Case Report: Interdisciplinary management of a complex odontoma with a periapical involvement of superior anterior teeth

Abstract

This case report aims to describe the management of a complex odontoma with endodontic involvement of surrounding teeth utilizing a new bioceramic cement consisting of five mineral oxides (5MO) as a retro-filling material. The patient presented for routine consultation with slight dental mobility in the antero-superior region. Upon clinical and computed tomography examination, bone rarefaction was observed in the apical region of teeth 11 and 12, external root resorption in the involved teeth and necrotic pulp of tooth 12. Root canal treatment was performed in teeth 11 and 12. Later, local surgical excision of the lesion was carried out, finding a mass with clinical features of complex odontoma, with histopathological examination of the mass confirming this diagnosis. Retro-filling of tooth 12 with 5MO was carried out. No signs and symptoms were observed over twelve-months of follow-up, with bone neoformation observed in the region. Therefore, 5MO appears to be an effective bioceramic cement that has reparative features.

Endodontic Perforation Closure by Five Mineral Oxides Silicate-Based Cement with/without Collagen Sponge Matrix

“…5MO was the material of choice in this case report because of its sealing ability stated previously [ 15 , 17 , 18 ]; therefore, 5MO can be used as an effective silicate-based cement in perforations management; however, more case reports and clinical studies should be realized to evaluate its cytotoxicity and tissue repair ability for long periods.…”

“…Five mineral oxides “5MO” is a new repair silicate-based cement, derived from Portland cement, developed to treat all endodontic complications and accidents (patent). As a capping material, it is effective as Ca(OH) 2 (Dycal) [ 15 ] and MTA [ 16 ] and as a root-end filling material in apicoectomy [ 17 , 18 ].…”

Apicoectomy of Perforated Root Canal Using Bioceramic Cement and Photodynamic Therapy

“…In this case report, 5MO cement was used as it presented a reparative feature and provided sealing of surgical areas [ 16 ]. However, not only 5MO but also many bioceramic cements principally mineral trioxide aggregate (MTA) and Biodentine have the same features [ 19 , 33 ].…”

“…Endodontic (paraendodontic) surgery was started in the last century as the last alternative of endodontic intervention [ 15 ]. It results in satisfactory treatment outcomes and lesion regression [ 16 ] without clinical signs and symptoms of inflammation [ 17 ].…”

“…The bioceramic cements played a major effect on the success of endodontic surgery, since the introduction of mineral trioxide aggregate (MTA) [ 14 , 18 – 20 ], Biodentine [ 21 ], and lastly the five mineral oxides (5MO) [ 16 , 22 ].…”