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Journals / ADO Klinik Bilimler Dergisi / 2026 / Cilt: 14 Sayı: 2

Can MTA Resolution Affect the Prognosis of Regenerative Endodontic Procedures in Long Term: Case Report

MTA Çözünürlüğü Rejeneratif Endodontik İşlemlerin Uzun Vadede Prognozunu Etkileyebilir mi?: Vaka Raporu

Alev Alacam(GAZİ ÜNİVERSİTESİ DİŞ HEKİMLİĞİ FAKÜLTESİ)0000-0001-5328-8173
Pages
130–135
Publication Date
2025-05-26
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The evaluation of these cases suggested that, despite long-term clinical adverse effects, MTA dissolution did not affect the clinical and radiographic success of REP treatments.

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: This report aims to evaluate the clinical and radiological results of cases in which Mineral Trioxide Aggregate (MTA) was found to dissolve in the root canals in the long term after Regenerative Endodontic Procedures (REP).
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Key Findings & Data:Case Report: The first case is an 8-year-old boy who applied to our clinic with the diagnosis of symptomatic pulpitis in the lower left first molar.
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Conclusion & Impact:Conclusion: The evaluation of these cases suggested that, despite long-term clinical adverse effects, MTA dissolution did not affect the clinical and radiographic success of REP treatments.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:MTA · Çözünme · Çözünürlük

Abstract

Introduction: This report aims to evaluate the clinical and radiological results of cases in which Mineral Trioxide Aggregate (MTA) was found to dissolve in the root canals in the long term after Regenerative Endodontic Procedures (REP). Case Report: The first case is an 8-year-old boy who applied to our clinic with the diagnosis of symptomatic pulpitis in the lower left first molar. The second case was an 11-year-old girl with asymptomatic necrosis in her left lower jaw second molar. The prescribed method of treatment was blood clot revascularization. In both cases, triple antibiotic paste, and MTA were used for REP. After four to six years of follow-up, the teeth were clinically asymptomatic, but radiographic evaluation showed resolution of the MTA in both cases. While root development was considered complete in the first case, root dilaceration was observed in the second case. Conclusion: The evaluation of these cases suggested that, despite long-term clinical adverse effects, MTA dissolution did not affect the clinical and radiographic success of REP treatments.

Özet

Giriş: Bu rapor, rejeneratif endodontik prosedürler (REP) sonrası uzun vadede Mineral Trioksit Agregat 'ın (MTA) kök kanallarında çözündüğü saptanan olguların klinik ve radyolojik sonuçlarını değerlendirmeyi amaçlamaktadır. Vaka Raporu: İlk olgu, sol mandibular birinci büyük azı dişinde semptomatik pulpitis tanısı ile kliniğimize başvuran 8 yaşında erkek çocuğu, ikinci olgu ise sol mandibular ikinci büyük azı dişinde asemptomatik nekroz olan 11 yaşında bir kız çocuğuydu. Tedavi için öngörülen yöntem kan pıhtısı revaskülarizasyonuydu. Her iki olguda da REP için üçlü antibiyotikli pat ve MTA kullanıldı. Dört ila altı yıllık takip süresinin ardından dişler klinik olarak asemptomatikti, ancak radyografik değerlendirme her iki olguda da MTA'nın çözüldüğünü gösterdi. İlk olguda kök gelişimi tamamlanmış kabul edilirken, ikinci olguda kök dilesarasyonu gözlendi. Sonuç: Bu olguların değerlendirilme sonuçları, uzun vadede klinik olumsuzluklara rağmen MTA çözünmesinin REP tedavilerinde klinik ve radyografik başarıyı etkilemediğini göstermiştir.

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Cite This Article

Alacam, A. (2025). Can MTA Resolution Affect the Prognosis of Regenerative Endodontic Procedures in Long Term: Case Report. ADO Klinik Bilimler Dergisi, Cilt: 14 Sayı: 2, 130–135. https://doi.org/10.54617/adoklinikbilimler.1641916

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