doiSerbia

Endodontic treatment of traumatized teeth with chronic periapical lesions using antibiotic paste and mineral trioxide aggregate obturation - a preliminary study

Ćetenović Bojana (Vinča Institute of Nuclear Sciences, Belgrade)
Marković Dejan (Faculty of Dental Medicine, Clinic for Pediatric and Preventive Dentistry, Belgrade)
Gutmann James (Texas A&M University, Baylor College of Dentistry, Dallas, Texas, USA)
Perić Tamara (Faculty of Dental Medicine, Clinic for Pediatric and Preventive Dentistry, Belgrade)
Jokanović Vukoman (Vinča Institute of Nuclear Sciences, Belgrade)

Introduction/Objective. The purpose of this study was to assess effectiveness of endodontic root canal procedures in traumatized permanent teeth with necrotic pulps and chronic periapical lesions after definitive obturation with mineral trioxide aggregate (MTA) products. Adobe Photoshop CS (San Jose, CA, USA) image-analysis software was used for healing assessment. Methods. Twenty-seven traumatized single-rooted permanent teeth diagnosed with necrotic pulps and chronic periapical lesions were treated with non-surgical procedure using a tri-antibiotic paste and calcium hydroxide as intra-canal medication. Definitive obturation was performed with ProRoot MTA (Dentsply Tulsa Dental Specialties, Tulsa, OK, USA) or MTA+ Cerkamed (Cerkamed, Stalowa Wola, Poland). Control follow-ups were done three, six, 12, and 24 months following the completion of treatment. Results. The positive clinical outcome was recorded in 24 (88.9%) cases, while radiographic success was present in 26 (96.3%) cases. A statistically significant decrease in the sizes of periapical lesions was consistently observed at follow-up periods (p < 0.001). There was no statistically significant difference between the two tested MTA materials (p > 0.05). Conclusion. The MTA products were effective for the root canal obturation and appeared to contribute to the significant reduction or complete regression of periapical lesions in teeth treated. The presented procedure may be proposed for everyday clinical practice.

Keywords: Calcium hydroxide, chronic periapical lesions, dental injuries, MTA

Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. 172026