Mineral trioxide aggregate in pulp chamber floor perforation with ten-year follow-up: case report
DOI:
https://doi.org/10.20453/reh.v36i1.6428Keywords:
root canal, furcation defects, endodontics, case report, retreatmentAbstract
Endodontic retreatment represents a clinical challenge that requires advanced techniques for filling removal and the repair of structural defects. This report describes the management of teeth 46 and 47, diagnosed as previously treated teeth with chronic apical abscess. The intervention consisted of the removal of cast posts and the treatment of perforations in the pulp chamber floor through the initial application of calcium hydroxide followed by temporary sealing. Endodontic retreatment procedures were performed, and the perforations were sealed using mineral trioxide aggregate. The cores were rebuilt with reinforced composite resin and ceromer crowns were placed. Radiographic follow-ups conducted over ten years revealed a progressive reduction of periapical and furcation osteolytic lesions. In conclusion, the use of mineral trioxide aggregate under a rigorous endodontic retreatment protocol provides therapeutic success, supported by clinical stability and long-term resolution of the pathology.
Downloads
References
Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review—Part III: Clinical applications, drawbacks, and mechanism of action. J Endod. 2010;36(3):400-13. doi:10.1016/j.joen.2009.09.009
Sarao SK, Berlin-Broner Y, Levin L. Occurrence and risk factors of dental root perforations: a systematic review. Int Dent J. 2021;71(2):96-105. doi:10.1111/idj.12602
Torabinejad M, Parirokh M, Dummer PM. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview-part II: other clinical applications and complications. Int Endod J. 2017;51(3):284-317. doi:10.1111/iej.12843
Taha NA, About I, Sedgley CM. Conservative management of mature permanent teeth with carious pulp exposure. J Endod. 2020;46(9S):S33-41. doi:10.1016/j.joen.2020.06.025
Kato G, Gomes PS, Neppelenbroek KH, et al. Fast-setting calcium silicate-based pulp capping cements-integrated antibacterial, irritation and cytocompatibility assessment. Materials. 2023;16(1):450. doi:10.3390/ma16010450
Pinheiro LS, Kopper PM, Quintana RM, et al. Does MTA provide a more favourable histological response than other materials in the repair of furcal perforations? A systematic review. Int Endod J. 2021;54(12):2195-218. doi:10.1111/iej.13617
Stueland H, Orstavik D, Handal T. Treatment outcome of surgical and non-surgical endodontic retreatment of teeth with apical periodontitis. Int Endod J. 2023;56(6):686-96. doi:10.1111/iej.13914
Fuss Z, Trope M. Root perforations: classification and treatment choices based on prognostic factors. Endod Dent Traumatol. 1996;12(6):255-64. doi:10.1111/j.1600-9657.1996.tb00524.x
Subbaiyan H, Ajitha P. Perforation Repair Using absorbable collagen sponge and biodentine. J Clin Diagn Res. 2018;12(9):ZC01-2. doi:10.7860/jcdr/2018/36397.12005
Alamoudi RA, Abu Zeid ST. Effect of irrigants on the push-out bond strength of two bioceramic root repair materials. Materials. 2019;12(12):1921. doi:10.3390/ma12121921
Wang X, Shu X, Zhang Y, et al. Evaluation of fiber posts vs metal posts for restoring severely damaged endodontically treated teeth: a systematic review and meta-analysis. Quintessence Int. 2019;50(1):8-20. doi:10.3290/j.qi.a41499
Martins MD, Junqueira RB, De Carvalho RF, et al. Is a fiber post better than a metal post for the restoration of endodontically treated teeth? A systematic review and meta-analysis. J Dent. 2021;112:103750. doi:10.1016/j.jdent.2021.103750
Gorni F, Ionescu AC, Ambrogi F, et al. Prognostic factors and primary healing on root perforation repaired with MTA: a 14-year longitudinal study. J Endod. 2022;48(9):1092-9. doi:10.1016/j.joen.2022.06.005
Mente J, Leo M, Panagidis D, et al. Treatment outcome of mineral trioxide aggregate: repair of root perforations—long-term results. J Endod. 2014;40(6):790-6. doi:10.1016/j.joen.2014.02.003
Estrela C, Decurcio DA, Rossi-Fedele G, et al. Root perforations: a review of diagnosis, prognosis and materials. Braz Oral Res. 2018;32(suppl 1):e73. doi:10.1590/1807-3107bor-2018.vol32.0073
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Fabrizzio Alfredo Wiess Laurencio, Santiago Amadeo Quijano Ortiz, Armida Alvarez Montalvan
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain the copyright and cede to the journal the right of first publication, with the work registered with the Creative Commons License, which allows third parties to use what is published as long as they mention the authorship of the work, and to the first publication in this journal.
