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

Alireza Halaj-Mofrad, Masoud Parirokh, Nargessadat Kashi

Abstract


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.


Keywords


Dental Amalgam; Failure; Mineral Trioxide Aggregate; Root Canal Filling Materials; Root-end Filling

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References


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