Effectiveness of MTA apical plug in dens evaginatus with open apices

Pham, Khoa Van; Tran, Thu Anh

doi:10.1186/s12903-021-01920-6

Cited by 8 publications

(17 citation statements)

References 22 publications

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“…• diagnostic and therapeutic approaches for dens in dente in form of case report with or without associated literature review [16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,35,36, 37] -18 articles;…”

Section: Resultsmentioning

confidence: 99%

“…Examples of dens invaginatus treatment by anatomical redesign technique demonstrated on Figure 2 and 3. In recent years such material as collagen membrane has been proposed to be used as apical barrier during non-surgical root canal treatment of teeth with open apex and immature root development [25,26]. Also, platelet-rich brin has been used as apical barrier during Oehlers Type II dens invaginatus treatment, while root canal was lled with Biodentine after invaginated hard tissue mass removal [27].…”

Section: Discussionmentioning

confidence: 99%

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Treatment options for dens in dente: state-of-art literature review

Fedak

2022

UDJ

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Background. Dens in dente represents developmental anomaly of tooth structure, characterized with different depth of invagination lined with either enamel or cementum, and associated with different clinical and roentgenological features. Objective. To methodize available treatment options for dens invaginatus in systematic manner and analyze suitability of such for different clinical scenarios. Materials and Methods. Aggregation of data regarding treatment options for dens invaginatus cases was provided through literature search within Pubmed Central and PubMed databases. Literature review was provided in accordance to the available guidelines. Results. Provided literature review helped to establish four main strategies of treating teeth with present dens invaginatus anomaly:1) preventive treatment (with no endodontic intervention);2) preventive treatment (with endodontic intervention only in invaginated canal);3) treatment of dens invaginatus-associated complications (with endodontic treatment of original and invaginated canals);4) complex treatment of dens invaginatus-associated complications, which includes not only root canal treatment, but also periodontal treatment and other potential treatment options, such as extraction. Conclusion. Dens invaginatus represents several clinical challenges during the treatment related with type of structural anomaly due to the Oehlers classiŢcation, variability of its conŢguration, depth of invagination and its localization within coronal or root portion of tooth, proximity to the pulp and pretreatment pulp and periodontium vitality conditions, while also with periapical status in means of apex size and thickness of root residual walls.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Treatment options for dens in dente: state-of-art literature review

Fedak

2022

UDJ

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“…Orthograde filling generally refers to the apical barrier technique, which transports MTA or other materials from the coronal side of the root canal to the apical position to seal the apex of the tooth and provide conditions for the rigorous root canal filling [ 71 ] ( Figure 3 ). MTA has been widely used in the apical barrier technique and has achieved long-term clinical and radiographic success [ 72 , 73 , 74 , 75 , 76 ]. In a case series of 5–15 years, MTA as an apical barrier for the treatment of nonvital immature teeth achieved a healing rate of 96% [ 77 ].…”

Section: Clinical Applications In Endodonticsmentioning

confidence: 99%

Bioceramics in Endodontics: Updates and Future Perspectives

Dong

2023

Bioengineering

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Bioceramics, with excellent bioactivity and biocompatibility, have been widely used in dentistry, particularly in endodontics. Mineral trioxide aggregate (MTA) is the most widely used bioceramic in endodontics. Recently, many new bioceramics have been developed, showing good potential for the treatment of endodontic diseases. This paper reviews the characteristics of bioceramics and their applications in various clinical endodontic situations, including root-end filling, root canal therapy, vital pulp therapy, apexification/regenerative endodontic treatment, perforation repair, and root defect repair. Relevant literature published from 1993 to 2023 was searched by keywords in PubMed and Web of Science. Current evidence supports the predictable outcome of MTA in the treatment of endodontic diseases. Although novel bioceramics such as Biodentine, EndoSequence, and calcium-enriched mixtures have shown promising clinical outcomes, more well-controlled clinical trials are still needed to provide high-level evidence for their application in endodontics. In addition, to better tackle the clinical challenges in endodontics, efforts are needed to improve the bioactivity of bioceramics, particularly to enhance their antimicrobial activity and mechanical properties and reduce their setting time and solubility.

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“…Teeth with open apices with or without periapical lesions have been treated by many means, from long-term apexification using calcium hydroxide to manipulation of the MTA [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Thermal or chemical gutta-percha techniques for accessing apical third obturations are ineffective for teeth with periapical lesions and wide, open apical foramens [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Platelet-rich fibrin as an apical barrier for MTA placement in the treatment of teeth with open apices: a pilot study

Pham,

Pham

et al. 2024

J Transl Med

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Objective The aim of the present pilot study was to assess the effectiveness of the platelet-rich fibrin (PRF) apical barrier for the placement of MTA for the treatment of teeth with periapical lesions and open apices. Methods A total of thirty teeth on twenty-eight patients with open apices and periapical periodontitis were enrolled and divided into two groups in the present pilot study. In the PRF group (fourteen teeth in thirteen patients), nonsurgical endodontic treatment was performed using PRF as an apical matrix, after which the apical plug of the MTA was created. For the non-PRF group (fourteen teeth in fourteen patients), nonsurgical endodontic therapy was performed using only the MTA for an apical plug with no further periapical intervention. Clinical findings and periapical digital radiographs were used for evaluating the healing progress after periodic follow-ups of 1, 3, 6, and 9 months. The horizontal dimension of the periapical lesion was gauged, and the changes in the dimensions were recorded each time. The Friedman test, Dunn-Bonferroni post hoc correction, and Mann-Whitney U test were used for statistical analysis, with P < 0.05 serving as the threshold for determining statistical significance. Results All patients in both groups in the present pilot study had no clinical symptoms after 1 month, with a significant reduction in the periapical lesion after periodic appointments. The lesion width of the PRF group was significantly smaller than that of the non-PRF group in the sixth and ninth month after treatment. Conclusions PRF is a promising apical barrier matrix when combined with MTA for the treatment of teeth with open apices and periapical periodontitis. Small number of study subjects and the short time of follow-up period limit the generalizability of these results. Trial registration TCTR, TCTR20221109006. Registered 09 November 2022 - Retrospectively registered, https://www.thaiclinicaltrials.org/show/TCTR20221109006.

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Effectiveness of MTA apical plug in dens evaginatus with open apices

Cited by 8 publications

References 22 publications

Treatment options for dens in dente: state-of-art literature review

Treatment options for dens in dente: state-of-art literature review

Bioceramics in Endodontics: Updates and Future Perspectives

Platelet-rich fibrin as an apical barrier for MTA placement in the treatment of teeth with open apices: a pilot study

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