Restorative Dentistry and Endodontics

  • 제39권2호
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  • Pages.137-142
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  • 2014
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  • 2234-7658(pISSN)
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  • 2234-7666(eISSN)
대한치과보존학회 (The Korean Academy of Conservative Dentistry)
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Surgical management of a failed internal root resorption treatment: a histological and clinical

  • Asgary, Saeed (Iranian Center for Endodontic Research, Shahid Beheshti University of Medical Sciences) ;
  • Eghbal, Mohammad Jafar (Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences) ;
  • Mehrdad, Leili (Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences) ;
  • Kheirieh, Sanam (Department of Craniofacial Biology, School of Dental Medicine, University of Colorado Denver) ;
  • Nosrat, Ali (Iranian Center for Endodontic Research, Shahid Beheshti University of Medical Sciences)
  • 투고 : 2013.12.28
  • 심사 : 2014.02.12
  • 발행 : 2014.05.30
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초록

This article presents the successful surgical management of a failed mineral trioxide aggregate (MTA) orthograde obturation of a tooth with a history of impact trauma and perforated internal root resorption. A symptomatic maxillary lateral incisor with a history of perforation due to internal root resorption and nonsurgical repair using MTA was referred. Unintentional overfill of the defect with MTA had occurred 4 yr before the initial visit. The excess MTA had since disappeared, and a radiolucent lesion adjacent to the perforation site was evident radiographically. Surgical endodontic retreatment was performed using calcium enriched mixture (CEM) cement as a repair material. Histological examination of the lesion revealed granulation tissue with chronic inflammation, and small fragments of MTA encapsulated within fibroconnective tissue. At the one and two year follow up exams, all signs and symptoms of disease had resolved and the tooth was functional. Complete radiographic healing of the lesion was observed two years after the initial visit. This case report illustrates how the selection of an appropriate approach to treatment of a perforation can affect the long term prognosis of a tooth. In addition, extrusion of MTA into a periradicular lesion should be avoided.

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참고문헌

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피인용 문헌

  1. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview - part II: other clinical applications and complications pp.01432885, 2018, https://doi.org/10.1111/iej.12843
  2. Periodontal healing following non-surgical repair of an old perforation with pocket formation and oral communication vol.43, pp.2, 2018, https://doi.org/10.5395/rde.2018.43.e17
  3. Importance of CBCT in the management plan of upper canine with internal resorption vol.29, pp.2, 2014, https://doi.org/10.1016/j.gien.2015.09.001
  4. Conservative Management of Class 4 Invasive Cervical Root Resorption Using Calcium-enriched Mixture Cement vol.42, pp.8, 2014, https://doi.org/10.1016/j.joen.2016.05.001