Reabsorção externa inflamatória após luxação intrusiva dentária – conduta clínica de tratamento tardio

External inflammatory root resorption (EIRR) is one of the consequences of pulp necroses caused by intrusive dislocation (ID). The objective of the study was to report a clinical case of ID associated with EIRR, which was submitted to late endodontic treatment. Patient came to the dental office five months after a trauma with a clinical picture of intrusive dislocation of tooth 21 associated with pulp necrosis, but without symptoms. Radiographic examination showed an image compatible with EIRR along root surface. The treatment plan was to undergo endodontic treatment with calcium hydroxide changes which occurred monthly for 8 months. When EIRR stopped, the root canal was filled. After clinical and radiographic follow up for 5 years, there was an involution of the damage caused by the clastic activity resulting from the resorptive process, characterizing the success of the instituted therapy.

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Late endodontic treatment of a tooth with extrusive dislocation and invasive cervical resorption: a clinical case report

Research Society and Development ◽

10.33448/rsd-v10i12.20061 ◽

2021 ◽

Vol 10 (12) ◽

pp. e139101220061

Author(s):

Ana Paula Fernandes Ribeiro ◽

Julia Guerra de Andrade ◽

Heitor César Maia ◽

Caroline Loureiro ◽

Gladiston Willian Lobo Rodrigues ◽

...

Keyword(s):

Root Canal ◽

Clinical Case ◽

Glass Ionomer Cement ◽

Sinus Tract ◽

Endodontic Treatment ◽

Radiographic Examination ◽

Periapical Lesion ◽

Root Canal Filling ◽

Recurrent Sinus

This study aims to report the clinical case of a 16 years-old male patient, who attended a private office reporting that at an accident suffered at the age of 10 years-old, which caused extrusive dislocation in both teeth 11 and 21. At that time, the teeth were repositioned, without an adequate follow-up. Upon physical and radiographic examination, the following features were observed: presence of recurrent sinus tract on the vestibular surface, area of external cervical resorption, and a periapical lesion on tooth 21. Endodontic treatments (necropulpectomy) were performed on teeth 11 and 21, with the placement of a root canal dressing of calcium hydroxide and subsequent root canal filling. In addition, soft tissue flap folding was performed to treat the resorption area and to seal it with glass ionomer cement. A 7 months follow-up radiograph shows stabilization in the process of the tooth resorption and remission of the periapical lesion. In conclusion, the endodontic treatment with intracanal medication, and the sealing of the resorption area were successful to preserve the traumatized tooth. In addition, it is noteworthy that following up with the patient after the trauma episode is essential to monitor the pulp vitality of the tooth involved.

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Management of Inflammatory Internal Root Resorption with Biodentine and Thermoplasticised Gutta-Percha

Case Reports in Dentistry ◽

10.1155/2015/452609 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4

Author(s):

Girish Umashetty ◽

Upendra Hoshing ◽

Suvarna Patil ◽

Nishant Ajgaonkar

Keyword(s):

Inflammatory Process ◽

Clinical Case ◽

Root Resorption ◽

Radiographic Examination ◽

Rare Occurrence ◽

Comprehensive Understanding ◽

Gutta Percha ◽

Slow Progression ◽

Radiolucent Lesion

Internal root resorption is a chronic inflammatory process initiated within the pulp space with the loss of dentin. This condition demands a comprehensive understanding of the pathologic process, so as to identify the cause and arrest the resorptive phenomena. It is a rare occurrence, asymptomatic, with slow progression, detected through routine radiographic examination, where it appears as a radiolucent lesion. This paper reports a clinical case of inflammatory internal root resorption in the premolar tooth. Because it is asymptomatic, internal root resorption needs an early diagnosis in order to institute the endodontic treatment before the process compromises the remaining mineralized structures of the tooth. Biodentine was used to reinforce the weaker structures in the root. Thermoplasticised gutta-percha was used to completely obturate the defect. Ten-month follow-up showed arrest of internal root resorption.

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Application of High-Frequency Conduction for Persistent Apical Periodontitis: A Case Report

Journal of Dentistry & Oral Disorders ◽

10.26420/jdentoraldisord.2021.1168 ◽

2021 ◽

Vol 7 (4) ◽

Author(s):

Toshihiko Tominaga ◽

◽

Eiichiro Tada ◽

Kazuki Takahira ◽

Tsutomu Sugaya ◽

...

Keyword(s):

Root Canal ◽

High Frequency ◽

Root Resorption ◽

Root Surface ◽

Apical Periodontitis ◽

Root Canal Filling ◽

Tissue Inflammation ◽

External Root Resorption ◽

Ultrasonic Irrigation

We report the case of a 39-year-old male with Persistent Apical Periodontitis (PAP) caused by infection in an uninstrumented area, wherein conventional chemical root canal treatment is not possible, which was sterilized via highfrequency conduction. He underwent root canal filling after multiple endodontic treatments for tooth #4. As symptoms recurred, he was referred to our department with the chief complaint of dull pain during mastication. Present symptoms were percussion pain of the tooth, buccal mucosa swelling at the apical portion, and grade 1 mobility. Radiography revealed inadequate root canal filling. A radiolucent image 5×6 mm in diameter and with an unclear boundary was observed around the apex. External root resorption was mainly observed in the apical foramen, with a crown root ratio of approximately 1:1. Using 6% sodium hypochlorite under dental microscopy, chemomechanical root canal preparation was performed. Passive ultrasonic irrigation and calcium hydroxide application were conducted three times; however, periapical tissue inflammation did not subside. Therefore, the patient was diagnosed with PAP, and the uninstrumented area was sterilized via high-frequency conduction. High-frequency currents were applied to the apex, root surface, and periapical lesion at 500 kHz and 90 V; periapical tissue inflammation resolved after 2 weeks. Subsequently, the root canal was filled. Follow-up radiography revealed a bone regeneration-like image at 2 months. Bone defects healed at 11 months. Although surgical endodontic therapy is conventionally performed in PAP patients, high-frequency conduction could be a minimally invasive nonsurgical endodontic treatment option for uninstrumented areas in PAP patients.

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Endodontic treatment of maxillary lateral incisor with internal root resorption using a hybrid instrumentation technique - case report

Brazilian Dental Science ◽

10.14295/bds.2016.v19i2.1159 ◽

2016 ◽

Vol 19 (2) ◽

pp. 111

Author(s):

Francisco Roosivelt Assis De Araújo ◽

Fredson Marcio Acris De Carvalho ◽

André Augusto Franco Marques ◽

Emílio Carlos Sponchiado Júnior ◽

Lucas Da Fonseca Roberti Garcia

Keyword(s):

Root Canal ◽

Bone Repair ◽

Clinical Case ◽

Root Resorption ◽

Endodontic Treatment ◽

Hybrid Technique ◽

Root Canal Filling ◽

Path Creation ◽

Glide Path ◽

Hybrid Instrumentation

Several factors influence the cleaning and shaping capacity of instrumentation techniques, such as internal resorption areas. Internal root resorption contributes to failure of endodontic treatment, since debris may remain attached to dentine walls, and the instruments are not able to completely remove them. This paper reports a clinical case of endodontic treatment of a tooth with internal root resorption using a hybrid instrumentation technique. After clinical and radiographic examinations, pulp necrosis with periapical lesion, and the presence of an internal root resorption were diagnosed. Biomechanical preparation began with glide path creation with sizes 15 and 20 K-type files. Apical third instrumentation was performed with rotary ProFile files #25.04 up to #35.04, followed by root canal filling. The case was followed-up for twelve months. Progressive bone repair was observed radiographically. Despite the presence of internal root resorption, the results achieved with the hybrid technique suggest effectiveness in this clinical case solution.Keywords: Dental Pulp Cavity; Endodontics; Root canal therapy.

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

The Open Dentistry Journal ◽

10.2174/1874210601610010733 ◽

2016 ◽

Vol 10 (1) ◽

pp. 733-738 ◽

Cited By ~ 3

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.

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Severe trauma in young permanent tooth: a case report

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-86372020000073667 ◽

2020 ◽

Vol 68 ◽

Author(s):

Ana Luiza Costa Silva de OMENA ◽

Ivana Aguiar FERREIRA ◽

Claudia Lima RAMAGEM ◽

Kelly Maria Silva MOREIRA ◽

Isabela FLORIANO ◽

...

Keyword(s):

Alveolar Bone ◽

Root Resorption ◽

Traumatic Injury ◽

Severe Trauma ◽

Permanent Tooth ◽

Dental Office ◽

Severe Traumatic Injury ◽

Dentoalveolar Trauma ◽

To Receive

ABSTRACT Dentoalveolar trauma is a severe traumatic injury involving alveolar bone and dental structures. Like any trauma, it can leave irreparable sequelae and even cause tooth loss. The aim of this study is to report on the case of a dentoalveolar trauma in a 10-year-old male patient and the treatment performed with 12-month follow-up. The child had lateral luxation and displacement of teeth 11 and 21 in labial direction after a fall from his own height. The patient was examined at a hospital, received medication and was referred to a dental clinic. At the dental office, the teeth were repositioned, as well as received endodontic treatment and dental reanatomization. Two months after the trauma, root resorption was observed externally, which remained stable for 12 months. It was concluded that post-trauma treatment should be immediate and that follow-up sessions should be done carefully to minimize sequelae and to receive better prognosis.

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Simple bone cyst in a 7-year-old child

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-86372017000100003243 ◽

2017 ◽

Vol 65 (1) ◽

pp. 83-86 ◽

Cited By ~ 1

Author(s):

Heitor ALBERGONI DA SILVEIRA ◽

Camila LOPES CARDOSO ◽

Mariane PEXE ◽

Rafael ZETEHAKU ARAUJO ◽

Anthony BENITES CONDEZO ◽

...

Keyword(s):

Clinical Case ◽

Bone Cyst ◽

Radiographic Examination ◽

Simple Bone Cyst ◽

Presumptive Diagnosis ◽

Surgical Exploration ◽

Tooth Roots ◽

Expansive Lesion ◽

Exploratory Surgery

ABSTRACT The simple bone cyst,or traumatic bone cyst, solitary or idiopathic bone cavity is an intraosseous pseudocyst discovered through a panoramic radiographic examination. Commonly, the SBC is presented as an asymptomatic lesion, radiolucent, unilocular, without cortical expansion, with margins adorning vital tooth roots of the affected region. The literature has recommended that clinical and radiographic aspects of simple bone cyst are quite convincing as to diagnosis, so follow-up through clinical and radiographic examination has been suggested. This case illustrates an exuberant clinical case of simple bone cyst, which was presented as multilocular and expansive lesion in a 7-year-old patient. Surgical exploration was performed because her parents were anxious about the presumptive diagnosis of other more aggressive lesions. The diagnosis of SBC was confirmed. The case was monitored and, after three years, total bone remodeling of the affected area was observed. In conclusion, asymptomatic radiolucent lesions that suggest a strong presumptive diagnosis of a simple bone cyst can be clinically and radiographically monitored. However, clinical variations, as in the present clinical case, require confirmation of the diagnosis, which is performed through exploratory surgery. The establishment of the diagnosis affords the safest approach for both the professional and the patient.

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Diagnosis and root canal treatment in a mandibular premolar with three canals

Brazilian Dental Journal ◽

10.1590/s0103-64402009000500012 ◽

2009 ◽

Vol 20 (5) ◽

pp. 424-427 ◽

Cited By ~ 2

Author(s):

Lanuce Rosa Soares ◽

Marcos Arruda ◽

Marcos Pôrto de Arruda ◽

Andréa Leão Rangel ◽

Edson Takano ◽

...

Keyword(s):

Correct Diagnosis ◽

Endodontic Treatment ◽

Radiographic Examination ◽

Single Session ◽

Pulp Chamber ◽

Therapy Failure ◽

Occlusal Caries ◽

Gutta Percha ◽

Probable Diagnosis

This paper presents a case report of a left mandibular second premolar with three canals and three different apical foramina. A 39-year-old male patient presented to our clinic with pain in the mandibular left second premolar. Initially, pain was caused by cold stimulus and later was spontaneously. The intraoral clinical examination revealed a fractured amalgam restoration with occlusal caries. Percussion and cold (Endo-Frost) tests were positive. The radiographic examination showed the presence of two roots. The probable diagnosis was an acute pulpitis. After access cavity, it was observed remaining roof of the pulp chamber and mild bleeding in the tooth lingual area, indicating the possible presence of a third canal. The endodontic treatment was completed in a single session using Root ZX apex locator and K3 NiTi rotary system with surgical diameter corresponding to a .02/45 file in the three canals and irrigation with 1% sodium hypochlorite. The canals were obtured with gutta-percha cones and Sealer 26 using the lateral condensation technique. After 1 year of follow-up, the tooth was asymptomatic and periapical repair was observed radiographically. Internal alterations should be considered during the endodontic treatment of mandibular second premolars. The correct diagnosis of these alterations by the analysis of preoperative radiographs can help the location of two or more canals, thereby avoiding root therapy failure.

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Multi-lobed mesiodens with a palatal talon cusp: a rare case report

Brazilian Dental Journal ◽

10.1590/s0103-64402010000400016 ◽

2010 ◽

Vol 21 (4) ◽

pp. 375-378 ◽

Cited By ~ 6

Author(s):

Nayaka Basavanthappa Nagaveni ◽

Kagathur Veerbadrappa Umashankara ◽

Sreedevi ◽

Bokka Praveen Reddy ◽

Nayaka Basavanthappa Radhika ◽

...

Keyword(s):

Orthodontic Treatment ◽

Rare Case ◽

Clinical Case ◽

Treatment Plan ◽

Radiographic Examination ◽

Supernumerary Tooth ◽

Anterior Teeth ◽

Patient Reported ◽

Rare Case Report ◽

Maxillary Arch

Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch and the talon cusp is a rare dental developmental anomaly seen on the lingual surface of anterior teeth. This paper presents a rare clinical case of development of talon cusp in a mesiodens with multiple lobes, which interfered with both occlusion and appearance of an 11-year-old patient. During clinical interview, the patient reported difficulty on mastication. Clinical and radiographic examination revealed that a supernumerary tooth with completely formed root was causing an occlusal interference. The supernumerary tooth was diagnosed as multi-lobed mesiodens associated with a palatal talon cusp. The treatment plan consisted in the extraction of the supernumerary tooth followed by orthodontic treatment for diastema closure and tooth alignment.

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