Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
권호 표지
DOI QR코드

DOI QR Code

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)
  • Received : 2013.12.28
  • Accepted : 2014.02.12
  • Published : 2014.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

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.

Keywords

References

  1. Patel S, Ricucci D, Durak C, Tay F. Internal root resorption: a review. J Endod 2010;36:1107-1121. https://doi.org/10.1016/j.joen.2010.03.014
  2. Goultschin J, Nitzan D, Azaz B. Root resorption. Review and discussion. Oral Surg Oral Med Oral Pathol 1982;54: 586-590. https://doi.org/10.1016/0030-4220(82)90199-2
  3. Nunes E, Silveira FF, Soares JA, Duarte MA, Soares SM. Treatment of perforating internal root resorption with MTA: a case report. J Oral Sci 2012;54:127-131. https://doi.org/10.2334/josnusd.54.127
  4. Hsien HC, Cheng YA, Lee YL, Lan WH, Lin CP. Repair of perforating internal resorption with mineral trioxide aggregate: a case report. J Endod 2003;29:538-539. https://doi.org/10.1097/00004770-200308000-00011
  5. Altundasar E, Demir B. Management of a perforating internal resorptive defect with mineral trioxide aggregate: a case report. J Endod 2009;35:1441-1444. https://doi.org/10.1016/j.joen.2009.06.017
  6. Torabinejad M, Parirokh M. Mineral trioxide aggregate: a comprehensive literature review-part II: leakage and biocompatibility investigations. J Endod 2010;36:190-202. https://doi.org/10.1016/j.joen.2009.09.010
  7. Noetzel J, Ozer K, Reisshauer BH, Anil A, Rössler R, Neumann K, Kielbassa AM. Tissue responses to an experimental calcium phosphate cement and mineral trioxide aggregate as materials for furcation perforation repair: a histological study in dogs. Clin Oral Investig 2006;10:77-83. https://doi.org/10.1007/s00784-005-0032-1
  8. Regan JD, Gutmann JL, Witherspoon DE. Comparison of Diaket and MTA when used as root-end filling materials to support regeneration of the periradicular tissues. Int Endod J 2002;35:840-847. https://doi.org/10.1046/j.1365-2591.2002.00582.x
  9. Asgary S, Eghbal MJ, Parirokh M, Ghoddusi J, Kheirieh S, Brink F. Comparison of mineral trioxide aggregate's composition with Portland cements and a new endodontic cement. J Endod 2009;35:243-250. https://doi.org/10.1016/j.joen.2008.10.026
  10. Mozayeni MA, Milani AS, Marvasti LA, Asgary S. Cytotoxicity of calcium enriched mixture cement compared with mineral trioxide aggregate and intermediate restorative material. Aust Endod J 2012; 38:70-75. https://doi.org/10.1111/j.1747-4477.2010.00269.x
  11. Parirokh M, Mirsoltani B, Raoof M, Tabrizchi H, Haghdoost AA. Comparative study of subcutaneous tissue responses to a novel root-end filling material and white and grey mineral trioxide aggregate. Int Endod J 2011;44:283-289. https://doi.org/10.1111/j.1365-2591.2010.01808.x
  12. Samiee M, Eghbal MJ, Parirokh M, Abbas FM, Asgary S. Repair of furcal perforation using a new endodontic cement. Clin Oral Investig 2010;14:653-658. https://doi.org/10.1007/s00784-009-0351-8
  13. Asgary S, Eghbal MJ, Ehsani S. Periradicular regeneration after endodontic surgery with calciumenriched mixture cement in dogs. J Endod 2010;36:837-841. https://doi.org/10.1016/j.joen.2010.03.005
  14. Nosrat A, Peimani A, Asgary S. A preliminary report on histological outcome of pulpotomy with endodontic biomaterials vs calcium hydroxide. Restor Dent Endod 2013;38:227-233. https://doi.org/10.5395/rde.2013.38.4.227
  15. Nosrat A, Asgary S, Eghbal MJ, Ghoddusi J, Bayat- Movahed S. Calcium-enriched mixture cement as artificial apical barrier: a case series. J Conserv Dent 2011;14:427-431. https://doi.org/10.4103/0972-0707.87218
  16. Asgary S, Nosrat A, Seifi A. Management of inflammatory external root resorption by using calciumenriched mixture cement: a case report. J Endod 2011; 37:411-413. https://doi.org/10.1016/j.joen.2010.11.015
  17. Ball RL, Barbizam JV, Cohenca N. Intraoperative endodontic applications of cone-beam computed tomography. J Endod 2013;39:548-557. https://doi.org/10.1016/j.joen.2012.11.038
  18. Nosrat A, Nekoofar MH, Bolhari B, Dummer PM. Unintentional extrusion of mineral trioxide aggregate: a report of three cases. Int Endod J 2012;45:1165-1176. https://doi.org/10.1111/j.1365-2591.2012.02082.x
  19. Saghiri MA, Lotfi M, Saghiri AM, Vosoughhosseini S, Fatemi A, Shiezadeh V, Ranjkesh B. Effect of pH on sealing ability of white mineral trioxide aggregate as a root-end filling material. J Endod 2008;34:1226-1229. https://doi.org/10.1016/j.joen.2008.07.017
  20. Shokouhinejad N, Nekoofar MH, Iravani A, Kharrazifard MJ, Dummer PM. Effect of acidic environment on the push-out bond strength of mineral trioxide aggregate. J Endod 2010;36:871-874. https://doi.org/10.1016/j.joen.2009.12.025
  21. Namazikhah MS, Nekoofar MH, Sheykhrezae MS, Salariyeh S, Hayes SJ, Bryant ST, Mohammadi MM, Dummer PM. The effect of pH on surface hardness and microstructure of mineral trioxide aggregate. Int Endod J 2008;41:108-116.
  22. Nekoofar MH, Namazikhah MS, Sheykhrezae MS, Mohammadi MM, Kazemi A, Aseeley Z, Dummer PM. pH of pus collected from periapical abscesses. Int Endod J 2009;42:534-538. https://doi.org/10.1111/j.1365-2591.2009.01550.x
  23. Oloomi K, Saberi E, Mokhtari H, Mokhtari Zonouzi HR, Nosrat A, Nekoofar MH, Dummer PM. Evaluation of the effect of blood contamination on the compressive strength of MTA modified with hydration accelerators. Restor Dent Endod 2013;38:128-133. https://doi.org/10.5395/rde.2013.38.3.128
  24. Nekoofar MH, Oloomi K, Sheykhrezae MS, Tabor R, Stone DF, Dummer PM. An evaluation of the effect of blood and human serum on the surface microhardness and surface microstructure of mineral trioxide aggregate. Int Endod J 2010;43:849-858. https://doi.org/10.1111/j.1365-2591.2010.01750.x
  25. Chen CL, Huang TH, Ding SJ, Shie MY, Kao CT. Comparison of calcium and silicate cement and mineral trioxide aggregate biologic effects and bone markers expression in MG63 cells. J Endod 2009;35:682-685. https://doi.org/10.1016/j.joen.2009.02.002
  26. Asgary S, Ehsani S. MTA resorption and periradicular healing in an open-apex incisor: a case report. Saudi Dent J 2012;24:55-59. https://doi.org/10.1016/j.sdentj.2011.08.001
  27. Camilleri J. Characterization of hydration products of mineral trioxide aggregate. Int Endod J 2008;41:408-417. https://doi.org/10.1111/j.1365-2591.2007.01370.x
  28. Asgary S, Eghbal MJ, Parirokh M, Ghoddusi J. Effect of two storage solutions on surface topography of two root-end fillings. Aust Endod J 2009;35:147-152. https://doi.org/10.1111/j.1747-4477.2008.00137.x
  29. Reyes-Carmona JF, Felippe MS, Felippe WT. A phosphatebuffered saline intracanal dressing improves the biomineralization ability of mineral trioxide aggregate apical plugs. J Endod 2010;36:1648-1652. https://doi.org/10.1016/j.joen.2010.06.014
  30. Parirokh M, Askarifard S, Mansouri S, Haghdoost AA, Raoof M, Torabinejad M. Effect of phosphate buffer saline on coronal leakage of mineral trioxide aggregate. J Oral Sci 2009;51:187-191. https://doi.org/10.2334/josnusd.51.187
  31. Sarkar NK, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I. Physicochemical basis of the biologic properties of mineral trioxide aggregate. J Endod 2005;31:97-100. https://doi.org/10.1097/01.DON.0000133155.04468.41

Cited by

  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