Management of perforations: four cases from two private practices with medium- to long-term recalls.
Date: 01/2012
Journal: JOE
If managed properly, perforation repairs can result in long-term clinical success.
Current Repair Materials
Treatment outcome of mineral trioxide aggregate: repair of root perforations.
By Mente J, Hage N, Pfefferle T, Koch MJ, Geletneky B, Dreyhaupt J, Martin N, Staehle HJ.
Date: 01/2010
Journal: JOE
MTA can provide a biocompatible and long-term effective seal for root perforations in all parts of the root.
Date: 01/2008
Journal: JOE
Repairing furcal perforations with MTA is associated with a good short-term (5 yr) clinical outcome.
Date: 01/2004
Journal: JOE
MTA provides an effective seal of root perforations and shows promise in improving the prognosis of perforated teeth that would otherwise be compromised.
Reaction of the Lateral Periodontium of Dogs’ Teeth to Contaminated and Noncontaminated Perforations Filled with Mineral Trioxide Aggregate
By Holland R, Ferrieia L, Souza V, Filho J, Murata S, Dezan E
Date: 01/2007
Journal: JOE
Best healing occurred when perforation was repaired immediately with MTA
Date: 01/2004
Journal: JOE
No statistical difference between white and gray MTA in repairing furcal perforations
Date: 01/1998
Journal: JOE
MTA may be a better material than amalgam at sealing perforations possibly due to its hydrophilic properties along with its similar mineral composition to dentin
Date: 01/1998
Journal: JOE
Recommendations – place matrix (e.g., GelFoam) moistened w/ anesthetic. MTA. Cotton pellet (wet or dry). Temp restoration. Wait 72 hours. Place permanent restoration.
Date: 01/2005
Journal: OOOOE
No difference in success rate bw molars & premolars despite ↑perf-tooth ratio in premolars
(1)Both materials show ↑ rate of repair indicating good biocompatibility.
(2)MTA > Super EBA for furcation perf repairs.
Histologic Assessment of Mineral Trioxide Aggregate as a Root-End Filling in Monkeys
By Torabinejad M, Pitt Ford TR, McKendry DJ, Abedi HR, Miller DA, Kariyawasam SP
Date: 01/1997
Journal: IEJ
Amalgam causes inflammation in the periradicular tissues and does not allow regeneration of dentoalveolar structures. MTA exhibits many favorable characteristics as a root-end filling material and should be chosen over amalgam, if available.