hrvatski

Primjena mineral trioksida u zbrinjavanju perforacija dna pulpne komore: prikazi slučajeva

Introduction: The use of mineral trioxide aggregate (MTA) in endodontics was accepted as a gold standard for regeneration and reparation, especially in the treatment of pulpal floor perforations (FP) due to its bioactivity. Two cases of FP treatment are shown. Female patient, 30 y.o., was referred to the Department of Endodontics and Restorative Dentistry at the Faculty of Dental Medicine in Zagreb for the treatment of the tooth 37, while the male patient, 23 y.o., was referred for the treatment of the tooth 46. Case Reports: In the first case, the tooth 37 had a FP of the furcation and the first third of the distal and mesial roots. In the second case the furcation and the first third of the distal root of the tooth 46 were damaged. In both patients root canals were not initially found. After mandibular block (Septenest, Septodont) and placement of rubber dam, ingrown granulations were removed. In the first case, after finding the root canals, a projector technique was performed and the perforation was closed with MTA Repair HP (Angelus). The advantages of this material are high plasticity and a non-staining radioopacifier (calcium tungstate). Root canals treatment was performed (AH Plus, Dentsply and gutta percha, Roeko). In the second case, a projector technique was also performed, but perforation was temporarily closed with glassionomere cement (GIC) (Ionofil molar, Voco). After the root canal treatment and control radiograph, GIC was removed and MTA Repair HP placed. In both cases, the teeth were asymptomatic with adequate control radiographs. After MTA was set, GIC was placed (Fuji IX, GC). Three months later, both teeth were in function and asymptomatic, control radiographs were taken and final composite fillings placed. In these cases, the usage of high-plastic non-discoloring MTA material in successful repair of endodontic perforations with preserved aesthetics was demonstrated.

mineral trioksid ; perforacija DNA pulpne komore

nije evidentirano

engleski

Treatment of Pulp Chamber Floor Perforation Using a Mineral Trioxide Agreggate: Case Reports

Introduction: The use of mineral trioxide aggregate (MTA) in endodontics was accepted as a gold standard for regeneration and reparation, especially in the treatment of pulpal floor perforations (FP) due to its bioactivity. Two cases of FP treatment are shown. Female patient, 30 y.o., was referred to the Department of Endodontics and Restorative Dentistry at the Faculty of Dental Medicine in Zagreb for the treatment of the tooth 37, while the male patient, 23 y.o., was referred for the treatment of the tooth 46. Case Reports: In the first case, the tooth 37 had a FP of the furcation and the first third of the distal and mesial roots. In the second case the furcation and the first third of the distal root of the tooth 46 were damaged. In both patients root canals were not initially found. After mandibular block (Septenest, Septodont) and placement of rubber dam, ingrown granulations were removed. In the first case, after finding the root canals, a projector technique was performed and the perforation was closed with MTA Repair HP (Angelus). The advantages of this material are high plasticity and a non-staining radioopacifier (calcium tungstate). Root canals treatment was performed (AH Plus, Dentsply and gutta percha, Roeko). In the second case, a projector technique was also performed, but perforation was temporarily closed with glassionomere cement (GIC) (Ionofil molar, Voco). After the root canal treatment and control radiograph, GIC was removed and MTA Repair HP placed. In both cases, the teeth were asymptomatic with adequate control radiographs. After MTA was set, GIC was placed (Fuji IX, GC). Three months later, both teeth were in function and asymptomatic, control radiographs were taken and final composite fillings placed. In these cases, the usage of high-plastic non-discoloring MTA material in successful repair of endodontic perforations with preserved aesthetics was demonstrated.

mineral trioxide ; pulp chamber floor perforation

nije evidentirano