MTA in the treatment of furcation perforation in upper molar under operative microscopy: case report
DOI:
https://doi.org/10.33448/rsd-v11i5.28489Keywords:
Endodontics; Root Canal Therapy; Root Canal Preparation; Teaching.Abstract
During endodontic procedures, the occurrence of iatrogenesis can compromise the success of the treatment and knowing how to conduct them is essential for a favorable outcome. Endodontic perforation is a communication between the pulp space and the external surface of the tooth. The most suitable material for sealing perforations is Mineral Trioxide Aggregate (MTA), a bioceramic capable of inducing the formation of mineralized tissue. The use of loupes or operating microscope is an important tool in the management of complex cases, as it allows magnification and illumination of the operating field. The objective of this study is to report a case of a patient submitted to endodontic treatment and sealing of furcation perforation, with the aid of operative microscopy, evidencing the use of MTA. The patient was referred to Faculdade São Leopoldo Mandic for endodontic treatment of tooth 26, which included sealing a perforation and locating the mesiobuccal canal. Chemical-mechanical preparation of root canals was performed with ProDesign Logic instruments, 2% chlorhexidine gel, and distilled water as irrigant. The sealing of the perforation was performed with MTA Angelus. After a period of three months, the patient remained asymptomatic. It was concluded that the treatment was satisfactorily completed, considering the complexity of the case, influenced by patient's age, the difficult access and direct visualization of the tooth and the presence of complications. The use of an operating microscope provided field magnification and illumination, necessary for the detection of the mesiobuccal canal and greater accuracy in the application of the repair material.
References
AAE. Glossary of Endodontic Terms. 10ªed. Chicago: American Association of Endodontists. (2020). https://www.aae.org/specialty/?wpdmdl=11847%27%3EDownload%20PDF%3C/a%3E.
Bhuva, B., & Ikram, O. (2020). Complications in Endodontics. Primary Dental Journal, 9(4), 52–58.
Cervino, G., Laino, L., D’Amico, C., Russo, D., Nucci, L., Amoroso, G., Gorassini, F., Tepedino, M., Terranova, A., Gambino, D., Mastroieni, R., Tözüm, M. D., & Fiorillo, L. (2020). Mineral Trioxide Aggregate Applications in Endodontics: A Review. European Journal of Dentistry, 14(4), 683–691.
Daoudi, M. F., & Saunders, W. P. (2002). In vitro evaluation of furcal perforation repair using mineral trioxide aggregate or resin modified glass lonomer cement with and without the use of the operating microscope. Journal of Endodontics, 28(7), 512–515.
Espaladori, M. C., Maciel, K. F., Brito, L. C. N. de,Kawai, T., Vieira, L. Q., & Ribeiro Sobrinho, A. P. (2018). Experimental furcal perforation treated with mineral trioxide aggregate plus selenium: immune response. Brazilian Oral Research, 32, e103.
Esteki, P., Jahromi, M. Z., & Tahmourespour, A. (2021). In vitro antimicrobial activity of mineral trioxide aggregate, Biodentine, and calcium-enriched mixture cement against Enterococcus faecalis, Streptococcus mutans, and Candida albicans using the agar diffusion technique. Dental Research Journal, 18, 3.
Estrela, C., Decurcio, D. de A., Rossi-Fedele, G., Silva, J. A., Guedes, O. A., & Borges, Á. H. (2018). Root perforations: a review of diagnosis, prognosis and materials. Brazilian Oral Research, 32(suppl 1), e73.
Freire, M. C. M., & Pattussi, M. P. (2018). Tipos de estudo. In C. Estrela (Org.), Metodologia Científica: ciência, ensino, pesquisa (3a ed., Cap. 9, pp. 109-127). Porto Alegre: Artes Médicas.
Fuss, Z., & Trope, M. (1996). Root perforations: classification and treatment choices based on prognostic factors. Endodontics & Dental Traumatology, 12(6), 255–264.
Kakani, A. K., & Veeramachaneni, C. (2020). Sealing ability of three different root repair materials for furcation perforation repair: An in vitro study. Journal of Conservative Dentistry: JCD, 23(1), 62–65.
Kim, R. J.-Y., Kim, M.-O., Lee, K.-S., Lee, D.-Y., & Shin, J.-H. (2015). An in vitro evaluation of the antibacterial properties of three mineral trioxide aggregate (MTA) against five oral bacteria. Archives of Oral Biology, 60(10), 1497–1502.
Krupp, C., Bargholz, C., Brüsehaber, M., & Hülsmann, M. (2013). Treatment outcome after repair of root perforations with mineral trioxide aggregate: a retrospective evaluation of 90 teeth. Journal of Endodontics, 39(11), 1364–1368.
Lagisetti, A. K., Hegde, P., & Hegde, M. N. (2018). Evaluation of bioceramics and zirconia-reinforced glass ionomer cement in repair of furcation perforations: An in vitro study. Journal of Conservative Dentistry: JCD, 21(2), 184–189.
Lara, V. de P. L., Cardoso, F. P., Brito, L. C. N., Vieira, L. Q., Sobrinho, A. P. R., & Rezende, T. M. B. (2015). Experimental Furcal Perforation Treated with MTA: Analysis of the Cytokine Expression. Brazilian Dental Journal, 26(4), 337–341.
Lee, S. J., Monsef, M., & Torabinejad, M. (1993). Sealing ability of a mineral trioxide aggregate for repair of lateral root perforations. Journal of Endodontics, 19(11), 541–544.
Lin, L. M., Rosenberg, P. A., & Lin, J. (2005). Do procedural errors cause endodontic treatment failure? Journal of the American Dental Association (1939), 136(2), 187–193; quiz 231.
Oliveira, M. A. P., Velarde, G. C., & Sá, R. A. M. (2015). Entendendo a pesquisa clínica V: relatos e séries de casos. Femina, 43(5), 235-238.
Parirokh, M., & Torabinejad, M. (2010a). Mineral trioxide aggregate: a comprehensive literature review--Part I: chemical, physical, and antibacterial properties. Journal of Endodontics, 36(1), 16–27.
Parirokh, M., & Torabinejad, M. (2010b). Mineral trioxide aggregate: a comprehensive literature review--Part III: Clinical applications, drawbacks, and mechanism of action. Journal of Endodontics, 36(3), 400–413.
Pelepenko, L. E., Saavedra, F., Antunes, T. B. M., Bombarda, G. F., Gomes, B. P. F. de A., Zaia, A. A., & Marciano, M. A. (2021). Investigation of a modified hydraulic calcium silicate-based material - Bio-C Pulpo. Brazilian Oral Research, 35, e077.
Siew, K., Lee, A. H. C., & Cheung, G. S. P. (2015). Treatment Outcome of Repaired Root Perforation: A Systematic Review and Meta-analysis. Journal of Endodontics, 41(11), 1795–1804.
Torabinejad, M., Watson, T. F., & Pitt Ford, T. R. (1993). Sealing ability of a mineral trioxide aggregate when used as a root end filling material. Journal of Endodontics, 19(12), 591–595.
Tsesis, I., Rosenberg, E., Faivishevsky, V., Kfir, A., Katz, M., & Rosen, E. (2010). Prevalence and associated periodontal status of teeth with root perforation: a retrospective study of 2,002 patients’ medical records. Journal of Endodontics, 36(5), 797–800.
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Copyright (c) 2022 Isabella Figueiredo Assis Macedo; Marcella Mattos Duarte; Hebertt Gonzaga dos Santos Chaves; Barbara Figueiredo; Ana Carolina Trindade Valadares; Ana Cecília Diniz Viana; Christiane Valente Araújo
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