scholarly journals Treatment of maxillary central incisor with external root resorption using mineral trioxide aggregate: 18 months follow-up

2013 ◽  
Vol 2013 (jul08 2) ◽  
pp. bcr2013200241-bcr2013200241 ◽  
Author(s):  
P. Gandi ◽  
S. Disha
Keyword(s):  
Root Resorption ◽  
Mineral Trioxide Aggregate ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
External Root Resorption

Healing of root resorption: a case report

2003 ◽  
Vol 27 (3) ◽  
pp. 235-238 ◽  
Author(s):  
Sham Bhat ◽  
S. Sharan ◽  
Imneet Madan
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Central Incisor ◽  
Large Area ◽  
Maxillary Central Incisor ◽  
External Root Resorption ◽  
Periodontal Membrane ◽  
Dental Injuries

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.

scholarly journals Nonsurgical Endodontic Retreatment of Advanced Inflammatory External Root Resorption Using Mineral Trioxide Aggregate Obturation

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Shivani Utneja ◽  
Gaurav Garg ◽  
Shipra Arora ◽  
Sangeeta Talwar
Keyword(s):  
Root Canal ◽  
Root Resorption ◽  
Clinical Symptoms ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Apical Region ◽  
Central Incisor ◽  
Root Canal Filling ◽  
Maxillary Central Incisor ◽  
External Root Resorption

Inflammatory external root resorption is one of the major complications after traumatic dental injury. In this case report, we describe treatment of a maxillary central incisor affected by severe, perforating external root resorption. An 18-year-old patient presented with a previously traumatized, root-filled maxillary central incisor associated with pain and sinus tract. Radiographic examination revealed periradicular lesion involving pathologic resorption of the apical region of the root and lateral root surface both mesially and distally. After removal of the root canal filling, the tooth was disinfected with intracanal triple antibiotic paste for 2 weeks. The antibiotic dressing was then removed, and the entire root canal was filled with mineral trioxide aggregate. The endodontic access cavity was restored with composite resin. After 18 months, significant osseous healing of the periradicular region and lateral periodontium had occurred with arrest of external root resorption, and no clinical symptoms were apparent.

scholarly journals External Root Resorption Management of an Avulsed and Reimplanted Central Incisor: A Case Report

2021 ◽  
Vol 9 (6) ◽  
pp. 72
Author(s):  
Gianni Di Giorgio ◽  
Alessandro Salucci ◽  
Gian Luca Sfasciotti ◽  
Flavia Iaculli ◽  
Maurizio Bossù
Keyword(s):  
Case Report ◽  
Calcium Silicate ◽  
Root Resorption ◽  
Signs And Symptoms ◽  
Clinical Results ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
External Root Resorption

Background: Avulsion and reimplantation of permanent teeth represent a major challenge in terms of treatment and long-term prognosis. The present study reported clinical management of external root resorption of an avulsed and reimplanted maxillary central incisor. Case report: A 9-year-old boy reported an uncomplicated crown fracture and avulsion of tooth 11 and complicated crown fracture of tooth 21 due to trauma. Reimplantation of element 11 was obtained within 30 min post-trauma and 3 days after both elements were diagnosed with necrotic pulp. In addition, tooth 11 showed early external root resorption. Both elements underwent endodontic treatment and root closure with apical plug using calcium-silicate-based cement. At 6-month follow-up root resorption appeared to be arrested. Twenty-four months after trauma the clinical results were stable, although signs and symptoms of ankylosis were observed. Conclusions: An immediate endodontic approach and use of calcium-silicate-based cement seemed to contrast the progression of root resorption of an avulsed and reimplanted central incisor after 24 months of follow-up.

Fifteen-year Clinical Follow-up of Restoration of Extensive Cervical Resorption in a Maxillary Central Incisor

2017 ◽  
Vol 42 (2) ◽  
pp. E55-E58 ◽  
Author(s):  
EG Reston ◽  
RPR Bueno ◽  
LQ Closs ◽  
J Zettermann
Keyword(s):  
Root Resorption ◽  
Treatment Options ◽  
Glass Ionomer Cement ◽  
Central Incisor ◽  
Endodontically Treated Teeth ◽  
Maxillary Central Incisor ◽  
External Root Resorption ◽  
Fixed Prosthodontics ◽  
Single Structure ◽  
The One

SUMMARY Internal bleaching in endodontically treated teeth requires care and protection to prevent harm to the periodontal ligament due to peroxide and may result in external root resorption. There is a myriad of treatment options when this occurs, such as monitoring, extraction, and subsequent rehabilitation with implants or fixed prosthodontics. In some cases, such as the one described here, a conservative attempt to maintain the tooth as a single structure can be made by sealing the resorptive defect. In the present case, we show a multidisciplinary approach where orthodontics, periodontics, and restorative dentistry were involved in treating the maxillary right central incisor (#8) of a 65-year-old patient with extensive cervical resorption, whose chief complaint was esthetics. The proposed treatment was extrusion of the tooth followed by curettage and restoration of the defect with glass ionomer cement. The patient has been followed for 15 years with no signs of recurrence, maintenance of periodontal health, and patient satisfaction with the esthetic outcome.

scholarly journals Replantation after traumatic avulsion

2013 ◽  
Vol 07 (02) ◽  
pp. 229-232 ◽  
Author(s):  
Huseyin Tezel ◽  
Cigdem Atalayin ◽  
Gul Kayrak
Keyword(s):  
Saline Solution ◽  
Root Resorption ◽  
Composite Resin ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Storage Media ◽  
The Moment ◽  
Supporting Structures ◽  
Functional Position

ABSTRACTThe aim of this report is to present the case of an accidentally avulsed maxillary central incisor kept in saline solution from the moment of trauma until its replantation 3 h later in a 13-year-old girl. The avulsed tooth was replanted back into the alveolar socket and splinted with composite resin. Calcium hydroxide intracanal dressing was used to prevent inflammatory root resorption. Radiographic and clinical examinations were performed during 27 months follow-up. During the 15 months follow-up period, the tooth remained in a stable functional position and did not reveal replacement resorption. But mild infraocclusion and root resorption were developed 21 months after replantation. The amount of damage to tooth and supporting structures, emergency treatment and follow-up period play a role in the prognosis of the avulsed tooth. It can be recommended to keep the avulsed tooth in saline solution at least when more appropriate storage media are not on handle immediately.

scholarly journals Root Resorption a 6-Year Follow-up Case Report

2015 ◽  
Vol 9 (1) ◽  
pp. 103-105 ◽  
Author(s):  
Caroline Dias ◽  
Luciane Closs ◽  
Fernando Barletta ◽  
Eduardo Reston ◽  
Maximiano F Tovo ◽  
...  
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Clinical Course ◽  
Dental Trauma ◽  
Central Incisor ◽  
External Root Resorption ◽  
Dental Practitioners ◽  
Pulp Exposure ◽  
Natural Dentition

This paper describes the clinical course of a pediatric patient developing cervical external root resorption (CERR). An 11-year old male patient had sustained dental trauma and was diagnosed with crown fracture affecting the incisal and middle thirds of the maxillary right permanent central incisor and the maxillary right permanent lateral incisor with pulp exposure and CERR after 24 months. Diagnosis and treatment of CERR are a challenge for dental practitioners. In this case, preservation of natural dentition is shown as a successful treatment in a 6-year follow-up.

scholarly journals Intraradicular Splinting with Endodontic Instrument of Horizontal Root Fracture

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Ersan Çiçek ◽  
Neslihan Yılmaz ◽  
Mustafa Murat Koçak
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Central Incisor ◽  
Radiographic Findings ◽  
Maxillary Central Incisor ◽  
Central Tooth ◽  
Root Fractures ◽  
The Right ◽  
Dental Injuries

Introduction. Root fractures, defined as fractures involving dentine, cementum, and pulpal and supportive tissues, constitute only 0.5–7% of all dental injuries. Horizontal root fractures are commonly observed in the maxillary anterior region and 75% of these fractures occur in the maxillary central incisors.Methods. A 14-year-old female patient was referred to our clinic three days after a traffic accident. In radiographic examination, the right maxillary central incisor was fractured horizontally in apical thirds. Initially, following local infiltrative anesthetics, the coronal fragment was repositioned and this was radiographically confirmed. Then the stabilization splint was applied and remained for three months. After three weeks, according to the results of the vitality tests, the right and left central incisors were nonvital. For the right central incisor, both the coronal and apical fragments were involved in the endodontic preparation.Results. For the right central tooth, both the coronal and apical root fragments were endodontically treated and obturated at a single visit with white mineral trioxide aggregate whilst the fragments were stabilized internally by insertion of a size 40 Hedstrom stainless-steel endodontic file into the canal.Conclusion. Four-year follow-up examination revealed satisfactory clinical and radiographic findings with hard tissue repair of the fracture line.

scholarly journals Non-surgical retreatment of a failed apicoectomy without retrofilling using white mineral trioxide aggregate as an apical barrier

2012 ◽  
Vol 23 (2) ◽  
pp. 167-171 ◽  
Author(s):  
Spyridon Stefopoulos ◽  
Giorgos N. Tzanetakis ◽  
Evangelos G. Kontakiotis
Keyword(s):  
Surgical Procedure ◽  
Mineral Trioxide Aggregate ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Immature Teeth ◽  
Functional Tooth ◽  
End Resection ◽  
Apical Area ◽  
White Mineral

Root-end resected teeth with persistent apical periodontitis are usually retreated surgically or a combination of non-surgical and surgical retreatment is employed. However, patients are sometimes unwilling to be subjected to a second surgical procedure. The apical barrier technique that is used for apical closure of immature teeth with necrotic pulps may be an alternative to non-surgically retreat a failed apicoectomy. Mineral trioxide aggregate (MTA) has become the material of choice in such cases because of its excellent biocompatibility, sealing ability and osseoinductive properties. This case report describes the non-surgical retreatment of a failed apicoectomy with no attempt at retrofilling of a maxillary central incisor. White MTA was used to induce apical closure of the wide resected apical area. Four-year follow-up examination revealed an asymptomatic, fully functional tooth with a satisfactory healing of the apical lesion. White MTA apical barrier may constitute a reliable and efficient technique to non-surgically retreat teeth with failed root-end resection. The predictability of such a treatment is of great benefit for the patient who is unwilling to be submitted to a second surgical procedure.

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