Multidisciplinary Approach for the Treatment of Extensive External Cervical Resorption After Dental Trauma

SUMMARY External cervical resorption (ECR) is a sequela of dentoalveolar trauma that may cause functional, esthetic, and psychologic alterations. The aim of this study was to report a successful multidisciplinary treatment approach performed in a 12-year-old patient who presented with posttraumatic ECR associated with extensive opened cavity, pulp necrosis, and periapical lesion of tooth number 9, with an initial unfavorable prognosis. Crown lengthening was done to enable restoration of vestibular surface with resin composite, forming a barrier that allowed endodontic treatment. Afterwards, a prefabricated fiberglass post was cemented and esthetic restoration was performed using the adhesive technique and direct composite veneer. Reconstructive periodontal surgery was performed to correct irregular gingival contour. After treatment and successive follow-up sessions, it was concluded that although the tooth had been indicated for extraction, low invasive direct techniques were effective to recover function and esthetics and to maintain the tooth in the oral cavity.

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Apexification with Calcium Hydroxide: 27 Months Follow Up of a Case

Medicine Today ◽

10.3329/medtoday.v25i1.16071 ◽

2013 ◽

Vol 25 (1) ◽

pp. 42-45

Author(s):

AFMA Chowdhury ◽

A Alam ◽

UK Sarkar ◽

AA Mahmud ◽

U Habiba ◽

...

Keyword(s):

Calcium Hydroxide ◽

Treatment Approach ◽

Multidisciplinary Treatment ◽

Young Patients ◽

Dental Trauma ◽

Immature Teeth ◽

Root Sheath ◽

Medicine Today ◽

And Function

Dental trauma is common in young patients with immature teeth. When necrosis of pulp follows in such a tooth, apexification of the root is the most recognized and accepted treatment of choice. Calcium hydroxide paste is the most popular material used to induce the apical hard tissue barrier which may be composed of different tissues. Hertwigs epithelial root sheath and (or) its remnants, the cell rests of Malassez may contribute to the apical closure. In the presented case, careful multidisciplinary treatment approach helped to regain esthetic and function. After 27 months the tooth showed every sign of success. DOI: http://dx.doi.org/10.3329/medtoday.v25i1.16071 Medicine Today 2013 Vol.25(1): 42-45

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Regression of large periapical lesion using calcium hydroxide therapy: a six-year follow-up case report

Brazilian Dental Science ◽

10.14295/bds.2015.v18i1.1015 ◽

2015 ◽

Vol 18 (1) ◽

pp. 17 ◽

Cited By ~ 1

Author(s):

Cari Maristela Pieper ◽

Eliseu Aldrighi Münchow ◽

Evandro Piva

Keyword(s):

Case Report ◽

Calcium Hydroxide ◽

Root Canal ◽

Endodontic Treatment ◽

Maximum Diameter ◽

Radiographic Analysis ◽

Periapical Lesion ◽

Tooth Number ◽

Radiolucent Lesion

Periradicular lesions occur in non-vital teeth as the result of a chronic aggression by the presence of microorganisms into the root canal, which may appear as a radiolucent lesion in the radiographic exam; treatment varies according to surgical or nonsurgical methods. This case report describes the regression of a periradicular lesion using a nonsurgical endodontic treatment in association with intracanal calcium hydroxide-based medicament. After patient examination and radiographic analysis, a 13 mm (in maximum diameter) radiolucent lesion was observed in tooth number 12. The endodontic treatment was done and Calen-CMCP (S.S. White Artigos Dentários Ltda., Rio de Janeiro, RJ, Brazil) was placed into the root canal, which was changed after every two weeks during two months. It was observed a progressive centrifugal regression of the lesion after every renewing of the medicament. In addition, after six-year follow-up the tooth was still free of re-infection and bone tissue was completely regenerated. In conclusion, calcium hydroxide therapy can conservatively stimulate the regression of large periradicular lesions.

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Multidisciplinary Management and Pulp Vitality Preservation of a Tooth With Extensive Iatrogenic Furcal Root Perforation and Biologic Width Violation

Operative Dentistry ◽

10.2341/19-026-t ◽

2020 ◽

Vol 45 (2) ◽

pp. 117-122

Author(s):

D Angerame ◽

M De Biasi ◽

V Franco ◽

L Generali

Keyword(s):

Multidisciplinary Approach ◽

Composite Resin ◽

Multidisciplinary Treatment ◽

Mineral Trioxide Aggregate ◽

Restorative Material ◽

Thermal Test ◽

Pulp Vitality ◽

Biologic Width ◽

To Receive ◽

Crown Lengthening

SUMMARY This article describes the case of a vital molar tooth with a vast furcal iatrogenic root perforation and biologic width violation, which was successfully managed by a multidisciplinary approach aimed at preserving pulp vitality. The root perforation was cleaned and then sealed with mineral trioxide aggregate, which was positioned onto the pulp at the canal orifices. After one month, the patient was not reporting symptoms, and the tooth was positively responding to the thermal test. The tooth was orthodontically extruded, subjected to minimally invasive crown lengthening, and prepared to receive a full-crown restoration. Radiotransparent composite resin was chosen as a permanent restorative material to better monitor possible endodontic complications at the coronal level. The patient's tooth was followed up for eight years uneventfully. The present case is an example of the possibility to subject a root-repaired tooth with fully formed apices to conservative yet complex multidisciplinary treatment while maintaining pulp vitality.

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Fractured Maxillary Central Incisor Restoration with Fragment Reattachment: A 2 Year Follow-up Case Report

Journal of Oral Health and Community Dentistry ◽

10.5005/johcd-4-1-22 ◽

2010 ◽

Vol 4 (1) ◽

pp. 22-25

Author(s):

Basavaprabhu Akkareddy ◽

Shantanu Choudhari ◽

Sadanand Kulkarni ◽

Sudesh Kataria

Keyword(s):

Case Report ◽

Resin Composite ◽

Dental Trauma ◽

Resin Cement ◽

Central Incisor ◽

Bonding Agents ◽

Maxillary Central Incisor ◽

Anterior Teeth

ABSTRACT Injury to anterior teeth is a relatively common event. Dentists are confronted with managing dental trauma and restoring fractured teeth on a regular basis. Hence the technique that speed and simplify treatment, restore esthetics and improve long term success rate are therefore of potential value and should be considered. If an intact tooth fragment is present after trauma, the incisal edge reattachment procedure presents a conservative, simple and esthetic alternative. Clinical trials have reported that reattachment using modern dentine bonding agents and resin system may achieve a functional and esthetic success. This article presents with a case report of restoration of fractured maxillary central incisor using fragment reattachment in a 12 year old child. The reattachment was carried out using resin cement followed by additional chamfer on buccal surface which was restored with resin composite. The reattached fragment was found to be intact at a 2 year follow-up visit.

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Multidisciplinary Approach to Complicated Crown-root Fracture Treatment: A Case Report

Operative Dentistry ◽

10.2341/20-015-s ◽

2021 ◽

Author(s):

MD Alves ◽

MA Tateyama ◽

NNO Pavan ◽

AF Queiroz ◽

MCP Nunes ◽

...

Keyword(s):

Multidisciplinary Approach ◽

Dental Trauma ◽

Good Prognosis ◽

Root Fracture ◽

Crown Root ◽

Root Fractures ◽

Viable Approach ◽

Biologic Width ◽

Composite Restoration

SUMMARY Treatment of complicated crown-root fractures is one of the most challenging within the various types of dental trauma and requires a multidisciplinary approach. This paper reports the complicated crown-root fracture of a maxillary right central incisor, in which there was esthetic, functional, and biologic (endodontic and biologic width invasion) involvement. A 15-year-old male patient presented to the dental clinic one month after suffering trauma with a complicated crown-root fracture on tooth 8. The patient had previously undergone endodontic treatment and was sent to have periodontal surgery to reestablish the biological width on the palatal surface. Following the surgery, a fiberglass post was cemented, and the fragment was reattached. This approach allows the exposure of the cervical margin, adequate isolation, and subsequent fragment reattachment in the same clinical appointment. Fragment reattachment is a viable approach as it is a simple and conservative procedure that restores the natural esthetic of the tooth and has superior resistance compared to a composite restoration. The patient’s cooperation in understanding the limitations of the treatment and maintaining adequate oral hygiene are very important to achieving a good prognosis of the case. After a 2-year clinical and radiographic follow-up period, the clinical protocol was found to be successful, and the tooth remained functional, esthetically favorable and asymptomatic.

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Unusual Transalveolar and Transmuco-Gingival Root Avulsion of a Fractured Primary Central Incisor: A Case with an 8-Year Follow-Up

Case Reports in Dentistry ◽

10.1155/2015/914846 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5

Author(s):

E. Ferrés-Amat ◽

C. Díaz-Martínez ◽

S. Herrera-Martínez ◽

I. Maura-Solivellas ◽

E. Ferrés-Padró

Keyword(s):

Dental Trauma ◽

Primary Diagnosis ◽

Open Bite ◽

Dental Arch ◽

Dental Injury ◽

Root Fracture ◽

Dentoalveolar Trauma ◽

Traumatic Dental Injuries ◽

Dental Injuries

The purpose of this unique case report is to describe a very unusual dentoalveolar fracture associated with avulsion of the near-complete root. A 3-year-old male patient came for consultation after a dentoalveolar trauma with a “fragment that looks like canine” found in his mouth by his mother. This boy suffered root fracture of the upper primary central right incisor, accompanied by transalveolar and transmuco-gingival avulsion of the tooth root fragment, leaving the crown in its position in the dental arch. Clinical and radiological examinations were performed in order to follow up the case: 15 days, one month, and three months after trauma, the crown had a slight mobility without other clinical or radiological signs. After six months, the upper primary central right incisor’s crown was exfoliated. Open bite due to the persistence of the pacifier habit favored the crown retention in the mouth. This case emphasizes the importance of primary diagnosis and follow-up of trauma cases. To the best of our knowledge, this kind of dental injury has not been previously described in the literature nor in the current Dental Trauma guidelines for the management of traumatic dental injuries in the primary dentition.

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Esthetic Rehabilitation through Crown Lengthening Surgery and Conservative CAD/CAM Veneers: A Multidisciplinary Case Report

Case Reports in Dentistry ◽

10.1155/2016/5720851 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7

Author(s):

Leandro Passos ◽

Fernando Peixoto Soares ◽

Mauricio Gallo

Keyword(s):

Case Report ◽

Multidisciplinary Approach ◽

Restorative Dentistry ◽

Dental Bleaching ◽

Anterior Teeth ◽

Cad Cam ◽

The Stability ◽

Smile Esthetics ◽

Crown Lengthening

This case report describes a successful multidisciplinary approach used to improve the smile esthetics of a patient presenting with excessive gingival display, asymmetric gingival margins, and small upper anterior teeth and lower anterior teeth. The treatment combined esthetic crown lengthening, dental bleaching, and restorative dentistry using CAD/CAM veneer. The 6-month follow-up examination confirmed the stability of the modification and absence of adverse effects.

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AAC Supports for Individuals With Rett Syndrome Across the Lifespan

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac24.3.74 ◽

2015 ◽

Vol 24 (3) ◽

pp. 74-85

Author(s):

Sandra M. Grether

Keyword(s):

Rett Syndrome ◽

Communication Skills ◽

Preliminary Analysis ◽

Multidisciplinary Approach ◽

Motor Deficits ◽

Complex Profile ◽

Communication Behaviors ◽

The Individual

Individuals with Rett syndrome (RS) present with a complex profile. They benefit from a multidisciplinary approach for diagnosis, treatment, and follow-up. In our clinic, the Communication Matrix © (Rowland, 1990/1996/2004) is used to collect data about the communication skills and modalities used by those with RS across the lifespan. Preliminary analysis of this data supports the expected changes in communication behaviors as the individual with RS ages and motor deficits have a greater impact.

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Nonsurgical Endodontik Retreatment of Maxillary First Premolar

DENTA ◽

10.30649/denta.v11i1.133 ◽

2017 ◽

Vol 11 (1) ◽

pp. 88

Author(s):

Yongki Hadinata W ◽

Karlina Samadi

Keyword(s):

Root Canal ◽

Radiographic Examination ◽

Periapical Lesion ◽

First Choice ◽

Periapical Abscess ◽

Dental Hospital ◽

Conservative Dentistry ◽

Previously Treated ◽

Endodontic Retreatment

Background : There are some factors can cause endodontic failure such as inadequate in cleaning or shaping step, non hermetic obturation, or poor restoration, which can cause bacteria multiply. Purpose : To report the management of endodontic failure with nonsurgical treatment. Case : 46-year-old woman came to Airlangga Dental Hospital Conservative Dentistry Department to treat her upper right tooth which show symptomatic pain in the last 2 weeks. The tooth has been treated and crowned with porcelain fused to metal about 10 years ago. Clinical examination show the presence of fistula on premolar buccal gingiva, react to percussion. Radiographic examination show not hermetic obturation in one root canal and radiolucency in the periapical area. The diagnosis for maxillary first premolar is previously treated tooth with chronic periapical abscess.. Treatment : Crown and post was removed from the tooth, and endodontic retreatment was done. Follow up 6 months after the retreatment show no reaction to percussion, and radiographic examination show no enlargement periapical lesion. Conclusion : Nonsurgical endodontic retreatment always become the first choice to resolve endodontic failure for previously treated tooth.Keywords : endodontic failure, maxillary first premolar, nonsurgical endodontic retreatmentCorrespondence: Yongki Hadinata W., drg. PPDGS Ilmu Konservasi Gigi Fakultas Kedokteran Gigi Universitas Airlangga, Surabaya. Jl. Mayjen. Prof. Dr. Moestopo No. 47, Surabaya.

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PRIMARY MELANOMA OF THE GALLBLADDER MANIFESTED BY ACUTE CHOLECYSTITIS. DESCRIPTION OF A SINGLE CASE

Problems in oncology ◽

10.37469/0507-3758-2018-64-2-253-255 ◽

2018 ◽

Vol 64 (2) ◽

pp. 253-255

Author(s):

Oleg Kit ◽

Yevgeniy Kolesnikov ◽

Roman Myagkov ◽

Leonid Kharin ◽

Yevgeniya Nepomnyashchaya

Keyword(s):

Acute Cholecystitis ◽

Mucous Membrane ◽

Cutaneous Melanoma ◽

Multidisciplinary Approach ◽

Single Case ◽

Primary Melanoma ◽

Metastatic Lesions ◽

Long Term Follow Up

Most of melanomas of the gallbladder are metastatic lesions of cutaneous melanoma. Primary melanomas of the gallbladder are described as single, polypoid, intraluminal masses emanating from the mucous membrane. The most important characteristic is the absence of melanoma damage to the skin. If it is not possible to localize primary melanoma a multidisciplinary approach to diagnostic search comes to the fore. Predicting for primary melanoma of the gallbladder is a difficult task due to the small number of cases and the absence of long-term follow-up for this category of patients.

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