A surgical repair of external invasive root resorption using mineral trioxide aggregate with platelet-rich plasma: a case report

Yıl 2011, Cilt: 2 Sayı: 3, 148 - 151, 22.03.2012

Ekim Orhan Murat Maden

Öz

The aim of this case report was to repair of the external invasive root resorption using combine of mineral trioxide aggregate (MTA) and platelet-rich plasma (PRP). The tooth 23 (FDI) was diagnosed as an external invasive root resorption of 51 year-old man. The resorption space was in related with periodontal pocket. Formerly surgical intervation of the resorptive defect was performed by flap operation for isolating the root canal space. Then the root canal was preparated conventionally and obturated with gutta percha in an orthograd way. After the defect area was debrided, MTA was condensed to the perforating surface of the tooth and covered with PRP before the flaps were closed. At 6, 12, 24 and 36 month follow-up visit the tooth was clinically and radiographically asymptomatic. MTA with PRP was successfully repaired large area of the external invasive resorption.

Anahtar Kelimeler

External Invasive Resorption Defect, Mineral Trioxide Aggregate, Platelet-Rich Plasma

eksternal invaziv kök rezorpsiyonunun mineral trioksit agregat ve trombositten zengin plazman kullanılarak cerrahi olarak tedavisi: olgu bildirimi

Öz

Bu olgu bildiriminde, mineral trioksit agregat (MTA) ile trombositten zengin plazmanın(TZP) birlikte kullanılarak eksternal invaziv kök rezorpsiyonun tedavisi amaçlanmıştır. 51 yaşında erkek hastanın 23(FDI) dişine eksternal invaziv kök rezorpsiyon teşhisi kondu. Rezorpsiyon boşluğu periodontal cep ile ilişkilydi. Başlangıçta kök kanalını izole edebilmek için rezorptif defekt alana cerrahi olarak flap operasyonu uygulandı. Daha sonra kök kanalları konvensiyonel olarak genişletildi ve güta perka ile ortograd yolla dolduruldu. Defekt alanı temizlendikten sonra MTA kondense edilerek flap kapatılmadan önce TZP ile kaplandı.6,12, 24 ve 36 aylık takipte dişin klinik ve radyografik olarak asemptomatik olduğu görüldü. MTA ile TZP'nin büyük eksternal invaziv rezorpsiyon alanında başarılı olarak tamir ettiği görüldü.

Anahtar Kelimeler

Eksternal İnvaziv Kök Rezorpsiyonu, Mineral Trioksit Aggregate, Trombositten Zengin Plazma

Kaynakça

• Harrington GH, Natkin E. External resorption associ- ated with bleaching of pulpless teeth. J Endod 1979; 5:344–348.
• Tronstad L. Root resorption – etiology, terminology and clinical manifestations. Endod Dent Traumatol 1988; 4:241–252.
• Frank AL, Torabinejad M. Diagnosis and treatment of extracanal invasive resorption. J Endod1998; 7:500–504.
• Heithersay GS. Invasive cervical resorption: an analysis of potential predisposing factors. Quintessence Int1999a; 30:83–95.
• Heithersay SG. Invasive cervical resorption. Endod Topics 2004; 7:73–92.
• Heithersay GS. Clinical, radiologic, and histo patho- logic feature of invasive cervical resorption. Quintessence Int1999b; 30:7–32.
• Bergmans L, Van Cleynenbreugel J, Verbeken E, et al.Cervical external root resorption in vital teeth. X-ray microfocus-tomographical and histopathological case study. J Clin Periodontol2002; 29:560–585.
• White C, Bryant N. Combined therapy of mineral triox- ide aggregate and guided tissue regeneration in the treat- ment of external root resorption and associated osseous defect. JPeriodontol2002; 73:1517–1521.
• Torabinejad M, Watson TF, Pitt Ford TR. Seal ability of a mineral trioxide aggregate when used as a root end fill- ing material. J Endod. 1993; 19:591–595
• Torabinejad M, Higa RK, McKendry DJ, et al. Dye leakage of four root end filling materials: effects of blood contamination. J Endod1994; 20:159–163.
• Camilleri J, Montesin FE, Papaioannou S, et al. Biocompatibility of two commercial forms of mineral trioxide aggregate.IntEndod J2004; 37:699-704.
• Menezes R, da Silva Neto UX, Carneiro E, et al. MTA repair of a supracrestal perforation: a case report. J Endod2005; 31: 212–214.
• Heithersay GS. Clinical endodontic and surgical man- agement of tooth and associated bone resorption. IntEndod J 1985; 18:72–79.
• Matt GD, Thorpe JR, Strother JM, et al. Comparative study of white and grey mineral trioxide aggregate (MTA) simulating a one- or two-step apical barrier technique. J Endod.2004; 30:876–879.
• Holland R, Filho JA, de Souza Vet al. Mineral trioxide aggregate repair of lateral root perforations. J Endod 2001; 27: 281–284.
• Torabinejad M, Chivian M. Clinical applications of mineral trioxide aggregate. J Endod1999; 25:197–205.
• Nathan E. Carlson and Robert B. Roach, Jr. Platelet- rich plasma: Clinical applications in dentistry. J Am Dent Assoc 2002; 133:1383-1386