Akademik Veri Yönetim Sistemi
29th Congress of the Balkan Stomatological Society, Belgrade, Sırbistan, 24 - 26 Nisan 2025, ss.122, (Özet Bildiri)
Objective: Mineral Trioxide Aggregate (MTA) is commonly used in endodontic procedures like perforation repair, apexification, and retrograde filling due to its biocompatibility and osteogenic properties. However, incorrect use can lead to the 'wash out' effect, causing symptomatic cases. This study aims to evaluate alternative treatment material options for such cases.
Case Report: A healthy 25-year-old male presented with pain in tooth 24. Clinical examination revealed vertical and horizontal percussion sensitivity and pain on probing in the mesial gingiva. Radiographic evaluation showed previous root canal treatment, intact periapical tissues, and cervical perforation repair with extruded material. It was concluded that the symptoms developed due to the excess filling material and inadequate perforation repair, and flap surgery was decided upon. After the flap was elevated, the extruded materials were curetted, and the perforation cavity was cleaned. The resorption cavity was then restored with resin-modified glass ionomer (Ketac Riva, SDI, Bayswater, Australia). The patient was regularly follow-up during the postoperative period at 1, 3, 6, and 12 months. Clinical evaluations revealed that the patient remained completely asymptomatic during all follow-up sessions. No sensitivity, spontaneous pain, or signs of infection were observed in the affected tooth.
Conclusions: When MTA is applied above the marginal bone level, its bonding and setting capacity may decrease, leading to wash-out. To prevent this risk, resin-modified glass ionomer and composite can be used for perforations above the marginal bone level.
Keywords: MTA, wash-out, Perforations, Resin modified glass ionomer