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Transient Tooth Discoloration After Periodontal Instrumentation of Aggressive Periodontitis: A Case Report
Author(s) -
Rincon Julio C.,
Oakley Zahida,
Abbott Paul
Publication year - 2017
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1902/cap.2017.160064
Subject(s) - medicine , dentistry , periodontology , periodontitis , maxillary central incisor , orthodontics , pulp (tooth) , presentation (obstetrics) , dental trauma , coronal plane , case presentation , periodontal surgery , surgery , radiology
Transient tooth discoloration (TTD) is an endodontic condition associated with dental traumatic events. To the best of the authors’ knowledge, this is the first case report of transient coronal discoloration of the two maxillary permanent central incisors after periodontal instrumentation of root surfaces affected by aggressive periodontitis (AgP). The initial case presentation and multidisciplinary periodontal, endodontic, and orthodontic management are described. Case Presentation: A 17‐year‐old male was referred from the orthodontics department to the periodontics department of the Oral Health Center of Western Australia, Perth, Western Australia, Australia. Localized AgP was diagnosed. After meticulous periodontal debridement of the mid‐root and apical root portions of the two maxillary central incisors, TTD was noted 5 months later. The diagnosis, case management, and biologic explanations for the unique presentation of these conditions are discussed. Conclusions: TTD may be caused by trauma from periodontal instrumentation. Proper diagnosis and management of this particular condition is important to protect the integrity of the pulp in affected teeth. This case report opens the possibility of TTD originating from causes other than traumatic luxation or intra‐alveolar root fractures of teeth.