ArticleIranian endodontic journal2017
Endodontic Surgery of a Symptomatic Overfilled MTA Apical Plug: A Histological and Clinical Case Report.
Article in Iranian endodontic journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comprehensive review of composition, properties, clinical applications, and future perspectives of calcium-enriched mixture (CEM) cement: a systematic analysis.Biomedical engineering online · 2024Pooled it
- Marginal adaptation and porosity of calcium silicate-based cements in furcation perforations: a micro-CT comparative study.Scientific reports · 2025Article
- Periapically Extruded Calcium Silicate Cements in Retreated Teeth: A Case Report and Literature Review.Case reports in dentistry · 2025Article
- Root Canal Dentin Microhardness after Contact with Antibiotic Medications: An In Vitro Study.Dentistry journal · 2024Article
- Pulp regeneration treatment using different bioactive materials in permanent teeth of pediatric subjects.Journal of conservative dentistry and endodontics · 2024Review
- Different endodontic treatments induced root development of two nonvital immature teeth in the same patient: A case report.World journal of clinical cases · 2023Article
- Effects of calcium silicate cements on neuronal conductivity.Restorative dentistry & endodontics · 2022Article
- Conservative Management of Periapical Cementoblastoma: A Case Report.Iranian endodontic journal · 2022Article
- The Effect of Resection Angle on Stress Distribution after Root-End Surgery.Iranian endodontic journal · 2018Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This case report presents the successful surgical treatment of a symptomatic open apex upper central incisor with a failed overfilled mineral trioxide aggregate (MTA) apical plug. Unintentional overextension of the MTA had occurred two years before the initial visit. An apical lesion adjacent to the excess MTA was radiographically detectable. Endodontic surgery was performed using calcium-enriched mixture (CEM) cement as a root-end filling material. Curettage of the apical lesion showed a mass of unset MTA particles; histopathological examination revealed fragments of MTA and granulation tissues. Up to 18-month follow-up, the tooth was clinically asymptomatic and fully functional. Periapical radiograph and CBCT images showed a normal periodontal ligament around the root. In conclusion, favorable outcomes in this case study suggested that root-end filling with CEM cement might be an appropriate approach; in addition, however many factors probably related to the initial failure of the case, the extrusion of MTA into the periapical area should be avoided.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.