The use of Intentional Replantation to Repair an External Cervical Resorptive Lesion not am Enable to Conventional Surgical Repair

2016 ◽  
Vol 5 (2) ◽  
pp. 78-83 ◽  
Author(s):  
Kreena Pa Tel ◽  
Federico Foschi ◽  
Ioana Pop ◽  
Shanon Patel ◽  
Francesco Mannocci
Keyword(s):  
Case Report ◽  
Treatment Option ◽  
Root Canal ◽  
Surgical Repair ◽  
Root Resorption ◽  
Radiographic Examination ◽  
Radiographic Evidence ◽  
Patient Cooperation ◽  
Viable Treatment ◽  
Postoperative Discomfort

Intentional replantation consists of purposefully extracting a tooth, correcting the defect and replanting it into its original socket. This case report describes how this technique was used to successfully restore an external cervical resorptive (ECR) lesion. A 22-year-old man was diagnosed with ECR of the mandibular right canine following clinical and radiographic examination. CBCT showed the lesion had been initiated distally and extended circumferentially around the root canal. The nature of the resorptive lesion meant that it was inaccessible to repair conventionally in a predictable manner. This report describes how intentional replantation was used to access and restore the lesion with minimal patient cooperation and postoperative discomfort. At an 18-month recall the tooth was clinically sound with no radiographic evidence of inflammatory or replacement root resorption. Intentional replantation should be considered a viable treatment option when ECR is inaccessible and cannot be restored using conventional techniques.

scholarly journals Radicular Perforation Repair with Mineral Trioxide Aggregate: A Case Report with 10-Year Follow-up

2016 ◽  
Vol 10 (1) ◽  
pp. 733-738 ◽  
Author(s):  
Leopoldo Cosme-Silva ◽  
Breno Carnevalli ◽  
Vivien Thiemy Sakai ◽  
Naiana Viana Viola ◽  
Leon Franco de Carvalho ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Root Canal Filling ◽  
Second Molar ◽  
Iatrogenic Perforation ◽  
Iatrogenic Complications ◽  
Root Canal Retreatment

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.

Reimplantation of an Inverted Maxillary Premolar: Case Report of a Multidiscplinary Treatment Approach

2009 ◽  
Vol 33 (4) ◽  
pp. 279-282 ◽  
Author(s):  
Ayca Ulusoy ◽  
Murat Akkocaoglu ◽  
Seden Akan ◽  
Ilken Kocadereli ◽  
Zafer Cehreli
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Treatment Approach ◽  
Multidisciplinary Treatment ◽  
Rare Condition ◽  
Treatment Alternative ◽  
Normal Position ◽  
Sufficient Space ◽  
Viable Treatment

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

An Interdisciplinary Approach for Management of Trauma-induced External Root Resorption: A Case Report with a Two-Year Follow-up

2020 ◽  
Vol 11 (2) ◽  
pp. 245-250
Author(s):  
M. S. Prathap ◽  
Sruthy Prathap
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Interdisciplinary Approach ◽  
Periodontal Treatment ◽  
Periodontal Pocket ◽  
Radiographic Examination ◽  
Interdisciplinary Management ◽  
Complete Suppression ◽  
External Root Resorption ◽  
History Of

Root resorption is largely pathologic and known to be initiated by several factors, including pulpal necrosis, trauma, periodontal treatment, orthodontic treatment, and bleaching agents. Incorrect diagnosis can lead to improper management and tooth loss. The treatment should involve the complete suppression of all the resorptive factors and the reconstruction of the defect using a suitable restorative material. The resorptive defect is often detected by the routine radiographic examination. A characteristic radiopaque line generally separates the image of the lesion from that of the root canal because the pulp remains protected by a thin layer of predentin until late in the process. Histopathologically, the lesions contain fibrovascular tissue with resorbing clastic cells adjacent to the dentin surface. Advanced lesions may also display fibro-osseous characteristics with deposition of ectopic bone-like calcifications. This case report presents extensive root resorption in the maxillary left lateral incisor and left canine in a 35-year-old patient. The defect was identified during the routine radiographic examination. The patient revealed a history of trauma 15 years back. Following the examination, the teeth were found to be vital and associated with the moderately deep periodontal pocket in the interdental region. The teeth were managed endodontically, and the resorption defect was restored with a biocompatible material after surgically elevating a flap. Periodontal management was also performed simultaneously by the surgical debridement of the area. Six-month postoperative radiograph revealed an arrest of the resorption and healing of the periodontal defect. Hence, an interdisciplinary management involving endodontic as well as periodontal treatment was performed that helped in saving the teeth with poor prognosis.

scholarly journals An Endodontic Enigma: A Case Report of External Inflammatory Root Resorption-2 years Follow up

2018 ◽  
Vol 10 (1) ◽  
pp. 37-39
Author(s):  
Shahnaz Sultana Beauty ◽  
Shahana Dastagir Sunny ◽  
Md Ali Asgor Moral ◽  
Md Shamsul Alam
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Root Resorption ◽  
Root Structure ◽  
Root Canal Therapy ◽  
Dentinal Tubules ◽  
Living Body ◽  
Subsequent Loss

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

scholarly journals C-shaped canal configuration in lower molar - Case report

2015 ◽  
Vol 18 (2) ◽  
pp. 115
Author(s):  
Lauren Grandi Dos Santos ◽  
Amanda Nunes Gallas ◽  
Josué Martos ◽  
Luiz Fernando Machado Silveira
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Anatomical Variation ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Second Molar ◽  
Gutta Percha ◽  
Mandibular Second Molar ◽  
Lower Molar

The C-shape configuration in molars it’s an anatomical variation that difficult the diagnosis and treatment. The aim of this study was to report a case of C-shape endodontic configuration in mandibular second molar. The radiographic examination of one patient revealed the extent of caries in the mesial aspect of mandibular second molar, without the presence of periapical lesion and was clinically noted the C-shape configuration of the root canal, extending from the mesiobuccal to the distal canal. Endodontic therapy was performed and after the root canal obturation with gutta-percha cones and endodontic cement the tooth was restored. We conclude that the anatomical condition in C-shape, although it brings many difficulties for the endodontic treatment, does not preclude the tooth rehabilitation.

scholarly journals Management of a Perforating External Infection Related Resorptive Defect: A Case Report

2013 ◽  
Vol 24 (1) ◽  
pp. 48-51
Author(s):  
SM Iqbal Hussain ◽  
Farhad Farzana ◽  
AFM Almas Chowdhury ◽  
Abdullah Al Mahmud
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Resorption ◽  
Glass Ionomer Cement ◽  
Gutta Percha ◽  
Bony Lesion ◽  
Medicine Today ◽  
Cervical Area ◽  
Lesion Treatment ◽  
Ionomer Cement

This case report describes the treatment of an external infection related root resorption in a maxillary left central incisor which perforated the root canal apical to the cervical area. Since the resorptive perforation was large with concomitant bony lesion, treatment with a combination of nonsurgical and surgical approach was chosen. After a surgical flap was reflected, the pathologic defect was curetted, root canal space was dried and the resorptive defect was repaired with light-cured glass ionomer cement. At the same visit, root canal filled with gutta percha by lateral condensation technique and the bony cavity was filled with calcium hydroxyappatite crystal. After 18 months, the patient remained asymptomatic and the tooth was functional. DOI: http://dx.doi.org/10.3329/medtoday.v24i1.14117 Medicine TODAY Vol.24(1) 2012 pp.48-51

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 Surgical Management of Mandibular Central Incisors with Dumbbell Shaped Periapical Lesion: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Roopadevi Garlapati ◽  
Bhuvan Shome Venigalla ◽  
Jayaprakash D. Patil ◽  
Thumu Jayaprakash ◽  
C. H. Krishna Chaitanya ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Male Patient ◽  
Root Canal ◽  
Alveolar Bone ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Traumatic Injuries ◽  
Cystic Changes ◽  
One Year

Dental traumatic injuries may affect the teeth and alveolar bone directly or indirectly. Pulpal necrosis and chronic and apical periodontitis with cystic changes are the most common sequelae of the dental traumatic injuries, if the teeth are not treated immediately. This case report focuses on the conventional and surgical management of mandibular central incisors. A twenty-four-year-old male patient presented with pain in the mandibular central incisors. Radiographic examination revealed mandibular central incisors with dumbbell shaped periapical lesion. After root canal treatment, parendodontic surgery was performed for mandibular central incisors. After one-year recall examination, the teeth were asymptomatic and periapical lesion had healed.

Delayed cochlear implantation after surgical labyrinthectomy

2011 ◽  
Vol 126 (1) ◽  
pp. 63-65 ◽  
Author(s):  
H A Osborn ◽  
R Yeung ◽  
V Y W Lin
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Time Delay ◽  
Treatment Option ◽  
Cochlear Implantation ◽  
Significant Delay ◽  
Cochlear Ossification ◽  
Viable Treatment

AbstractBackground:Cochlear implantation has been used to rehabilitate profoundly deafened adults for more than 25 years. However, surgical labyrinthectomy is often considered a contraindication to cochlear implantation, especially if there is a significant delay between the two procedures. As the role of cochlear implantation continues to expand, this idea requires reconsideration.Case report:A 59-year-old woman presented to our clinic after undergoing bilateral surgical labyrinthectomies for intractable Ménière's disease 21 years prior. Despite the significant time delay, she underwent cochlear implantation with a good audiological outcome and improved quality of life.Conclusion:Changes to the cochlea and vestibule following surgical labyrinthectomy include cochlear ossification and obliteration of the vestibule. These issues have been thought to limit the potential for cochlear implantation, especially when there is a significant delay between the two procedures. However, delayed cochlear implantation, even decades after labyrinthectomy, remains a viable treatment option which can benefit selected patients.

scholarly journals Radiographic evidence of postoperative healing 12 years following root canal treatment – a case report

BDJ ◽  
2007 ◽  
Vol 203 (11) ◽  
pp. 635-639 ◽  
Author(s):  
M. B. M. Thomas ◽  
S. J. Hayes ◽  
A. S. M. Gilmour
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Radiographic Evidence
Sign in / Sign up

Export Citation Format

Share Document