Surgical replacement of huge rate of root end amalgam filling with mineral trioxide aggregate angelus: A case report

Document Type: Case Report(s)


1 Dentist, Private Practice, Kerman, Iran

2 Professor, Endodontology Research Center, Kerman University of Medical Sciences, Kerman, Iran

3 MSc Student, Department of Endodontics, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran


BACKGROUND AND AIM: Surgical endodontics may sometimes fail despite using root-end filling materials (REFMs). In this case report, a symptomatic right maxillary first premolar underwent periradicular surgery (PS) for replacing huge rate of amalgam with mineral trioxide aggregate (MTA).CASE REPORT: A thirty-year-old healthy woman attended with the chief complaint of recurrent swelling and abscess in the periradicular region of maxillary premolar tooth and sensitivity to percussion. She had a history of PS in the past year. Periapical radiographic images showed a huge rate of amalgam used as REFM. The PS was performed again and the amalgam was replaced with MTA. Postoperative clinical and radiographic evaluation after 2 years showed no sign of abscess and no sensitivity to percussion and periapical pathosis.CONCLUSION: In this case report, replacing amalgam with MTA provided reasonable outcome up to 2 years after the treatment.


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