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CASE REPORT
Year : 2016  |  Volume : 7  |  Issue : 2  |  Page : 110-114

Mineral trioxide aggregate obturation in retreatment with regenerative adjuncts of bioceramic allograft in large periapical defects


1 Department of Conservative Dentistry and Endodontic, Dr. Z.A. Dental College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
2 Department of Oral Pathology, Dr. Z.A. Dental College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
3 Department of Orthodontics, Dr. Z.A. Dental College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India

Correspondence Address:
Sajid Ali
Department of Conservative Dentistry and Endodontics, Dr. Z.A. Dental College and Hospital, Aligarh Muslim University, Aligarh - 202 002, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0976-6944.194239

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Endodontic overfills and incomplete obturation is usually associated with an array of local complications and results in persistent periapical infection and inflammation. In addition, imprecise management of immature roots also leads to treatment failure. Here, a case of open apices of maxillary central incisors with extrusion of Gutta-percha and associated large periapical lesion is presented. Mineral trioxide aggregate (MTA) was used to obturate the blunderbuss canals, and an alloplastic graft (biphasic calcium phosphate) was filled in the bony defect after surgical curettage. At the 6th month postoperatively, periapical osseous healing was satisfactory. The advantages and indications of MTA as obturation material and bone graft in periodontal regeneration are discussed. Clinically and radiographically, the case was followed for 5 years to assess the outcomes of MTA obturation.


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