Writing Resources
The potential disadvantages are discoloration systemic effects and retreatability Publications using Bioactive endodontic cements are limited Torabinejad et al 2017 Studies support the use of MTA as an apical plug for teeth with necrotic pulps and open apices but evidence for other bioactive endodontic cements is limited to case reports and case series There was lack of detailed information on practitioner experience small sample size short term follow up lack of calibration between dentists Variations in preoperative conditions low recall rates were all problems with the studies available Evaluation with a longer period showed higher success rates in teeth with preoperative periapical lesions following placement of MTA as an apical plug Mente et al 2009 Endodontic revitalization procedures often have tooth discoloration Recent reviews have reported both revitalisation and apical MTA placement had a high survival rate and successful outcome with no significant difference between procedures Torabinejad et al 2017 Whilst tooth discoloration is a problem for aesthetics in the anterior region more research is needed to find the cause its treatments and consider the use of their bioactive endodontic materials in its place Studies on Biodentinetm and Endosequence putty are recent 2016 but few in number Perforation repairs in maxillary teeth had more success than mandibular and when MTA was used the success rate was 80 9 The studies did have small sample sizes and short follow up periods
