Author
Gabriella Pagavino
Bio: Gabriella Pagavino is an academic researcher from University of Florence. The author has contributed to research in topics: Root canal & Mineral trioxide aggregate. The author has an hindex of 15, co-authored 23 publications receiving 1041 citations.
Papers
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TL;DR: MTA appears to be a valid option for apexification with its main advantage being the speed at which the treatment can be completed.
Abstract: Three clinical cases have been treated with the use of an apical plug of MTA for apexification. All three cases were central incisors that had suffered premature interruption of root development as a consequence of trauma. According to the treatment protocol, the root canals were rinsed with 5% NaOCl; then, calcium hydroxide paste was placed in the canals for 1 week. Consequently, the apical portion of the canal (4 mm) was filled with MTA. The remaining portion of the root canals was then closed with thermoplastic gutta-percha. At 6-month and 1-year follow-up period the clinical and radiographic appearance of the teeth showed resolution of the periapical lesions. MTA appears to be a valid option for apexification with its main advantage being the speed at which the treatment can be completed.
167 citations
TL;DR: Twenty-nine unprepared, vital teeth were used to evaluate the accuracy of the Root ZX in locating the root canal foramen and the error in locate the apex was significantly smaller in cases with a normal apical foramen (Group A) than in Cases with a lateral foram (Group B) (p < 0.001).
153 citations
TL;DR: The group that showed better results for removing filling materials was the ProTaper Universal System for retreatment files, whereas the group of ProFile rotary instruments yielded better root canal cleanliness than the hand instruments, even though there was no statistically significant difference.
129 citations
TL;DR: Eleven teeth with immature root apices in 11 patients were treated nonsurgically by the manual application of MTA in the apical portion of the root canal under microscopic vision and ten out of 11 cases were associated with periradicular health at follow-up evaluation.
Abstract: Pace R, Giuliani V, Pini Prato L, Baccetti T, Pagavino G. Apical plug technique using mineral trioxide aggregate: results from a case series. International Endodontic Journal, 40, 478–484, 2007. Aim To examine the clinical and radiographic appearance of teeth that suffered premature interruption of root development and were treated by an mineral trioxide aggregate (MTA) apical plug technique. Summary Eleven teeth with immature root apices in 11 patients were treated nonsurgically by the manual application of MTA in the apical portion of the root canal under microscopic vision. Follow-up evaluations were performed at 1–2 years after treatment. Key learning points • Mineral trioxide aggregate appears to be a valid material to obtain periradicular healing in teeth with open apices and necrotic pulps. • Ten out of 11 cases were associated with periradicular health at follow-up evaluation.
108 citations
TL;DR: The results confirm that MTA without matrix provides an effective seal of root perforations and clinical healing of the surrounding periodontal tissue.
103 citations
Cited by
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TL;DR: MTA is a promising material for root-end filling, perforation repair, vital pulp therapy, and apical barrier formation for teeth with necrotic pulps and open apexes and appears to be the material of choice for some clinical applications.
1,101 citations
TL;DR: This paper reviews the rationale and techniques for treatment of the non-vital immature tooth and introduction of techniques for one-visit apexification provide an alternative treatment option in these cases.
Abstract: This paper reviews the rationale and techniques for treatment of the non-vital immature tooth. The importance of careful case assessment and accurate pulpal diagnosis in the treatment of immature teeth with pulpal injury cannot be overemphasized. The treatment of choice for necrotic teeth is apexification, which is induction of apical closure to produce more favorable conditions for conventional root canal filling. The most commonly advocated medicament is calcium hydroxide, although recently considerable interest has been expressed in the use of mineral trioxide aggregate. Introduction of techniques for one-visit apexification provide an alternative treatment option in these cases. Success rates for calcium hydroxide apexification are high although risks such as reinfection and tooth fracture exist. Prospective clinical trials comparing this and one-visit apexification techniques are required.
515 citations
TL;DR: MTA materials have been shown to have a biocompatible nature and have excellent potential in endodontic use, and insufficient randomized, double-blind clinical studies of sufficient duration exist involving MTA for all of its clinical indications.
470 citations
TL;DR: The capacity of HCSCs to promote calcium-phosphate deposit suggests their use for dentin remineralization and tissue regeneration, and the most important investigations of the last 20 years are introduced.
346 citations
TL;DR: An overview of the risk factors for potential tooth fractures in endodontically treated teeth is presented on the basis of literature retrieved from PubMed and selected journal searches.
338 citations