Journal of Endodontics
Volume 36, Issue 2 , Pages 208-213 , February 2010

Treatment Outcome of Mineral Trioxide Aggregate: Repair of Root Perforations

  • Johannes Mente, DMD

      Affiliations

    • Department of Conservative Dentistry, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany
    • Corresponding Author InformationAddress requests for reprints to Dr Johannes Mente, University Clinic Heidelberg, Department of Conservative Dentistry, Division of Endodontics, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
  • ,
  • Nathalie Hage

      Affiliations

    • Department of Conservative Dentistry, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany
  • ,
  • Thorsten Pfefferle, DMD

      Affiliations

    • Department of Conservative Dentistry, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany
  • ,
  • Martin Jean Koch, MD, DMD, PhD

      Affiliations

    • Department of Conservative Dentistry, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany
  • ,
  • Beate Geletneky

      Affiliations

    • Department of Conservative Dentistry, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany
  • ,
  • Jens Dreyhaupt, DSc

      Affiliations

    • Institute of Medical Biometry and Informatics, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany
  • ,
  • Nicolas Martin, BDS, PhD, FDS, RCS

      Affiliations

    • Department of Adult Dental Care, University of Sheffield, Sheffield, United Kingdom
  • ,
  • Hans Joerg Staehle, MD, DMD, PhD

      Affiliations

    • Department of Conservative Dentistry, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany

References 

  1. Holland R, Bisco Ferreira L, de Souza V, et al. Reaction of the lateral periodontium of dogs' teeth to contaminated and noncontaminated perforations filled with mineral trioxide aggregate. J Endod. 2007;33:1192–1197
  2. Beavers RA, Bergenholtz G, Cox CF. Periodontal wound healing following intentional root perforations in permanent teeth of Macaca mulatta. Int Endod J. 1986;19:36–44
  3. Harris WE. A simplified method of treatment for endodontic perforations. J Endod. 1976;2:126–134
  4. ElDeeb ME, ElDeeb M, Tabibi A, et al. An evaluation of the use of amalgam, Cavit, and calcium hydroxide in the repair of furcation perforations. J Endod. 1982;8:459–466
  5. Alhadainy HA. Root perforations. A review of literature. Oral Surg Oral Med Oral Pathol. 1994;78:368–374
  6. Oynick J, Oynick T. Treatment of endodontic perforations. J Endod. 1985;11:191–192
  7. Martin LR, Gilbert B, Dickerson AW. Management of endodontic perforations. Oral Surg Oral Med Oral Pathol. 1982;54:668–677
  8. Lemon RR. Nonsurgical repair of perforation defects. Internal matrix concept. Dent Clin North Am. 1992;36:439–457
  9. Chau JY, Hutter JW, Mork TO, et al. An in vitro study of furcation perforation repair using calcium phosphate cement. J Endod. 1997;23:588–592
  10. Alhadainy HA, Himel VT. An in vitro evaluation of plaster of Paris barriers used under amalgam and glass ionomer to repair furcation perforations. J Endod. 1994;20:449–452
  11. Hartwell GR, England MC. Healing of furcation perforations in primate teeth after repair with decalcified freeze-dried bone: a longitudinal study. J Endod. 1993;19:357–361
  12. Fuss Z, Trope M. Root perforations: classification and treatment choices based on prognostic factors. Endod Dent Traumatol. 1996;12:255–264
  13. Kvinnsland I, Oswald RJ, Halse A, et al. A clinical and roentgenological study of 55 cases of root perforation. Int Endod J. 1989;22:75–84
  14. Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study. Phases I and II: Orthograde retreatment. J Endod. 2004;30:627–633
  15. Koh ET, McDonald F, Pitt Ford TR, et al. Cellular response to mineral trioxide aggregate. J Endod. 1998;24:543–547
  16. Zhu Q, Haglund R, Safavi KE, Spangberg LS. Adhesion of human osteoblasts on root-end filling materials. J Endod. 2000;26:404–406
  17. Pistorius A, Willershausen B, Briseno Marroquin B. Effect of apical root-end filling materials on gingival fibroblasts. Int Endod J. 2003;36:610–615
  18. Yoshimine Y, Ono M, Akamine A. In vitro comparison of the biocompatibility of mineral trioxide aggregate, 4META/MMA-TBB resin, and intermediate restorative material as root-end-filling materials. J Endod. 2007;33:1066–1069
  19. Torabinejad M, Higa RK, McKendry DJ, et al. Dye leakage of four root end filling materials: effects of blood contamination. J Endod. 1994;20:159–163
  20. Nakata TT, Bae KS, Baumgartner JC. Perforation repair comparing mineral trioxide aggregate and amalgam using an anaerobic bacterial leakage model. J Endod. 1998;24:184–186
  21. Hashem AA, Hassanien EE. ProRoot MTA, MTA-Angelus and IRM used to repair large furcation perforations: sealability study. J Endod. 2008;34:59–61
  22. Pitt Ford TR, Torabinejad M, McKendry DJ, et al. Use of mineral trioxide aggregate for repair of furcal perforations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79:756–763
  23. Holland R, Filho JA, de Souza V, et al. Mineral trioxide aggregate repair of lateral root perforations. J Endod. 2001;27:281–284
  24. Al-Daafas A, Al-Nazhan S. Histological evaluation of contaminated furcal perforation in dogs' teeth repaired by MTA with or without internal matrix. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103:e92–e99
  25. Main C, Mirzayan N, Shabahang S, et al. Repair of root perforations using mineral trioxide aggregate: a long-term study. J Endod. 2004;30:80–83
  26. Mente J. Der Verschluss von Perforationen mit Mineral Trioxide Aggregate (MTA). Endodontie. 2004;13-3:243–255
  27. Bargholz C. Perforation repair with mineral trioxide aggregate: a modified matrix concept. Int Endod J. 2005;38:59–69
  28. Ghoddusi J, Sanaan A, Shahrami F. Clinical and radiographic evaluation of root perforation repair using MTA. N Y State Dent J. 2007;73:46–49
  29. Pace R, Giuliani V, Pagavino G. Mineral trioxide aggregate as repair material for furcal perforation: case series. J Endod. 2008;34:1130–1133
  30. Bogen G, Kuttler S. Mineral trioxide aggregate obturation: a review and case series. J Endod. 2009;35:777–790
  31. Mente J, Hage N, Pfefferle T, Koch MJ, Dreyhaupt J, Staehle HJ, et al. Mineral trioxide aggregate apical plugs in teeth with open apical foramina: a retrospective analysis of treatment outcome. J Endod. 2009;35:1354–1358
  32. Ørstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol. 1986;2:20–34
  33. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174
  34. Friedman S. Expected outcomes in the prevention and treatment of apical periodontitis. In:  Orstavik D,  Pitt Ford T editor. Essential Endodontology: Prevention and Treatment of Apical Periodontitis. Second ed. Oxford: Blackwell Munksgaard Ltd; 2008;p. 408–469
  35. Goldman M, Pearson AH, Darzenta N. Endodontic success–who's reading the radiograph?. Oral Surg Oral Med Oral Pathol. 1972;33:432–437
  36. Estrela C, Bueno MR, Leles CR, Azevedo B, Azevedo JR. Accuracy of cone beam computed tomography and panoramic and periapical radiography for detection of apical periodontitis. J Endod. 2008;34:273–279
  37. Stromberg T, Hasselgren G, Bergstedt H. Endodontic treatment of traumatic root perforations in man. A clinical and roentgenological follow-up study. Sven Tandlak Tidskr. 1972;65:457–466
  38. Rafter M, Baker M, Alves M, Daniel J, Remeikis N. Evaluation of healing with use of an internal matrix to repair furcation perforations. Int Endod J. 2002;35:775–783
  39. 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. 1995;21:569–571
  40. Sjögren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod. 1990;16:498–504
  41. Heling I, Gorfil C, Slutzky H, Kopolovic K, Zalkind M, Slutzky-Goldberg I. Endodontic failure caused by inadequate restorative procedures: review and treatment recommendations. J Prosthet Dent. 2002;87:674–678

PII: S0099-2399(09)00886-3

doi: 10.1016/j.joen.2009.10.012

Journal of Endodontics
Volume 36, Issue 2 , Pages 208-213 , February 2010