Horizontal kök kırıklarının tedavisinde mineral trioksit agregat kullanımı: Olgu sunumu ve literatür güncellemesi

Year 2021, Volume: 8 Issue: 3, 850 - 858, 31.12.2021

Elif Ballıkaya , Hamdi Güngör

https://doi.org/10.15311/selcukdentj.788282

Abstract

Kök kırığı, kalıcı dişlenme döneminde nadir görülen travmatik bir diş yaralanmasıdır çeşididir. Prevalansı % 0.5 ve 7 arasında değişmektedir. Dişin sağ kalımı iyileşmenin türü ve kök kırığının konumundan önemli ölçüde etkilenmektedir. Ayrıca, bu yaralanmaları takiben hastanın yaşı, kök gelişiminin evresi, koronal parçanın mobilitesi, yerinden çıkmış olması ve koronal parçalar arasında boşluk olması diğer önemli faktörler arasındadır.
Bu olgu sunumunda, horoizontal kök kırığının MTA plug ile tedavisi ve 6 yıllık takibi bildirilmektedir. Horizontal kök kırıklarının tedavisinde MTA kullanımına ilişkin literatür güncellemesi de MTA’nın önemini tartışmak için eklenmiştir.

Keywords

Kök kırığı, kök kanal tedavisi, mineral trioksid agregat, apikal tıkaç

: The Use of Mineral Trioxide Aggregate in The Treatment of Horizontal Root Fractures: A Case Presentation and Literature Update

Abstract

Root fracture is a rarely seen traumatic injury in permanent dentition. It has a prevalence of 0.5-7 %. Tooth survival is significantly affected by the type of healing and the location of the root fracture. Additionally, the patient’s age, stage of root development, mobility and dislocation of the coronal fragment, and diastasis between fragments following this kind of injury are among the important factors.
In this case presentation, the management with MTA plug and 6-year follow-up of a horizontal root fracture was reported. A literature update regarding the use of MTA in the management of horizontal root fractures was also added to discuss its merit.

Keywords

Root fracture, root canal treatment, mineral trioxide aggregate, apical plug

References

• 1. Andreasen FM, Andreasen JO, Cvek M. Root Fractures. In: Andreasen JO, Andreasen FM, Andersson L, eds. Textbook and Color Atlas of Traumatic Injuries to The Teeth. 4th ed. Oxford, United Kingdom: Blackwell Publishing Ltd.; 2007:337-371.
• 2. Andreasen FM, Andreasen JO, Bayer T. Prognosis of root-fractured permanent incisors--prediction of healing modalities. Endod Dent Traumatol 1989;5:11-22.
• 3. Majorana A, Pasini S, Bardellini E, Keller E. Clinical and epidemiological study of traumatic root fractures. Dent Traumatol 2002;18:77-80.
• 4. Cvek M, Tsilingaridis G, Andreasen JO. Survival of 534 incisors after intra-alveolar root fracture in patients aged 7-17 years. Dent Traumatol 2008;24:379-387.
• 5. Molina JR, Vann Jr WF, McIntyre JD, Trope M, Lee JY. Root fractures in children and adolescents: diagnostic considerations. Dent Traumatol 2008;24:503-509.
• 6. Diangelis AJ, Andreasen JO, Ebeleseder KA, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol 2012;28:2-12.
• 7. Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra-alveolar root fractures. 2. Effect of treatment factors such as treatment delay, repositioning, splinting type and period and antibiotics. Dent Traumatol 2004;20:203-211.
• 8. Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra-alveolar root fractures. 1. Effect of pre-injury and injury factors such as sex, age, stage of root development, fracture type, location of fracture and severity of dislocation. Dent Traumatol 2004;20:192-202.
• 9. Cvek M, Andreasen JO, Borum MK. Healing of 208 intra-alveolar root fractures in patients aged 7-17 years. Dent Traumatol 2001;17:53-62.
• 10. Andreasen JO, Bakland LK, Flores MT, Andreasen FM, Andersson L. Traumatic Dental Injuries: A Manual. 3rd ed. Oxford, United Kingdom: Wiley-Blackwell; 2011.
• 11. Trope M, Barnett F, Sigurdsson A, Civian N. The role of endodontics after dental traumatic injuries. In: Hargreaves KM, Berman LH, eds. Cohen’s Pathways of The Pulp. 11th ed.: Mosby; 2015:758-792.
• 12. Andreasen JO, Ahrensburg SS, Tsilingaridis G. Root fractures: the influence of type of healing and location of fracture on tooth survival rates - an analysis of 492 cases. Dent Traumatol 2012;28:404-409.
• 13. Duggan D, Quinn F, O’Sullivan M. A long‐term follow up of spontaneously healed root fractures later subjected to orthodontic forces–two case reports. Dent Traumatol 2008;24:231-234.
• 14. Kusgoz A, Yildirim T, Tanriver M, Yesilyurt C. Treatment of horizontal root fractures using MTA as apical plug: report of 3 cases. Oral Surg Oral Med Oral Pathol Oral Radiol 2009;107:e68-e72.
• 15. Andreasen JO, Hjorting-Hansen E. Intraalveolar root fractures: radiographic and histologic study of 50 cases. J Oral Surg 1967;25:414-426.
• 16. Waterhouse PJ, Whitworth JM. Pediatric endodontics: Endodontic treatment for the primary and young permanent dentition. In: Hargreaves KM, Berman LH, eds. Cohen’s Pathways of The Pulp. 11th ed.2015:e1-e44.
• 17. Cvek M, Mejare I, Andreasen JO. Conservative endodontic treatment of teeth fractured in the middle or apical part of the root. Dent Traumatol 2004;20:261-269.
• 18. Cvek M. Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study. Endod Dent Traumatol 1992;8:45-55.
• 19. Andreasen JO, Farik B, Munksgaard EC. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol 2002;18:134-137.
• 20. Al-Jundi SH. Type of treatment, prognosis, and estimation of time spent to manage dental trauma in late presentation cases at a dental teaching hospital: a longitudinal and retrospective study. Dent Traumatol 2004;20:1-5.
• 21. Andreasen JO, Munksgaard EC, Bakland LK. Comparison of fracture resistance in root canals of immature sheep teeth after filling with calcium hydroxide or MTA. Dent Traumatol 2006;22:154-156.
• 22. Rosenberg B, Murray PE, Namerow K. The effect of calcium hydroxide root filling on dentin fracture strength. Dental Traumatology 2007;23:26-29.
• 23. Nerwich A, Figdor D, Messer HH. pH changes in root dentin over a 4-week period following root canal dressing with calcium hydroxide. J Endod 1993;19:302-306.
• 24. Grigoratos D, Knowles J, Ng YL, Gulabivala K. Effect of exposing dentine to sodium hypochlorite and calcium hydroxide on its flexural strength and elastic modulus. Int Endod J 2001;34:113-119.
• 25. Kahler SL, Shetty S, Andreasen FM, Kahler B. The effect of long-term dressing with calcium hydroxide on the fracture susceptibility of teeth. J Endod 2018;44:464-469.
• 26. Camilleri J, Montesin FE, Papaioannou S, McDonald F, Pitt Ford TR. Biocompatibility of two commercial forms of mineral trioxide aggregate. Int Endod J 2004;37:699-704.
• 27. Hatibovic-Kofman S, Raimundo L, Zheng L, Chong L, Friedman M, Andreasen JO. Fracture resistance and histological findings of immature teeth treated with mineral trioxide aggregate. Dent Traumatol 2008;24:272-276.
• 28. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part III: Clinical applications, drawbacks, and mechanism of action. J Endod 2010;36:400-413.
• 29. Torabinejad M, Parirokh M, Dummer PMH. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview - part II: other clinical applications and complications. Int Endod J 2018;51:284-317.
• 30. Sarkar NK, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I. Physicochemical basis of the biologic properties of mineral trioxide aggregate. J Endod 2005;31:97-100.
• 31. Bozeman TB, Lemon RR, Eleazer PD. Elemental analysis of crystal precipitate from gray and white MTA. J Endod 2006;32:425-428.
• 32. Camilleri J. Characterization of hydration products of mineral trioxide aggregate. Int Endod J 2008;41:408-417.
• 33. Ozdemir HO, Ozcelik B, Karabucak B, Cehreli ZC. Calcium ion diffusion from mineral trioxide aggregate through simulated root resorption defects. Dent Traumatol 2008;24:70-73.
• 34. Eldeniz AU, Hadimli HH, Ataoglu H, Orstavik D. Antibacterial effect of selected root-end filling materials. J Endod 2006;32:345-349.
• 35. Fridland M, Rosado R. MTA solubility: a long term study. J Endod 2005;31:376-379.
• 36. Guven G, Cehreli ZC, Ural A, Serdar MA, Basak F. Effect of mineral trioxide aggregate cements on transforming growth factor beta1 and bone morphogenetic protein production by human fibroblasts in vitro. J Endod 2007;33:447-450.
• 37. Huang TH, Yang CC, Ding SJ, Yeng M, Kao CT, Chou MY. Inflammatory cytokines reaction elicited by root-end filling materials. J Biomed Mater Res B Appl Biomater 2005;73:123-128.
• 38. Abdullah D, Ford TR, Papaioannou S, Nicholson J, McDonald F. An evaluation of accelerated Portland cement as a restorative material. Biomaterials 2002;23:4001-4010.
• 39. Tecles O, Laurent P, Aubut V, About I. Human tooth culture: a study model for reparative dentinogenesis and direct pulp capping materials biocompatibility. J Biomed Mater Res B Appl Biomater 2008;85:180-187.
• 40. Kuratate M, Yoshiba K, Shigetani Y, Yoshiba N, Ohshima H, Okiji T. Immunohistochemical analysis of nestin, osteopontin, and proliferating cells in the reparative process of exposed dental pulp capped with mineral trioxide aggregate. J Endod 2008;34:970-974.
• 41. Reyes-Carmona JF, Felippe MS, Felippe WT. Biomineralization ability and interaction of mineral trioxide aggregate and white portland cement with dentin in a phosphate-containing fluid. J Endod 2009;35:731-736.
• 42. Giuliani V, Baccetti T, Pace R, Pagavino G. The use of MTA in teeth with necrotic pulps and open apices. Dent Traumatol 2002;18:217-221.
• 43. Bramante CM, Menezes R, Moraes IG, Bernardinelli N, Garcia RB, Letra A. Use of MTA and intracanal post reinforcement in a horizontally fractured tooth: a case report. Dent Traumatol 2006;22:275-278.
• 44. Chaniotis A. The use of MTA/blood mixture to induce hard tissue healing in a root fractured maxillary central incisor. Case report and treatment considerations. Int Endod J 2014;47:989-999.
• 45. Choi Y, Hong SO, Lee SR, Min KS, Park SJ. Healing after horizontal root fractures: 3 cases with 2-year follow-up. Restor Dent Endod 2014;39:126-131.
• 46. Cicek E, Yilmaz N, Kocak MM. Intraradicular splinting with endodontic instrument of horizontal root fracture. Case Rep Dent 2015;2015:505370.
• 47. Erdem AP, Ozdas DO, Dincol E, Sepet E, Aren G. Case Series: root healing with MTA after horizontal fracture. Eur Arch Paediatr Dent 2009;10:110-113.
• 48. Yildirim T, Gençoğlu N. Use of mineral trioxide aggregate in the treatment of horizontal root fractures with a 5-year follow-up: report of a case. J Endod 2009;35:292-295.
• 49. Cvek M, Mejare I, Andreasen JO. Healing and prognosis of teeth with intra-alveolar fractures involving the cervical part of the root. Dent Traumatol 2002;18:57-65.
• 50. Kim D, Yue W, Yoon TC, Park SH, Kim E. Healing of horizontal intra-alveolar root fractures after endodontic treatment with mineral trioxide aggregate. J Endod 2016;42:230-235.