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This article showing the Management of Dens Invagenatus of upper lateral incisor with large periapical lesion.

MTA is a bioactive cement that has gained immense popularity in endodontic treatments. It is composed of tricalcium silicate, dicalcium silicate, and bismuth oxide.  MTA possesses unique characteristics that make it an ideal material for various dental procedures. These properties include exceptional sealing ability, biocompatibility, good marginal adaptation, as well as its ability to promote […]

Root resorption is a pathological process that may occur after surgical mechanical, chemical or thermal insult. Generally, it can be classified as internal and external root resorption. Depending on the diagnosis, biocompatible material like MTA can be used in management of these cases. General dental practitioners can face difficulties in diagnosis and treatment planning for […]

The purpose of this article is to explain all the phases to do in a correct way an apical plug. Today on the market there was a lot of material that perform wery well like MTA or Bioceramic material in putty consistency. It’s important to know not only the technique but also when it is […]

Perforation is an iatrogenic communication that is formed between the tooth and supporting tissues.
It is important to manage perforations as soon as they are diagnosed.
An ideal peforation repair material is Mineral Trioxide Aggregate.

Perforation repair with MTA

The size of pulp exposure and the presence of spontaneous pain were significant criteria for treatment decisions in traditional direct pulp capping procedures. Direct pulp capping was considered viable when the pulp exposure size was 1 mm or less, and the patient did not experience spontaneous pain. Root canal treatment was routinely treatment choice in cases that did not meet these criteria. However, in light of contemporary insights from the literature, a new classification of pulp conditions has emerged. Consequently, this has led to a shift in our range of indications, predominantly favoring vital pulp treatments.

MTA (Mineral Trioxide Aggregate) apical plug is a technique used in endodontic treatment to create a barrier at the apex of the tooth. This innovative solution has revolutionized endodontics by providing excellent sealing ability and biocompatibility. When combined with internal tooth bleaching, the MTA apical plug technique offers an aesthetically pleasing and predictable outcome for […]

Trauma or caries in young children or adolescents can cause pulp necrosis, which may arrest root development in permanent teeth. This in turn results in thin dentinal walls, wide-open apices or sometimes divergent configuration or reverse anatomy, and inadequate crown-root ratio. Treatment of necrosed permanent teeth with immature apices mainly revolves around Apexification and Regenerative […]

Large apices and root canal perforations are always challenging to seal with traditional root filling materials, for many reasons like shrinkage, toxicity, inflammatory response, and sealing ability of those materials. Since it was first introduced (Torabinejad et al. 1995), MTA (Mineral Trioxide Aggregate) been widely used in many clinical applications in Endodontics. In this article, […]

Bacterial infection of the dental pulp may lead to periapical lesions. They are generally diagnosed either during routine dental radiographic examination or following acute pain in a tooth. Most periapical lesions (>90%) can be classified as dental granulomas, radicular cysts or abscesses. The incidence of cysts within periapical lesions varies between 6 and 55%. The […]

Minimally Invasive Dentistry refers to the philosophy of preserving the maximum amount of original dental tissue through a systematic approach. In this paradigm, the fundamental principle is to minimize the removal of dental structure. Therefore, in cases where the pulp is exposed, we should prioritize vital pulp treatments rather than root canal treatments.