Simplified MTA apical plug
21/09/2024
Fellow
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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 cases with root resorption. An understanding of the pathogenesis of root resorption is critical for diagnosis, effective management and improves outcome.
Fig. 1
PRE-OPERATIVE X-RAY
Shows tooth 12 with old under extended fill and large apical radiolucency.
Fig. 2
BUILD UP
Build up done to obtain satisfactory isolation, now tooth ready to subject to the therapy protocol.
Fig. 3
INTRA ORAL PHOTO
Shows clear view of orifice
Fig. 4
Shows introducing the first increment of amount of MTA and delivering it up at the apical part
Fig. 5
After adding another amount of MTA with proper adaptation , another xrays was taken
Fig. 6
Obturation done, and the large radiolucency clearly noticed, and follow up will reveal if there is any remarkable healing
Fig. 7
This figure shows months follow-up, with promising healing.
Fig. 8
About Dr.Hatem Almezughi
- graduated from Tripoli university, Libya.
- Local and international speaker in different conferences and forums .
- Dr. Hatem Almezughi (BDS)
- instructor in many endodontic courses.
- Dental practice limited to endodontics and restorative .
- Fellow member in style Italiano endodontics.
Conclusions
Biocompatible materials are likely to impact the management of ITR & ETR cases and treatment outcomes.
however, ITR & ETR cases aren’t very common but encountered every once and a while.
It is therefore important that case reports, such as this one, are shared to inform clinicians on the management, materials and techniques that can be employed
in efforts to ensure good-quality and lasting treatment outcomes in such cases.
Selecting high quality material “MTA” is prioritized to ensure delivering quality treatment , not to mention the the tools and instruments like MAP 1 system for instance.
Bibliography
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