Combined Use of an MTA-Supported Apical Barrier and Warm Obturation in Maxillary Incisors with Large Periapical Lesions: A Case Report
DOI:
https://doi.org/10.66588/NCMR.v3i1.5Keywords:
MTA, Periapical lesion, Apical barrier, Warm obturationAbstract
This case report presents the clinical and radiographic findings of endodontic management performed with an apical barrier technique using mineral trioxide aggregate (MTA) followed by warm gutta-percha obturation in maxillary anterior teeth presenting with extensive periapical pathology. A 28-year-old medically healthy individual reported discomfort in the anterior maxillary region. Radiographic assessment revealed large periapical radiolucencies associated with the left central and lateral incisors, both of which were diagnosed with pulpal necrosis. After thorough chemomechanical preparation and intracanal medication, an MTA apical plug was established, and the root canals were subsequently obturated using a warm obturation method. Clinical and radiographic evaluations at 3 and 9 months demonstrated the absence of symptoms and a significant regression of the periapical lesions. The findings of this single case suggest that the combined use of an MTA apical barrier and warm obturation may be a clinically useful treatment option for necrotic anterior teeth with large periapical lesions; however, broader conclusions is warranted through larger controlled clinical studies.
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