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Prosthetic Rehabilitation and Management of an MTA‐Treated Maxillary Central Incisor with Root Perforation and Severe Internal Resorption
Author(s) -
Abuabara Allan,
Costa Rogério G.,
Morais Eduardo C.,
Furuse Adilson Y.,
Gonzaga Carla C.,
Filho Flares Baratto
Publication year - 2013
Publication title -
journal of prosthodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.902
H-Index - 60
eISSN - 1532-849X
pISSN - 1059-941X
DOI - 10.1111/jopr.12018
Subject(s) - mineral trioxide aggregate , medicine , dentistry , perforation , root canal , maxillary central incisor , resorption , orthodontics , materials science , pathology , punching , metallurgy
Root canal perforation and root resorption are challenging clinical conditions to correctly diagnose and treat, especially when they occur in anterior teeth. This clinical report describes the computed tomography findings, endodontic treatment, prosthetic rehabilitation, and clinical outcome of an iatrogenic root perforation and internal resorption in a maxillary central incisor. The case management consisted of endodontic retreatment, periodontal surgery, and prosthetic rehabilitation. Gray mineral trioxide aggregate (MTA) was used to fill the resorption space and seal the perforation. The prosthetic treatment was performed with glass fiber‐reinforced dowels and all‐ceramic crowns. No signs or symptoms, including discomfort, pain, or esthetic defects were observed in 30 months of follow‐up.