Healing of periapical lesion with mineral trioxide aggregate apexification

Authors

  • Sultana Parveen Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Mozammal Hossain Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka http://orcid.org/0000-0003-3414-9244
  • Md. Abdul Hannan Sheikh Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Md. Joynal Abdin Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

DOI:

https://doi.org/10.3329/bsmmuj.v11i2.36448

Keywords:

Apexification, Mineral trioxide aggregate, Periapical

Abstract

In the present study, the ability of mineral trioxide aggregate in the formation of apical plug for healing of large periapical lesion with open apex was assessed and evaluated the clinical outcome. Fifteen participants with periapical lesion at the upper anterior teeth with open apex were treated with mineral trioxide aggregate. The effect on healing of apical size was evaluated at 3, 6, and 12 months by radiological examinations in the form of periapical index criteria, diameter of the lesion size and the presence or absence of apical tissue barrier. The results found that neither pain nor any sinus was detected at 12 months. The mean size of the apical lesion was gradually reduced from 5.1 × 3.8 to 1.5 × 0.9 mm and mean PAI was reduced from 3.3 to 1.7 mm. The differences between mean size of periapical lesion at preoperative and 12 months observation period was also statistically significant (p<0.05). The clinical success shown significant success rate of 93.3% analyzed with Z-test. In conclusion, tooth with open apex can be successfully treated with mineral trioxide aggregate apexification technique followed by root canal obturation.

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Author Biographies

Mozammal Hossain, Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

Associate Professor

Md. Joynal Abdin, Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

Assistant Professor

Published

2018-05-28

How to Cite

Parveen, S., Hossain, M., Sheikh, M. A. H., & Abdin, M. J. (2018). Healing of periapical lesion with mineral trioxide aggregate apexification. Bangabandhu Sheikh Mujib Medical University Journal, 11(2), 122–125. https://doi.org/10.3329/bsmmuj.v11i2.36448

Issue

Section

Original Articles