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Al-Nazhan S, El Mansy I, Al-Nazhan N, Al-Rowais N, Al-Awad G. Outcomes of furcal perforation management using Mineral Trioxide Aggregate and Biodentine: a systematic review. J Appl Oral Sci 2022; 30:e20220330. [PMID: 36477558 PMCID: PMC9724492 DOI: 10.1590/1678-7757-2022-0330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 10/25/2022] [Indexed: 12/03/2022] Open
Abstract
Furcal perforation is an iatrogenic or pathologic communication between the pulp chamber floor and the alveolar bone. The outcome of perforation sealing depends greatly on the tissue compatibility and bioactivity and sealing properties of the repair materials. Mineral trioxide aggregate (MTA) and Biodentine are currently the most used materials to treat this condition. The present systematic review aimed to report the treatment outcome of repaired furcal perforation using MTA and Biodentine and identify which material would yield a better outcome. METHODOLOGY A comprehensive search was conducted using the PubMed database to identify experimental studies and case reports that describe treatment of furcal perforation. Studies and case reports that evaluated the outcome of repaired furcal perforations using MTA and Biodentine, published in English from 2018 to April 2022, were identified. Unavailable full texts were excluded. RESULTS Initial screening of 724 articles (670 studies and 54 case reports). After discarding the duplicated studies, we reviewed 50 studies, selecting 13 for abstract analysis. We retrieved and evaluated full texts of eight studies and five case reports. Both materials had an equivalent success rate in the first three months but by 12 months Biodentine performed better than MTA clinically and radiographically. CONCLUSIONS Repair of furcal perforation with Biodentine yields a better outcome compared to MTA.
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Affiliation(s)
- Saad Al-Nazhan
- Riyadh Elm UniversityCollege of DentistryRestorative Dentistry DepartmentRiyadhSaudi ArabiaRiyadh Elm University, College of Dentistry, Restorative Dentistry Department, Riyadh, Saudi Arabia.,Corresponding address: Saad A. Al-Nazhan, Riyadh Elm University - College of Dentistry - Restorative Dentistry Department - Endodontics - P.O. Box 84891 - Riyadh - Saudi Arabia 11681. e-mail:
| | - Iman El Mansy
- Riyadh Elm UniversityCollege of DentistryRestorative Dentistry DepartmentRiyadhSaudi ArabiaRiyadh Elm University, College of Dentistry, Restorative Dentistry Department, Riyadh, Saudi Arabia.
| | - Nada Al-Nazhan
- Riyadh Elm UniversityCollege of DentistryRestorative Dentistry DepartmentRiyadhSaudi ArabiaRiyadh Elm University, College of Dentistry, Restorative Dentistry Department, Riyadh, Saudi Arabia.
| | - Nbras Al-Rowais
- Riyadh Elm UniversityCollege of DentistryRestorative Dentistry DepartmentRiyadhSaudi ArabiaRiyadh Elm University, College of Dentistry, Restorative Dentistry Department, Riyadh, Saudi Arabia.
| | - Ghalia Al-Awad
- Riyadh Elm UniversityCollege of DentistryRestorative Dentistry DepartmentRiyadhSaudi ArabiaRiyadh Elm University, College of Dentistry, Restorative Dentistry Department, Riyadh, Saudi Arabia.
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Charisi C, Kodonas K, Keklikoglou K, Arhakis A, Arapostathis KA, Kotsanos N. Morphological, histological, and chemical analysis of first permanent molars with molar incisor malformation. Eur Arch Paediatr Dent 2022; 23:601-608. [PMID: 35759186 DOI: 10.1007/s40368-022-00723-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Accepted: 06/02/2022] [Indexed: 10/17/2022]
Abstract
PURPOSE Molar incisor malformation (MIM) is a dental anomaly rendering first permanent molar pulps inflamed/necrotic at a young age. It often affects permanent incisors, primary second molars and less frequently other teeth. The purpose of this study was to investigate the anatomy and histology of MIM in seeking insight into its pathogenesis. METHODS Five MIM first permanent molars were examined with micro-computed tomography (micro-CT) for 3D morphology, with scanning electron microscopy for microanatomy, with energy-dispersive X-ray spectrometer (EDS) for chemical composition and for histology with optical microscopy. Composition differences were statistically determined using one-way ANOVA. RESULTS Micro-CT confirmed dentin abnormalities in the middle and cervical third of the crown in the form of the radiodense 'cervical mineralized diaphragm' (CMD). This was peripherally intertwined with enamel fjords and projections severely disrupting the integrity of pulp chamber and its continuity with root canals. EDS showed increased Ca in CMD compared to dentin. The histological examination revealed anomalous osteodentin-like hard tissue with denticles in the CMD. CONCLUSION An interconnection of anomalous cervical enamel with crown CMD dentin preceded to the severe pulp chamber and root dysplasias in MIM molar teeth.
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Affiliation(s)
- C Charisi
- Department of Paediatric Dentistry, School of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece. .,, 36, El. Venizelou, 57008, Thessaloniki, Greece.
| | - K Kodonas
- Department of Endodontics, School of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece
| | - K Keklikoglou
- Biology Department, University of Crete, 70013, Heraklion, Crete, Greece.,Institute of Marine Biology, Biotechnology and Aquaculture, Hellenic Centre for Marine Research (HCMR), 71500, Heraklion, Crete, Greece
| | - A Arhakis
- Department of Paediatric Dentistry, School of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece
| | - K A Arapostathis
- Department of Paediatric Dentistry, School of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece
| | - N Kotsanos
- Department of Paediatric Dentistry, School of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece
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Song JS, Yang YM, Kim YJ, Kim JW. Management of Severely Aberrant Permanent First Molars in Molar Root-Incisor Malformation Patients: Case Series and a Guideline. CHILDREN-BASEL 2021; 8:children8100904. [PMID: 34682169 PMCID: PMC8534414 DOI: 10.3390/children8100904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 10/02/2021] [Accepted: 10/08/2021] [Indexed: 11/19/2022]
Abstract
Recently, a new type of dental anomaly, a molar–incisor malformation or molar root–incisor malformation (MRIM), was recognized. The disease phenotype is now relatively well characterized; however, its etiology and disease-mechanism need to be elucidated. The affected teeth do not respond well to conventional treatment because of severe malformation and an unusual root structure. In this study, we present the treatment of MRIM cases with the extraction of severely aberrant permanent first molars (PFMs) and suggest that the PFM extractions are performed when it is clear that third molars will develop. The purpose of this report was primarily to present amendments to the guidelines for the treatment of patients with MRIM.
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Affiliation(s)
- Ji-Soo Song
- Department of Pediatric Dentistry, School of Dentistry & DRI, Seoul National University, Seoul 03080, Korea; (J.-S.S.); (Y.-J.K.)
| | - Yeon-Mi Yang
- Department of Pediatric Dentistry, School of Dentistry, Chonbuk National University, Jeonju-si 54896, Korea;
| | - Young-Jae Kim
- Department of Pediatric Dentistry, School of Dentistry & DRI, Seoul National University, Seoul 03080, Korea; (J.-S.S.); (Y.-J.K.)
| | - Jung-Wook Kim
- Department of Pediatric Dentistry, School of Dentistry & DRI, Seoul National University, Seoul 03080, Korea; (J.-S.S.); (Y.-J.K.)
- Department of Molecular Genetics, School of Dentistry & DRI, Seoul National University, Seoul 03080, Korea
- Correspondence:
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