Clinical Applications of Mineral Trioxide Aggregate in Endodontics: A Case Series


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Çakmak Y. E., Er K.

Dentistry Kazakhstan, sa.03/2024, ss.4-12, 2024 (Hakemli Dergi)

Özet

Introduction: In recent years, mineral trioxide aggregate (MTA) has been used extensively in endodontic treatment applications and satisfactory results have been obtained. This case series aims to describe the recovery of patients with the nonsurgical endodontic management of different endodontic cases using MTA. Case Report: Case 1. A 72-year-old female patient presented with cold and sweet sensitivity. A reversible pulpitis diagnosis was made, and direct pulp capping with MTA was performed. A 12-month follow-up showed positive clinical outcomes. Case 2. A 16-year-old female patient presented with prolonged throbbing pain and a history of episodic severe pain. Diagnosed with irreversible pulpitis and an immature apex, apexification was performed using MTA. A 14-month follow-up revealed successful healing. Case 3. A 14- year-old male patient presented with a broken tooth, intermittent swelling, and pain. Diagnosed with chronic apical periodontitis, root canal treatment was conducted on tooth 21, while regenerative endodontic treatment was applied to tooth 22. A 15-month follow-up showed lesion healing. Conclusion: These cases suggest that MTA may be a substitute material for the treatment of endodontic problems (vital and necrotic conditions); however, more clinical studies with larger sample size and longer follow-ups are needed. Key words: mineral trioxide aggregate, direct pulp capping, apexification, regenerative endodontic treatment