Surgical management of an endodontic retreatment failure of a mandibular first molar

One of the common endodontic iatrogenic mishaps is the extrusion of obturation material which has a negative effect on the long-term prognosis of the tooth. Surgical endodontics has enabled us to save teeth with persistent infections and extrusions when orthograde treatment has been unsuccessful. Apicoectomy of the molars is not frequently performed even though its success rate can reach that of anteriors and premolars. This case report describes the orthograde and surgical management of a mandibular first molar with external root resorption, instrument separation in the canal, and extruded obturation material, which had been unresponsive to endodontic retreatment

Management of a massive compound odontoma in a 9-year child

The purpose of this paper is to describe the case of surgical management of massive compound odontoma with 36 denticles in a 9-year-boy who presented with a complaint of pain and swelling in mandibular left posterior region and retained 74. The denticles were removed after the removal of retained 74 completely and wound healing was observed. Odontomas are considered as hamartomatous dental malformation rather than true neoplasm of odontogenic origin. They are the most commonly occurring abnormally formed dental tissues that interfere with eruption of associated teeth. The eruption disturbances seen due to odontomas are delayed eruption or deflection of associated teeth. These malformations are usually asymptomatic and discovered during routine radiographic investigations. Correct diagnosis followed by proper treatment plan results in a favorable prognosis

Delayed repair of multiple perforations compounded with formocresol osteo-gingival necrosis

This case report describes the management of formocresol osteo-gingival necrosis in a mandibular molar with lingual and furcal perforations using resorbable demineralized bone matrix and mineral trioxide aggregate (MTA). Three-year postoperative follow-up showed a substantial resolution of the osseous defect as well as a clinically and radiographically sound periodontium. Despite an apparently poor prognosis, conservative management of the case using a combination of demineralized bone matrix and MTA led to a successful outcome. Further, this report warrants that formaldehyde-containing medicaments have no role in contemporary endodontics

Success of pulpotomy with MTA in primary and permanent teeth: A systematic review

MTA has long been used as a Pulpotomy agent to preserve the pulp vitality, but there is a need to have an evidence-based approach when selecting the most appropriate pulpotomy agent which will be suitable for both dentitions, as the pulp of primary and permanent teeth have many histological and morphological differences. This systematic review aimed to evaluate the success of pulpotomy with MTA in primary and permanent teeth. A computerized literature search was performed through five databases: PubMed, Google Scholar, Microsoft Academics, EBSCO, and Science.gov to identify articles up to December 2020. Randomized controlled trial studies were selected in accordance with the inclusion and exclusion criteria. Out of the 5070 publications initially identified, only 18 studies that fulfilled the inclusion criteria were included in the review. Out of those 18 studies, 9 were studies performed on primary teeth, and the other 9 were performed on permanent teeth. After thorough review and evaluation, it was found that overall treatment success in primary teeth was 88.89-100% and it was 85-100% in permanent teeth. Overall clinical and radiographic success rates after follow-up showed that MTA pulpotomy showed slightly better results in primary teeth as compared to permanent teeth