Efficacy of Mineral Trioxide Aggregate (MTA) as a Reparative Material in Iatrogenic Furcal Perforations in Mandibular Molars

Ayesha Nazeer; Amara Nazir; Syeda A Manzoor; Muhammad A Khan; Zunaira Shaukat; Mehvish Saleem; Mustafa Sajid; Muhammad Kashif

doi:10.7759/cureus.53206

Efficacy of Mineral Trioxide Aggregate (MTA) as a Reparative Material in Iatrogenic Furcal Perforations in Mandibular Molars

Cureus. 2024 Jan 29;16(1):e53206. doi: 10.7759/cureus.53206. eCollection 2024 Jan.

Authors

Ayesha Nazeer¹, Amara Nazir², Syeda A Manzoor², Muhammad A Khan³, Zunaira Shaukat⁴, Mehvish Saleem⁵, Mustafa Sajid², Muhammad Kashif⁶

Affiliations

¹ Operative Dentistry, Nishtar Institute of Dentistry, Multan, PAK.
² Operative Dentistry, Bakhtawar Amin Medical and Dental College, Multan, PAK.
³ Oral Medicine, Bakhtawar Amin Medical and Dental College, Multan, PAK.
⁴ Dentistry, Multan Medical and Dental College, Multan, PAK.
⁵ Dentistry, Bakhtawar Amin Medical and Dental College, Multan, PAK.
⁶ Oral Pathology, Bakhtawar Amin Medical and Dental College, Multan, PAK.

Abstract

Background/objectives: Mineral trioxide aggregate (MTA) is widely recognized as one of the most biocompatible materials for perforation repairs during root canal treatment (RCT). Experimental evidence has consistently demonstrated MTA's superior sealing ability and biocompatibility compared to various dental materials, including amalgam, intermediate restorative material, zinc oxide eugenol cement, and resin-modified glass ionomer cement. This study aimed to assess the efficacy of MTA as a reparative material in iatrogenic furcal perforations during RCT.

Materials & methods: A descriptive cross-sectional study was conducted from May 18, 2021, to November 17, 2021, at the Department of Operative Dentistry, Nishtar Institute of Dentistry, Multan, Pakistan. Seventy-six patients aged 18-60 years, of both genders, who developed iatrogenic furcal perforations during procedures were included. Patients with fractures or endo-perio lesions identified during clinical and radiographic examinations were excluded. Isolation was achieved using a rubber dam. The perforation site was cleaned and irrigated with 1% sodium hypochlorite to control hemorrhage and enhance visualization. Following the manufacturer's recommendations, the perforation site was sealed with MTA mixed with sterile saline.

Results: The age range in this study was 18 to 60 years, with a mean age of 42.09 ± 9.69 years. Most patients (56.78%) were between 41-60 years old. Out of the 76 patients, 46 (60.53%) were male, and 30 (39.47%) were female, resulting in a male-to-female ratio of 1.5:1. The study found that MTA's efficacy as a reparative material in iatrogenic furcal perforations was observed in 61 (80.26%) patients. A 6-month follow-up revealed no periodontal ligament breakdown, demonstrating the efficacy of MTA as a reparative material in iatrogenic furcal perforations.

Conclusion: This study concludes that the efficacy of MTA as a reparative material in iatrogenic furcal perforations is remarkable and significant.

Keywords: efficacy; furcal perforations; mineral trioxide aggregate; mta; periapical lesion.