MTA como material de sellado en cirugía endodónticapuesta al día

Abstract

Endodontic surgery treatment pretends to surgically remove pathological tissue in the periapical area, with the aim to obtain a hermetic and apical seal. For this, it is essential to seal the cavity with a material that is biocompatible in the periapical tissues, insoluble in oral fluid, and that prevents bacterial leakage in dental tissues. None of the conventionally used root end filling materials has been able to meet all the requirements to be designated as the ideal material for this treatment. however, with the introduction of Mineral Trioxide Aggregate (MTA), it was found to be a highly biocompatible material, which prevents bacterial leakage and is hydrophilic, so that the problem of its use in areas with moisture such as the apical tissues can be avoided. This literature review allowed us to investigate the advantages of the MTA in endodontic surgery. Its characteristics have been studied regarding its biocompatibility and sealing ability. Furthermore, it has been revised how the literature confronts its disadvantages regarding the troublesome handling and the potential discoloration of the filled tooth.