A prospective clinical study of periradicular surgery using mineral trioxide aggregate as a root-end filling

William Philip Saunders

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    Abstract

    A prospective outcome study of periradicular surgery using microsurgical techniques and root-end filling with mineral trioxide aggregate (MTA) was performed. Nonhealing endodontically treated teeth (n = 321) were included in the study. Surgery was completed under local anesthesia using a standardized clinical protocol. Patients were recalled periodically and examined for signs and symptoms of failure. Thirty-nine teeth were lost from recall. Of the 276 teeth examined, 163 showed complete healing radiographically with no other signs and symptoms; 82 teeth had no symptoms but incomplete or uncertain healing, and 31 teeth showed nonhealing (three had persistent pain despite evidence of complete radiologic healing and eight teeth did not heal for reasons unrelated to the surgical treatment). The overall success rate was 88.8%, including all teeth with no clinical symptoms. In this study, the use of MTA as a root-end filling, following microsurgical techniques, showed a high success rate.

    Original languageEnglish
    Pages (from-to)660-665
    Number of pages6
    JournalJournal of Endodontics
    Volume34
    Issue number6
    DOIs
    Publication statusPublished - Jun 2008

    Keywords

    • Mineral trioxide aggregate
    • Prospective study
    • Root-end filling
    • Surgical endodontics
    • Ultrasonics
    • Endodontic surgery
    • Follow-up
    • Periapical surgery
    • Cavity preparation
    • Sealing ability
    • Apical surgery
    • In vitro
    • Tissue
    • MTA
    • Teeth

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