scholarly journals Conservative management of discolored maxillary central incisor with open apex using Mineral Trioxide Aggregate (MTA) apical plug and walking bleach Method: A case report.

2021 ◽  
Vol 6 (3) ◽  
pp. 116-119
Author(s):  
Vivek Kumar Pathak ◽  
Taruna Saxena ◽  
Kaushal Singh

Esthetics enhancement is a better treatment option for a non-fracture discolored traumatic maxillary central incisor (Max CI). The traumatic injury occurred in Max CI teeth because it was present in the most anterior region of the jaw. Necrosis (pulpal) in Max CI is the second commonest complication after fracture due to trauma. Open apex, incomplete root development, root shortening, roots with a poor remaining dentinal thickness (RDT), and a compromised crown root ratio all these factors affect the survival prognosis of traumatized teeth. Nowadays MTA based bio regenerative material helps in treatment strategies like apexification that was a popular treatment of open apex cases. Necrosis associated discoloration is managed with a conservative approach non-vital bleaching, less time consuming, and satisfy the economical and esthetic aspect for the patient.

2016 ◽  
Vol 6 (1) ◽  
pp. 52-56

ABSTRACT Crown fractures of the anterior teeth are a common form of dental trauma mainly affecting children and adolescents. One of the options for managing crown fractures is the reattachment of the fractured fragment when the tooth fragment is available with minimal or no violation of the biological width. Reattachment of fractured fragments can provide good esthetics, as it maintains the tooth's original anatomic form, color, and surface texture. It also restores function and is a relatively simple procedure. This case report deals with the esthetic management of a crown-root fracture that was successfully treated with endodontic treatment followed by reattachment of fractured fragment with fiber post. How to cite this article Shaikh SAH, Shenoy VU, Sumanthini MV, Pawar RB. Esthetic Rehabilitation of a Fractured Permanent Maxillary Central Incisor by Reattachment. J Contemp Dent 2016;6(1):52-56.


Author(s):  
Lucisano MP ◽  
Corrêa Leite RGL ◽  
Nelson-Filho P ◽  
Minto AMP ◽  
Ferraz JAB ◽  
...  

The present case report describes a multidisciplinary approach involving endodontic, restorative, surgical and periodontal treatment and rehabilitation of a central incisor with crown-root fracture (CRF) in an 11-year-old child. Although in the future possible sequelae and complications should be considered since it is an extensive trauma, the prognosis of the present case is favorable, with the occurrence of repair, evidenced by clinical, radiographic and tomographic success, after one year and six months of follow-up. It was concluded that the association of prolonged flexible splint, biological endodontic treatment, gingivoplasty and restorative/rehabilitative procedures seem to be an adequate and conservative management for CRF cases.


2010 ◽  
Vol 04 (03) ◽  
pp. 324-328 ◽  
Author(s):  
Hakan Ozbas ◽  
Rustem Kemal Subay ◽  
Melike Ordulu

This case report presents the periapical surgical retreatment of an Oehlers Class III invaginated maxillary central incisor with extruded root canal filling into the periapical lesion. After local anesthesia, a full-thickness mucoperiosteal flap was reflected, and the granulomatous tissue and extruded gutta-percha points were curetted carefully. A deep and wide root-end cavity was prepared and filled with mineral trioxide aggregate (MTA). At 6 months and 2 years after the treatment, the tooth exhibited no clinical symptoms, and the radiograph performed during the 2-year follow-up showed a complete periapical healing around the root end. The present report indicates that MTA retrofilling can be used successfully in the surgical retreatment of dens invaginatus type III cases in which the invagination exits apically. (Eur J Dent 2010;4:324-328)


Author(s):  
Suvarna Patil ◽  
Upendra Hoshing ◽  
Sharanappa Kambale ◽  
Sharanappa Kambale ◽  
Ruchika Gupta ◽  
...  

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.


2000 ◽  
Vol 24 (4) ◽  
pp. 265-267 ◽  
Author(s):  
T. McNamara ◽  
D. O'Shea ◽  
C. McNamara ◽  
T. Foley

Dental ankylosis may be a significant complication in orthodontic clinical practice. This case report describes the management of a malocclusion, complicated by an ankylosed maxillary central incisor, which arose during orthodontic treatment, following an acute traumatic injury. The use of the ankylosed incisor in successfully managing the significant Class II division 1 malocclusion is described.


2018 ◽  
Vol 12 (03) ◽  
pp. 450-453
Author(s):  
Rustem Kemal Subay ◽  
Melike Ordulu Subay ◽  
Sirin Baloglu Tuzcu

ABSTRACTThis case report presents the management of a case of rarely seen perforating internal replacement resorption using calcium hydroxide (CH) medication and mineral trioxide aggregate (MTA) root canal obturation. A maxillary central incisor of a 20-year-old female was showing a sinus track on the mucosa. Radiographically, an irregularly shaped and perforating internal resorption area was seen at the middle third of the root canal. Appearances of the bone-like fuzzy material were observed inside the resorption site. The apical part of the canal was obliterated. Following 3 months of CH medication, the canal and the perforation were obturated with MTA filling. At 6-year follow-up, the tooth was clinically asymptomatic and showing radiographical appearances of the hard tissue repair, resembling a barrier and periodontal membrane healing around MTA at the perforation site.


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