| CASE REPORT |
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| Year : 2016 | Volume
: 8
| Issue : 2 | Page : 283-286 |
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Re-treatment of Improperly Placed Mineral Trioxide Aggregate in an Anterior Tooth
Saleh Al-Klayb1, Ahmad Al-mohy2, Yahya Mohammed3, Sharat Chandra Pani4
1 Post-graduate Resident, Department of Pediatric Dentistry, Riyadh College of Dentistry and Pharmacy, Riyadh 11681, Kingdom of Saudi Arabia
2 Saudi Board Resident R3, Department of Endodontic, College of Dentistry, King Khalid University, Abha, 3186, Kingdom of Saudi Arabia
3 Post-graduate Resident, Department of Restorative Dentistry, Riyadh College of Dentistry & Pharmacy, Riyadh 11681, Kingdom of Saudi Arabia
4 Assistant Professor and Program Director, Department of Pediatric Dentistry, Riyadh College of Dentistry & Pharmacy, Riyadh 11681, Kingdom of Saudi Arabia
Correspondence Address:
Saleh Al-Klayb
Post-graduate Resident, Department of Pediatric Dentistry, Riyadh College of Dentistry and Pharmacy, Riyadh 11681, Kingdom of Saudi Arabia
 Source of Support: None, Conflict of Interest: None  | Check |
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Since the introduction of mineral trioxide aggregate (MTA) by Torbinejad in 1993, the material has been hailed as a gold standard in pulpal treatment. In the past decade, the use of MTA for the treatment of young permanent tooth has become popular across the world. However, the material remains technique sensitive. The physical properties of the material make handling of the material difficult. Closure of a tooth with an immature apex requires complete debridement of the canal and complete orthograde plug placement. There have been recent case reports of successful apical barrier formation after incomplete orthograde filling with MTA. However, this approach is susceptible to risks of flare-up. This case report highlights the case of a 12-year-old patient with an incomplete orthograde filling of MTA which resulted in flare-up and required re-treatment. This case highlights the risks of improper placement of MTA in the canal. Despite its documented pulp regenerative properties, MTA can still not prevent re-infection in an improperly instrumented canal. The hard nature of MTA makes removal and re-treatment both complicated and expensive. It is, therefore, essential to ensure that MTA is only placed in the canal when the dentist is competent to ensure complete obturation. |
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