The use of MTA in the treatment of cervical root perforation: case report

Case Report,Root perforation, MTA, Calcium hydroxide,

V03N02 | 2013 | Case Report | Pages 96 to 101

Jefferson J. C. Marion, Thaís Mageste Duque,Tatiane Silveira Santos, Frederico Campos Manhães

Root perforation, MTA, Calcium hydroxide,

Objective: The aim of this study was to report the treatment of a tooth with cervical root perforation caused during endodontic treatment.
Methods: The patient attended the endodontist’s office with painful symptoms resulting from a cervical root perforation exposed to the oral cavity. The endodontic treatment was performed in multiple sessions using the dressing with calcium hydroxide and propylene glycol, in order to aid the decontamination of the root canal and the perforation. The root perforation was sealed with MTA because this material is capable of forming mineralized tissue due to its sealing ability, biocompatibility and alkalinity. In addition, the humidity present in the periodontal tissues can provide the necessary means to adapt the MTA on the walls of the perforation and its setting expansion, justifying its use in this case as it is a case of cervical perforation, a difficult site to control humidity.
Conclusion: The authors concluded that MTA is an excellent material for sealing cervical root perforation.

Marion JJC, Duque TM, Santos TS, Manhães FC. The use of MTA in the treatment of cervical root perfuration: case report. Dental Press Endod. 2013 May-Aug;3(2):96-101.

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