Open AccessLate endodontic treatment of a tooth with extrusive dislocation and invasive cervical resorption: a clinical case report
Author(s) -
Ana Paula Fernandes Ribeiro,
Júlia Guerra de Andrade,
Heitor César Maia,
Caroline Loureiro,
Gladiston William Lobo Rodrigues,
Rogério de Castilho Jacinto
Publication year - 2021
Publication title -
research, society and development
Language(s) - English
Resource type - Journals
ISSN - 2525-3409
DOI - 10.33448/rsd-v10i12.20061
Subject(s) - medicine , dentistry , extrusive , root canal , resorption , pulp (tooth) , radiography , orthodontics , surgery , geochemistry , pathology , basalt , geology
This study aims to report the clinical case of a 16 years-old male patient, who attended a private office reporting that at an accident suffered at the age of 10 years-old, which caused extrusive dislocation in both teeth 11 and 21. At that time, the teeth were repositioned, without an adequate follow-up. Upon physical and radiographic examination, the following features were observed: presence of recurrent sinus tract on the vestibular surface, area of external cervical resorption, and a periapical lesion on tooth 21. Endodontic treatments (necropulpectomy) were performed on teeth 11 and 21, with the placement of a root canal dressing of calcium hydroxide and subsequent root canal filling. In addition, soft tissue flap folding was performed to treat the resorption area and to seal it with glass ionomer cement. A 7 months follow-up radiograph shows stabilization in the process of the tooth resorption and remission of the periapical lesion. In conclusion, the endodontic treatment with intracanal medication, and the sealing of the resorption area were successful to preserve the traumatized tooth. In addition, it is noteworthy that following up with the patient after the trauma episode is essential to monitor the pulp vitality of the tooth involved.