Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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MTA APEXIFICATION OF TRAUMATIZED IMMATURE PERMANENT INCISORS: A RETROSPECTIVE STUDY

미성숙 영구 전치의 외상 후 MTA를 이용한 치근단 형성술 : 후향적 연구

  • Jeong, Seo Young (Division of paediatric dentistry, Department of Dentistry, Ewha Womans University Mokdong Hospital) ;
  • Ahn, Byung-Duk (Division of paediatric dentistry, Department of Dentistry, Ewha Womans University Mokdong Hospital) ;
  • Hong, So-Yi (Division of paediatric dentistry, Department of Dentistry, Ewha Womans University Mokdong Hospital) ;
  • Kong, Eun-Kyoung (Division of paediatric dentistry, Department of Dentistry, Ewha Womans University Mokdong Hospital) ;
  • Mah, Yon-Joo (Division of paediatric dentistry, Department of Dentistry, Ewha Womans University Mokdong Hospital) ;
  • Jung, Young-Jung (Division of paediatric dentistry, Department of Dentistry, Ewha Womans University Mokdong Hospital)
  • 정서영 (이화여자대학교 목동병원 소아치과) ;
  • 안병덕 (이화여자대학교 목동병원 소아치과) ;
  • 홍소이 (이화여자대학교 목동병원 소아치과) ;
  • 공은경 (이화여자대학교 목동병원 소아치과) ;
  • 마연주 (이화여자대학교 목동병원 소아치과) ;
  • 정영정 (이화여자대학교 목동병원 소아치과)
  • Received : 2010.10.18
  • Accepted : 2010.12.18
  • Published : 2011.02.28
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Abstract

The aim of this study was to assess the outcome of MTA apexification in young permanent anterior teeth. Among the patients with the traumatized permanent incisors which were treated with MTA apexification, the dental records and radiographs were examined only for the patient who had follow-up examination at least 3 months after the treatment. Forty nine patients with 64 teeth were included in this study. Demographic information, location and type of teeth and periodontal injury, pre-treatment periapical lesion, clinical symptoms, status of MTA filling, healing of apical lesion and apical barrier formation after treatment were investigated. The outcome based on clinical and radiographic criteria were assessed. The results were as follows 1. Of 64 immature permanent incisors with MTA apexification, the clinical and radiographic success rates were 89.1% and 73.4%, respectively. 2. The maxillary incisors showed significantly higher success rates than the mandibular incisors. 3. There was no statistically significant difference in success rates among the teeth with different types of teeth and periodontal injury. 4. The status of MTA filling did not influence the clinical and radiographic success.

미성숙 영구 전치에서 MTA를 이용한 치근단 형성술의 예후를 평가하기 위해, 영구 전치의 외상으로 MTA를 이용한 치근단 형성술을 받은 환자 중 최소 3개월 이상의 경과 관찰이 시행된 환자 49명, 치아 64개의 의무기록과 방사선 사진을 검토하였다. 환자 정보, 치아 및 치주조직 외상 위치와 유형, 치료 전 치근단 병소 유무, 임상 증상 유무, MTA 충전 상태, 치근단 형성술 이후 치근단 병소 치유 및 치근단 경조직 장벽 형성 여부를 조사하고, 임상적, 방사선학적 성공을 평가하여 다음과 같은 결과를 얻었다. 1. 64개의 미성숙 영구전치에 시행된 MTA를 이용한 1-visit 치근단 형성술은 89.1%의 임상적 성공률과 73.4%의 방사선학적 성공률을 보였다. 2. 상악 치아와 하악 치아에 행해진 MTA를 이용한 1-visit 치근단 형성술 비교시 상악에서 유의하게 더 높은 성공률을 보였다. 3. 치아 외상 및 치주조직 외상 유형에 따른 성공률은 유의한 차이를 보이지 않았다. 4. MTA의 적절한 충전 여부는 성공률에 영향을 미치지 않았다.

Keywords

References

  1. Andreasen JO, Andreasen FM, Andreasen L: Textbook and color atlas of traumatic injuries to the teeth. 4th ed, Blackwell Munksgaard, Copenhagen: 226, 2007.
  2. Shabahang S, Torabinejad M, Boyne PP, et al.: A comparative study of root-end induction using osteogenic protein-1, calcium hydroxide, and mineral trioxide aggregate in dogs. J Endod, 25:1-5, 1999. https://doi.org/10.1016/S0099-2399(99)80388-4
  3. Torabinejad M, Chivian N: Clinical applications of mineral trioxide aggregate. J Endod, 25:197-205, 1999. https://doi.org/10.1016/S0099-2399(99)80142-3
  4. Roberts HW, Toth JM, Berzins DW, Charlton DG: Mineral trioxide aggregate material use in endodontic treatment: a review of the literature. Dent Mater, 24:149-164, 2008. https://doi.org/10.1016/j.dental.2007.04.007
  5. Schwartz RS, Mauger M, Clement DJ, Walker WA, 3rd: Mineral trioxide aggregate: a new material for endodontics. J Am Dent Assoc, 130:967-975, 1999. https://doi.org/10.14219/jada.archive.1999.0337
  6. Torabinejad M, Hong CU, Mcdonald F, Pitt Ford TR: Physical and chemical properties of a new rootend filling material. J Endod, 21:349-353, 1995. https://doi.org/10.1016/S0099-2399(06)80967-2
  7. Osorio RM, Hefti A, Vertucci FJ, Shawley AL: Cytotoxicity of endodontic materials. J Endod, 24: 91-96, 1998.
  8. Torabinejad M, Pitt Ford TR, Abedi HR, et al.: Tissue reaction to implanted root-end filling materials in the tibia and mandible of guinea pigs. J Endod, 24: 468-471, 1998. https://doi.org/10.1016/S0099-2399(98)80048-4
  9. Torabinejad M, Hong CU, Pitt Ford TR, Kaiyawasam SP: Tissue reaction to implanted super-EBA and mineral trioxide aggregate in the mandible of guinea pigs: a preliminary report. J Endod, 21:569-571, 1995. https://doi.org/10.1016/S0099-2399(06)80987-8
  10. Zhu Q, Haglund R, Safavi KE, Spangberg LS: Adhesion of human osteoblasts on root-end filling materials. J Endod, 26:404-406, 2000. https://doi.org/10.1097/00004770-200007000-00006
  11. Economides N, Pantelidou O, Kokkas A, Tziafas D: Short-term periradicular tissue response to mineral trioxide aggregate (MTA) as root-end filling material. Int Endod J, 36:44-48, 2003. https://doi.org/10.1046/j.0143-2885.2003.00611.x
  12. Simon S, Rilliard F, Berdal A, Machtou P: The use of mineral trioxide aggregate in one-visit apexification treatment: a prospective study. Int Endod J, 40:186-197, 2007. https://doi.org/10.1111/j.1365-2591.2007.01214.x
  13. 염순준, 박기태: MTA를 이용한 미성숙 영구치의 즉일 치근단형성술. 대한소아치과학회지, 28:480-486, 2001.
  14. Erdem AP, Sepet E: Mineral trioxide aggregate for obturation of maxillary central incisors with necrotic pulp and open apices. Dent Traumatol, 24:38-41, 2008. https://doi.org/10.1111/j.1600-9657.2005.00400.x
  15. Hayashi M, Shimizu A, Ebisu S: MTA for obturation of mandibular central incisors with open apices: case report. J Endod, 30:120-122, 2004. https://doi.org/10.1097/00004770-200402000-00015
  16. Maroto M, Barberia E, Planells P, Vera V: Treatment of a non-vital immature incisor with mineral trioxide aggregate (MTA). Dent Traumatol, 19: 165-169, 2003. https://doi.org/10.1034/j.1600-9657.2003.00106.x
  17. 구정은, 백광우: 치외치로 인한 봉와직염에서 MTA를 이용한 치험례. 대한소아치과학회지, 36:310-317, 2009.
  18. Sarris S, Tahmassebi JF, Duggal MS, Cross IA: A clinical evaluation of mineral trioxide aggregate for root-end closure of non-vital immature permanent incisors in children-a pilot study. Dent Traumatol, 24:79-85, 2008. https://doi.org/10.1111/j.1600-9657.2006.00485.x
  19. Al-Jundi SH: Dental emergencies presenting to a dental teaching hospital due to complications from traumatic dental injuries. Dent Traumatol, 18:181-185, 2002. https://doi.org/10.1034/j.1600-9657.2002.02081.x
  20. Cvek M: Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study. Endod Dent Traumatol, 8:45-55, 1992. https://doi.org/10.1111/j.1600-9657.1992.tb00228.x
  21. Tronstad L: Tissue reactions following apical plugging of the root canal with dentin chips in monkey teeth subjected to pulpectomy. Oral Surg Oral Med Oral Pathol, 45:297-304, 1978. https://doi.org/10.1016/0030-4220(78)90098-1
  22. Pitts DL, Jones JE, Oswald RJ: A histological comparison of calcium hydroxide plugs and dentin plugs used for the control of Gutta-percha root canal filling material. J Endod, 10:283-293, 1984. https://doi.org/10.1016/S0099-2399(84)80180-6
  23. Yoshida T, Itoh T, Saitoh T, Sekine I: Histopathological study of the use of freeze-dried allogenic dentin powder and True Bone Ceramic as apical barrier materials. J Endod, 24:581-586, 1998. https://doi.org/10.1016/S0099-2399(98)80114-3
  24. Lee SJ, Monsef M, Torabinejad M: Sealing ability of a mineral trioxide aggregate for repair of lateral root perforations. J Endod, 19:541-544, 1993. https://doi.org/10.1016/S0099-2399(06)81282-3
  25. Bates CF, Carnes DL, Del Rio CE: Longitudinal sealing ability of mineral trioxide aggregate as a root-end filling material. J Endod, 22:575-578, 1996. https://doi.org/10.1016/S0099-2399(96)80023-9
  26. Shipper G, Grossman ES, Botha AJ, Cleaton-Jones PE: Marginal adaptation of mineral trioxide aggregate (MTA) compared with amalgam as a root-end filling material: a low-vacuum (LV) versus highvacuum (HV) SEM study. Int Endod J, 37:325-336, 2004. https://doi.org/10.1111/j.0143-2885.2004.00806.x
  27. Andreasen JO, Munksgaard EC, Bakland LK: Comparison of fracture resistance in root canals of immature sheep teeth after filling with calcium hydroxide or MTA. Dent Traumatol, 22:154-156, 2006. https://doi.org/10.1111/j.1600-9657.2006.00419.x
  28. Hatibovic-Kofman S, Raimundo L, Zheng L, et al.: Fracture resistance and histological findings of immature teeth treated with mineral trioxide aggregate. Dent Traumatol, 24:272-276, 2008. https://doi.org/10.1111/j.1600-9657.2007.00541.x
  29. Felippe WT, Felippe MC, Rocha MJ: The effect of mineral trioxide aggregate on the apexification and periapical healing of teeth with incomplete root formation. Int Endod J, 39:2-9, 2006. https://doi.org/10.1111/j.1365-2591.2005.01037.x
  30. Shabahang S, Torabinejad M: Treatment of teeth with open apices using mineral trioxide aggregate. Pract Periodontics Aesthet Dent, 12:315-320; quiz 322, 2000.
  31. Stefopoulos S, Tsatsas DV, Kerezoudis NP, Eliades G: Comparative in vitro study of the sealing efficiency of white vs grey ProRoot mineral trioxide aggregate formulas as apical barriers. Dent Traumatol, 24:207-213, 2008. https://doi.org/10.1111/j.1600-9657.2007.00516.x
  32. Al-Kahtani A, Shostad S, Schifferle R, Bhambhani S: In-vitro evaluation of microleakage of an orthograde apical plug of mineral trioxide aggregate in permanent teeth with simulated immature apices. J Endod, 31:117-119, 2005. https://doi.org/10.1097/01.don.0000136204.14140.81
  33. Hachmeister DR, Schindler WG, Walker WA, 3rd, Thomas DD: The sealing ability and retention characteristics of mineral trioxide aggregate in a model of apexification. J Endod, 28:386-390, 2002. https://doi.org/10.1097/00004770-200205000-00010
  34. Lamb EL, Loushine RJ, Weller RN, et al.: Effect of root resection on the apical sealing ability of mineral trioxide aggregate. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 95:732-735, 2003. https://doi.org/10.1067/moe.2003.98
  35. Mah T, Basrani B, Santos JM, et al.: Periapical inflammation affecting coronally-inoculated dog teeth with root fillings augmented by white MTA orifice plugs. J Endod, 29:442-446, 2003. https://doi.org/10.1097/00004770-200307000-00004
  36. Matt GD, Thorpe JR, Strother JM, Mcclanahan SB: Comparative study of white and gray mineral trioxide aggregate (MTA) simulating a one- or two-step apical barrier technique. J Endod, 30:876-879, 2004. https://doi.org/10.1097/01.don.0000136213.93171.45
  37. Valois CR, Costa ED, Jr.: Influence of the thickness of mineral trioxide aggregate on sealing ability of root-end fillings in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 97:108-111, 2004. https://doi.org/10.1016/S1079-2104(03)00359-7
  38. White JD, Lacefield WR, Chavers LS, Eleazer PD: The effect of three commonly used endodontic materials on the strength and hardness of root dentin. J Endod, 28:828-830, 2002. https://doi.org/10.1097/00004770-200212000-00008
  39. Lawley GR, Schindler WG, Walker WA, 3rd, Kolodrubetz D: Evaluation of ultrasonically placed MTA and fracture resistance with intracanal composite resin in a model of apexification. J Endod, 30: 167-172, 2004. https://doi.org/10.1097/00004770-200403000-00010
  40. Aminoshariae A, Hartwell GR, Moon PC: Placement of mineral trioxide aggregate using two different techniques. J Endod, 29:679-682, 2003. https://doi.org/10.1097/00004770-200310000-00017
  41. Torabinejad M, Rastegar AF, Kettering JD, Pitt Ford TR: Bacterial leakage of mineral trioxide aggregate as a root-end filling material. J Endod, 21:109-112, 1995. https://doi.org/10.1016/S0099-2399(06)80433-4
  42. Torabinejad M, Smith PW, Kettering JD, Pitt Ford TR: Comparative investigation of marginal adaptation of mineral trioxide aggregate and other commonly used root-end filling materials. J Endod, 21:295-299, 1995. https://doi.org/10.1016/S0099-2399(06)81004-6
  43. Kratchman SI: Perforation repair and one-step apexification procedures. Dent Clin North Am, 48:291-307, 2004. https://doi.org/10.1016/j.cden.2003.12.003
  44. Holland R, De Souza V, Nery MJ, et al.: Reaction of rat connective tissue to implanted dentin tubes filled with mineral trioxide aggregate or calcium hydroxide. J Endod, 25:161-166, 1999. https://doi.org/10.1016/S0099-2399(99)80134-4
  45. Holland R, De Souza V, Nery MJ, et al.: Reaction of dogs' teeth to root canal filling with mineral trioxide aggregate or a glass ionomer sealer. J Endod, 25:728-730, 1999. https://doi.org/10.1016/S0099-2399(99)80118-6
  46. Torabinejad M, Hong CU, Pitt Ford TR, Kettering JD: Cytotoxicity of four root end filling materials. J Endod, 21:489-492, 1995. https://doi.org/10.1016/S0099-2399(06)80518-2
  47. Koh ET, Mcdonald F, Pitt Ford TR, Torabinejad M: Cellular response to Mineral Trioxide Aggregate. J Endod, 24:543-547, 1998. https://doi.org/10.1016/S0099-2399(98)80074-5
  48. Zou L, Liu J, Yin S, et al.: In vitro evaluation of the sealing ability of MTA used for the repair of furcation perforations with and without the use of an internal matrix. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 105: 61-65, 2008.

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