Conservative management of long-standing traumatised maxillary central incisor with incomplete apex and severe internal resorption using triple antibiotic paste, mineral trioxide aggregate and fiber-reinforced composite

2021 ◽  
Vol 14 (10) ◽  
pp. e244818
Author(s):  
Vivek Mehta ◽  
Anupma Raheja ◽  
Rajeev Kumar Singh
Keyword(s):  
Root Formation ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Successful Management ◽  
Maxillary Central Incisor ◽  
Reinforced Composite ◽  
Triple Antibiotic Paste ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

Traumatic dental injuries result in damage to many dental and periradicular structures. They can be conservatively managed depending on the extent of the injury. Maxillary central incisors are most commonly involved in traumatic dental injuries mainly because of their anterior and protrusive positioning. The treatment of immature permanent teeth with severe internal resorption poses a lot of challenges to the clinician. The objective of the present article is to report successful management of traumatised maxillary central incisor with incomplete root formation and severe internal resorption in a 10-year-old boy using triple antibiotic paste, mineral trioxide aggregate and fibre-reinforced composite.

Management of traumatised maxillary central incisor with immature open apex using mineral trioxide aggregate and tailor made gutta percha: a case report

2017 ◽  
Vol 5 (3) ◽  
pp. 1151
Author(s):  
Suvarna Patil ◽  
Upendra Hoshing ◽  
Sharanappa Kambale ◽  
Sharanappa Kambale ◽  
Ruchika Gupta ◽  
...  
Keyword(s):  
Case Report ◽  
Root Development ◽  
Treatment Time ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Successful Management ◽  
Maxillary Central Incisor ◽  
Gutta Percha ◽  
Alternative Material

Root development and apex closure after the eruption of teeth takes a minimum of 3-4 years. If trauma to the pulp occurs during this period, it becomes a challenge for the clinician to treat the pulpal injury. Apexification is the treatment of choice for necrotic teeth with immature apex. Apexification done with calcium hydroxide encounters certain difficulties like very long treatment time, possibility of tooth fracture and incomplete calcification of the bridge. Mineral trioxide aggregate (MTA) was introduced as an alternative material to traditional materials for the apexification of immature permanent teeth. This case report presents successful management of a case with open apex using MTA followed by Tailor made gutta-percha.

scholarly journals Dental Autotransplantation: The Natural Alternative to Dental Implants

2021 ◽  
Vol 9 (5) ◽  
Author(s):  
Robert Tito
Keyword(s):  
Alveolar Bone ◽  
Central Incisor ◽  
Pertinent Literature ◽  
Maxillary Central Incisor ◽  
Orthodontic Wire ◽  
The Subject ◽  
Traumatic Dental Injuries ◽  
Dental Injuries ◽  
Natural Tooth ◽  
Missing Tooth

Most traumatic dental injuries occur in the preteen males, with the maxillary central incisor being the most commonly avulsed tooth.1,2 When an incisor is lost, its ability to induce growth of the surrounding alveolar bone and gingival tissues is also lost. Therefore, in the maxillary anterior region of a young and growing patient, it is advantageous to replace a missing tooth with a natural tooth that can continue the process of bone induction as the patient continues growing through their teen years. There are currently two techniques to achieve this: 1) Orthodontic substitution 2) Auto transplantation. The methodology and necessary considerations pertaining to autotransplantation are the subject of this publication, and pertinent literature suggests that: a) Ideal donor teeth should be single-rooted, such as a mandibular premolar. b) Donor teeth should be ideally harvested when there is 2/3 to ¾ root development. c) Surgical technique to avoid damaging the periodontal ligament of the donor tooth is absolutely critical. d) Newly autotransplanted teeth should be stabilized for 6-12 weeks with a light orthodontic wire allowing physiologic movement. If the aforementioned protocols are followed, then a success rate of 90% or more can be expected.

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 Partial Pulpotomy with Mineral Trioxide Aggregate in Permanent Incisors with Complicated Crown Fracture: 5-Year Follow-Up

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Isabel Gomes
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Dental Trauma ◽  
Central Incisor ◽  
Root Fracture ◽  
Crown Root ◽  
Pulp Exposure ◽  
Traumatic Dental Injuries ◽  
The Right ◽  
Dental Injuries

Traumatic dental injuries are highly prevalent among children. This article describes a case report of a patient who has experienced dental trauma at 8 years old, which has led to enamel-dentine fracture with pulp exposure in the left central incisor and crown-root fracture with pulp exposure in the right central incisor. Partial pulpotomy was performed with the aim of maintaining the neurovascular bundle, thus allowing normal radicular formation. During follow-up 5 years later, teeth were asymptomatic and with no evidence of radiolucent lesions in radiographic examinations. This report demonstrates that traumatic fractures with pulp exposure can be treated effectively by the described technique.

scholarly journals Prospective cohort study of regenerative potential of non vital immature permanent maxillary central incisors using platelet rich fibrin scaffold

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Selvakumar Kritika ◽  
V. Sujatha ◽  
N. Srinivasan ◽  
Senthil Kumar Renganathan ◽  
Sekar Mahalaxmi
Keyword(s):  
Gradual Increase ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Bonferroni Correction ◽  
Platelet Rich Fibrin ◽  
Triple Antibiotic Paste ◽  
Fibrin Scaffold ◽  
The Mean ◽  
Post Hoc

AbstractRegenerative endodontic procedures have gained momentum as a treatment modality of young immature permanent teeth. Literature reports reveal that platelet-rich fibrin (PRF) stimulates growth factors and induces regeneration. This study was undertaken to assess the regenerative potential of non-vital immature permanent maxillary central incisors using PRF with a follow-up for 2 yrs. 19 patients in the age group of 9–25 yrs with immature, non-vital permanent maxillary central incisors (n = 23) with/without signs and/or symptoms of periapical pathosis and open apex were included in this study. In the first appointment, access opening, canal disinfection and triple antibiotic paste placement were done. In the subsequent visit, PRF was prepared and placed inside the canal. Access was sealed with Mineral trioxide aggregate plug and composite. The patient was reviewed up to 24 mths. The mean difference was statistically analyzed using Friedman test followed by Dunn post hoc test and adjusted by Bonferroni correction (p < 0.05). As per AAE guidelines, the primary and secondary goals were achieved. A significant (p < 0.001) gradual increase in the root length, thickness of dentinal walls and decrease in apical diameter were observed. Within the limitations of this study, PRF placement was clinically and radiographically effective in inducing regeneration of non-vital immature permanent teeth.

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 Guidelines for the management of traumatic dental injuries. I. Fractures and luxations of permanent teeth

2007 ◽  
Vol 23 (2) ◽  
pp. 66-71 ◽  
Author(s):  
Marie Therese Flores ◽  
Lars Andersson ◽  
Jens Ove Andreasen ◽  
Leif K. Bakland ◽  
Barbro Malmgren ◽  
...  
Keyword(s):  
Permanent Teeth ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

Esthetic Correction of Rotated Maxillary Central Incisor by Conservative Approach

2016 ◽  
Vol 7 (4) ◽  
pp. 217-220 ◽  
Author(s):  
Girish S Nanjannawar ◽  
Rupal B Gadodia ◽  
Sharad B Kamat ◽  
Rutuja Chopade
Keyword(s):  
Alveolar Bone ◽  
Anatomical Variation ◽  
Longitudinal Axis ◽  
Common Finding ◽  
Conservative Approach ◽  
Central Incisor ◽  
Successful Management ◽  
Functional Rehabilitation ◽  
Maxillary Central Incisor ◽  
Molar Region

ABSTRACT Tooth rotation is a dental anomaly of position, in which there is a displacement of the tooth within the alveolar bone around its longitudinal axis. Although it is a common finding in the premolar—molar region, rotations of the maxillary centrals are extremely rare and such aberrations are multifactorial in their origin. It is important to have a thorough understanding of such anatomical variation, which can cause occlusal and esthetic problems in patients, to alert the dental surgeons, so that they are well prepared to carry out esthetic and functional rehabilitation of the teeth involved. A successful management of 180° rotated maxillary left central incisor by conservative approach is described here. How to cite this article Nanjannawar GS, Gadodia RB, Kamat SB, Chopade R. Esthetic Correction of Rotated Maxillary Central Incisor by Conservative Approach. World J Dent 2016;7(4):217-220.

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