MTA APEXIFICATION OF TRAUMATIZED CENTRAL TOOTH: CASE REPORT

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Bilmez Selen M.

İzmir Demokrasi Üniversitesi Uluslararası Diş Hekimliği ve Sağlık Kongres, 28 - 29 November 2020, pp.66-67, (Summary Text)

  • Publication Type: Conference Paper / Summary Text
  • Page Numbers: pp.66-67
  • Inonu University Affiliated: Yes

Abstract

Aim: In this case report, MTA apexification treatment of a traumatized central tooth is presented. Case Report: An 8-year-old, systemically healthy male patient, referred to the Inonu University Faculty of Dentistry, Department of Pediatric Dentistry. In anamnesis, it was determined that he had fallen off the bike 2 months ago, the left upper central tooth (21) was traumatized and had complicated crown fracture. It was decided to apply apexification treatment with MTA (mineral trioxide aggregate) to the tooth whose root development was incomplete. The root canal lenght was determined radiographically, infected pulp and dentin residues were removed with canal files. The canals were irrigated with NaOCl and saline between each file. After the last irrigations with EDTA (5%), NaOCl (2.5%), saline, chlorhexidine (2%), it was kept in the calcium hydroxide root canal for 2 weeks. After 2 weeks, the same irrigation procedures were applied and the canal was dried, 4 mm thick MTA was placed in the canal and condensed to the apical trio of the root. In order to the MTA to harden, moist paper cones were placed on it and the cavity was closed with a temporary filling. In the appointment session given to the patient one day later, the hardness of the MTA was checked with file number 80, and then the canal was filled with canal paste and gutta percha. Coronal fracture was restored with resin composite. Successful clinical results were obtained in the 12- month follow-up of the patient. Results: MTA has advantages such as hard tissue formation stimulation, good tightness, biocompatibility and an important alternative to multi-session treatments. Instead of the conventional root canal filling procedures in immature teeth, MTA apexification should be preferred against the microleakage of the root canal. Being aware of the situation and preferring MTA apexification will increase the success rate.