Management of a perforating internal root resorption using mineral trioxide aggregate: a case report with 5‐year follow‐up

2020 ◽  
Vol 46 (3) ◽  
pp. 452-457
Author(s):  
Rui Pereira da Costa ◽  
Sérgio André Quaresma ◽  
Fabiane Carneiro Lopes ◽  
Rafael Camargo ◽  
Mariana Domingos Pires ◽  
...  

2013 ◽  
Vol 33 (2) ◽  
pp. e65-e71 ◽  
Author(s):  
Alberto Sierra-Lorenzo ◽  
Alejandro Herrera-García ◽  
Luis Oscar Alonso-Ezpeleta ◽  
Juan José Segura-Egea


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sahar Ameli ◽  
Karim Jafari ◽  
Firouz Zadfatah ◽  
Mehrdad Blurian ◽  
Somayeh Hekmatfar

Introduction: Dental avulsion is a severe injury in which the tooth is totally displaced out of its alveolar socket. Replantation of avulsed teeth is a standard procedure. The success of the treatment of traumatized teeth revolves around the status of periodontium since it is a vital structure. Furthermore, other factors, including extra-alveolar time period, choice of storage media, and contamination of the avulsed tooth, can determine the success of replantation. Delay in the replantation of avulsed incisors increases the risk of dentoalveolar ankylosis and replacement root resorption. Case Presentation: This case report presented a 9-year-old girl with tooth avulsion subjected to a 3-year follow-up after the replantation of avulsed maxillary central incisors kept in dry conditions for seven days. The avulsed mature permanent teeth were managed through the application of treatment guidelines with prolonged extra-oral time. The avulsed teeth were replanted and splinted for four weeks. The canals of both teeth were filled with calcium hydroxide and replaced by mineral trioxide aggregate after six months. Two months after replantation, there were signs of external root resorption in tooth 21. Conclusions: In the third year of follow-up, both teeth were infraoccluded, although they had an acceptable level of functionality and appearance. These ankylosed incisors can be managed successfully with the decoronation technique in the future.



2011 ◽  
Vol 1 (2) ◽  
pp. 40-43
Author(s):  
M.V. Sumanthini ◽  
Mausami A Malgaonkar

Abstract The case report describes the treatment of maxillary central incisors with open apex, due to apical root resorption, as a consequence of trauma experienced three years earlier. Open apices pose a challenge during endodontic treatment. Several materials and methods have been widely studied and tried in the past. Obtaining an adequate apical seal is of paramount importance regardless of the material or technique used. In the present case the involved teeth were treated nonsurgically using white Mineral Trioxide Aggregate (MTA) as an artificial apical barrier. The treated teeth were asymptomatic and the follow up clinical and radiographic examination showed healing with apparent regeneration of periradicular tissues. Extrusion of MTA beyond the root end was not an obstacle in the healing process. MTA can be considered an effective material to treat infected open apex teeth with large periapical lesions.



2015 ◽  
Vol 6 (4) ◽  
pp. 235-238
Author(s):  
B Vedavathi ◽  
DV Swapna ◽  
K Rashmi ◽  
Jayshree Hegde ◽  
Veena Suresh Pai ◽  
...  

ABSTRACT Internal root resorption is the progressive destruction of intraradicular dentin along the canal wall as a result of clastic activity. Perforating internal root resorption poses a diagnostic and treatment challenge to the clinician. Poor prognosis of such teeth makes extraction a treatment option. Presented herein is a case report of a mandibular second premolar with advanced perforating internal root resorption in the middle third of the root. Advanced diagnostic method, cone-beam computed tomography (CBCT) was used for definitive diagnosis and treatment planning. Sectional obturation with gutta-percha was performed up to the resorptive defect and mineral trioxide aggregate (MTA) was used to fill the resorptive defect and rest of the canal space. At a follow-up of 3 years, the patient was clinically asymptomatic with good bone repair around the resorptive defect. How to cite this article Rashmi K, Hegde J, Swapna DV, Pai VS, Vedavathi B, Kumar GRK. A 3-Year Follow-up Case Report of a Successfully treated Perforating Internal Root Resorption using MTA. World J Dent 2015;6(4):235-238.



2016 ◽  
Vol 10 (1) ◽  
pp. 733-738 ◽  
Author(s):  
Leopoldo Cosme-Silva ◽  
Breno Carnevalli ◽  
Vivien Thiemy Sakai ◽  
Naiana Viana Viola ◽  
Leon Franco de Carvalho ◽  
...  

Background: Iatrogenic complications such as accidental perforation of the root or the floor of the pulp chamber may occur. Case Report: Patient was referred for root canal retreatment of the mandibular left second molar with periapical lesion evidenced through radiographic examination. During post removal, iatrogenic perforation occurred at the mesial face of the distal root. After clinical localization of the perforation and bleeding control, MTA was applied. In a second appointment, the root canal filling was removed and the chemical-surgical retreatment of the canals was performed, followed by the obturation with gutta-percha and sealer. Patient returned after three days reporting no pain. After 6 months, 3, 7 and 10 years of follow-up. Conclusion: Absence of pain, normal periodontal probing and lack of radiolucent area at the region of perforation and the periapices were detected, which evidenced the successful repair of the tooth.



2009 ◽  
Vol 33 (4) ◽  
pp. 279-282 ◽  
Author(s):  
Ayca Ulusoy ◽  
Murat Akkocaoglu ◽  
Seden Akan ◽  
Ilken Kocadereli ◽  
Zafer Cehreli

Inversion of premolars is an extremely rare condition, which usually requires extraction. This case report describes the inversion of an impacted maxillary second premolar in an 11-year-old male, and the multidisciplinary treatment approach for bringing the tooth into a normal position within the arch. In order to provide sufficient space for surgical reimplantation of the tooth, the mesially-drifted neighbouring maxillary first molar was first endodontically treated, followed by orthodontic distalization of the tooth. The inverted tooth was removed surgically and reimplanted without the use of splints for stabilization. After a 12-month follow-up period, the tooth maintained its vitality without any root resorption. Reimplantation of impacted inverted premolars can be a viable treatment alternative to extraction







2003 ◽  
Vol 27 (3) ◽  
pp. 235-238 ◽  
Author(s):  
Sham Bhat ◽  
S. Sharan ◽  
Imneet Madan

External resorption is sequelae of necrotic periodontal membrane over a large area of root following an injury to the tooth. This usually occurs after severe dental injuries such as intrusion, severe luxations or exarticulation injuries complicated by a prolonged extra oral period. This case report presents a clinical and radiographic follow up (13 months) of treatment of inflammatory external root resorption on maxillary central incisor using Vitapex®. Gradual healing of resorption was observed radiographically with no tenderness or pathological mobility.



2018 ◽  
Vol 10 (1) ◽  
pp. 37-39
Author(s):  
Shahnaz Sultana Beauty ◽  
Shahana Dastagir Sunny ◽  
Md Ali Asgor Moral ◽  
Md Shamsul Alam

In dentistry,root resorption is the breakdown or destruction and subsequent loss of the root structure of a tooth caused by living body cells attacking part of the tooth. When the damage extends to the whole tooth is called tooth resorption. Severe root resorption is very difficult to treat and often requires the extraction of teeth. Root canal therapy has been shown to be a verysuccessful means of treating inflammatory resorption. It has been recommended to include a calcium hydroxide paste in the root canal therapy to enhance the success of the treatment out come. Calcitonin has also been suggested as an interim root canal medicament to assist in the inhibition of osteoclastic bone and dentin resorption. Calcitonin penetrates the dentinal tubules in the out word direction, thus exerting a direct effect DOI: http://dx.doi.org/10.3329/cdcj.v10i1.13833 City Dent. Coll. J Volume-10, Number-1, January-2013



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