Bogen George, Kuttler Sergio
J Endod. 2009 Jun;35(6):777-90. doi: 10.1016/j.joen.2009.03.006. Epub 2009 Apr 22.
Mineral trioxide aggregate (MTA) has emerged as a reliable bioactive material with extended applications in endodontics that include the obturation of the root canal space. This article examines the literature supporting MTA as a canal filling material, suggests methods for its delivery and placement, and presents clinical cases that demonstrate its effectiveness in resolving apical periodontitis under a variety of circumstances. Case reports are presented documenting clinical outcomes after the application of MTA that include retreatment, obturation combined with root-end resection, apexification, internal resorption, dens in dente, and in conventional endodontic therapy. The review introduces clinicians to an alternative treatment strategy that might improve the healing outcomes for patients presenting with complex and challenging endodontic conditions.
矿物三氧化物凝聚体(MTA)已成为一种可靠的生物活性材料,在牙髓病学中有广泛应用,包括根管空间的充填。本文研究了支持MTA作为根管充填材料的文献,提出了其输送和放置方法,并展示了临床病例,证明其在各种情况下解决根尖周炎的有效性。文中呈现了病例报告,记录了应用MTA后的临床结果,包括再治疗、充填联合根尖切除术、根尖诱导成形术、内吸收、牙中牙以及传统牙髓治疗。该综述为临床医生介绍了一种替代治疗策略,可能改善患有复杂且具有挑战性牙髓病症患者的愈合结果。