Journal de science et médecine dentaires

Abstrait

Clinical applications of mineral trioxide aggreegate in endodontics

Senouci Bereksi Fatima Zohra

MTA® is currently considered to be the gold standard of endodontic repair cements, which has been clinically and radiologically satisfactory and has greatly attributed to postoperative bone and mucosal healing. The objective of this work is to review the clinical and radiological effectiveness of MTA® in relation to its application in different clinical protocols In the conservative dentistry and endodontic department of Tlemcen (Algeria), five patients with different pathologies were treated. MTA® has been used in five operative protocols: apexification, treatment of external root resorptions, repairing of root perforations, apical root fractures and retrograde root canal fillings.

Our therapeutic strategy was first to achieve a watertight seal by placing an MTA® apical barrier, which will secondly induce the mineralization processes. Our clinical trials show high success rates achieved with MTA®, especially in apical surgery, apart from some difficulty in handling and stability of the MTA® felt by the operator. The MTA® is therefore considered a potentially alternative material to other materials used in our endodontic service.