).

Aim

Thus, the present study aimed at studying the efficacy of Mineral Trioxide aggregate in promoting root end closure of the pulpally involved permanent tooth with an immature root apex in maxillary anteriors.

Materials and Methods

A cross–sectional study was conducted on 48 children aged between 8–10 years with traumatic injuries of maxillary permanent anteriors with immature open apex / root formation that were affected by irreversible pulpitis with or without periradicular pathosis. After performing conventional RCT, teeth were restored with metapex and after 1 week were sealed with MTA.

Results

Preoperative symptoms and periapical lesions, overfilling of root canals did not hinder the process of apexification. The mean time taken for apical biological barrier formation was 3 +/– 2.9 months. The periapical radiolucencies were resolved in 4.6 +/– 1.5 months. Intactness of coronal seal was of almost importance during the treatment period and loss of coronal seal negatively influenced apexification.

Conclusion

The present study substantiated that Mineral trioxide aggregate is a potential apical barrier material with good sealing ability and a high degree of biocompatibility.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Tapas Kumar Sarkar, Mrinal Kanti Chakraborty, Divya Pandya, Soumik Roy, Efficacy of Mineral trioxide aggregate in apexification in maxillary anterior teeth, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : VOLUME-6 | ISSUE-4 | APRIL‾2017

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