Use of Mineral Trioxide Aggregate in Different Endodontic Procedures: Two Case Reports

Aim: MTA is used in many areas in endodontics. The purpose of this case report is to demonstrate the uses of MTA in different endodontic procedures. Case Description 1: A 30-year-old male patient applied to our clinic with a fracture in his upper incisor. In the clinical examination of the patient, an enamel-dentin fracture was detected in the incisal of the left upper central tooth due to trauma. In the radiographic examination, it was determined that the related tooth had an open apices. In the first session, chemomechanical preparation was completed and calcium hydroxide was placed in the root canal. In the second session, apical plug was performed with MTA and the tooth was temporarily restored. In the last session, the root canal was filled with the backfill method and the coronal restoration was completed. Case Description 2: A 45-year-old male patient applied to our clinic with the complaint of pain in the upper right molar region. Radiographic examination revealed radiolucent areas in the periapex of the maxillary second molar tooth. In the first session, the coronal restoration was removed and a perforation was detected in the furcation area. The root canal filling was removed, the perforation area was repaired with MTA, and calcium hydroxide was placed in the root canals. In the second session, the root canals were obturated and the coronal restoration was completed. Results: In the 3- and 6-month follow-up of both patients, it was observed that the teeth were asymptomatic and functional, and there was no sensitivity in the teeth to percussion and palpation. Conclusion: With correct diagnosis and use of appropriate materials, teeth with open apices or perforations can be restored and successful clinical results can be achieved. Keywords: Apexification; Furcal Perforation; MTA