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

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. Hertwig’s 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

Management of Non-Vital Open Apex in A Lateral Incisor Using Calcium Hydroxide and Reverse GP Cone Cold Lateral Compaction in A General Practice Setting

2021 ◽  
Author(s):  
Haider Al-Saffar
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Dental Trauma ◽  
Lateral Incisor ◽  
Incisor Tooth ◽  
Beneficial Effects ◽  
Immature Teeth ◽  
Gutta Percha ◽  
Regenerative Dentistry ◽  
Dental Practices

Although dental trauma is poorly managed by general dental practices, it is important to follow appropriate steps to achieve optimal results. This case report outlines the management of non-vital immature teeth with calcium hydroxide and reverse Gutta Percha (GP) cone cold lateral compaction to achieving endodontic success. Even though it is a disputed technique, if proper conditions are provided, the root development continues to preserve a functionally fit and sound tooth on the arch of a young adolescence, avoiding extensive surgical and prosthetic procedures to replace a potentially compromised tooth. This case report highlights the beneficial effects of both calcium hydroxide and Chlorhexidine-dygluconate (CHX), which are far to be obsolete in the field of apexification or even regenerative dentistry as a whole.The 11 years old male presents post-traumatic necrosis in the upper left lateral incisor (tooth 2.2) which is dressed with calcium hydroxide, achieving the disinfection of the root canal, remission of the apical periodontitis and complete root formation 1 year later. The importance of the use of biocompatible materials as calcium hydroxide and CHX are emphasized in this case in which, although, no modern regenerative procedures and materials were used, the results are more than satisfactory. This report will look into the management of a non-vital immature lateral incisor with a reverse GP cone lateral compaction to achieving a successful apical and canal seal radiographically.

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

Intentional Replantation of an Immature Incisor with a Transverse Root Fracture and Endo-Perio Condition: 4 Year Follow-Up

2017 ◽  
Vol 41 (3) ◽  
pp. 187-192
Author(s):  
Atsushi Oishi
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Dental Trauma ◽  
Final Diagnosis ◽  
Radiographic Examination ◽  
Initial Examination ◽  
Root Canal Filling ◽  
Root Fracture ◽  
Immature Teeth

This case report describes the importance of continual examination for dental trauma and the efficacy of intentional replantation with retrograde root canal filling for a transverse root fracture in an immature incisor accompanied by subsequent periodontal-endodontic disease. In the treatment of traumatically fractured roots in immature incisors, continual examination is indispensable for the final diagnosis because roots in immature teeth are less calcified, resulting in less detailed radiological examinations. Thus, common dental trauma complications such as pulp necrosis may appear months after the initial examination. Endodontic treatment for transverse root fracture is mainly determined according to radiographic examination findings; for fractured immature roots, apexification with calcium hydroxide of the coronal fragment is generally applied. However, this method requires removal of considerable amounts of enamel and dentin to allow access to the cavity for preparation, which may increase the risk of future fractures. In contrast, intentional replantation with retrograde root canal filling does not require the removal or long-term application of calcium hydroxide. However, it requires careful extraction of the tooth, maintenance of root wetness during the extraoral procedure, rigid splinting, and oral hygiene control. Management of tooth mobility is also important in the post-replantation course.

A multidisciplinary treatment approach to a complicated maxillary dental trauma: a case report

2000 ◽  
Vol 16 (3) ◽  
pp. 138-142 ◽  
Author(s):  
R. L. R. G. Leroy ◽  
J. K. M. Aps ◽  
F. M. Raes ◽  
L. C. Martens ◽  
J. A. De Boever
Keyword(s):  
Case Report ◽  
Treatment Approach ◽  
Multidisciplinary Treatment ◽  
Dental Trauma

scholarly journals TITLE - MINERAL TRI-OXIDE AGGREGATE (MTA) FOR THE REPAIR OF PERIAPICAL TISSUES IN A PATIENT WITH SELF INFLICTED INJURIES: CASE REPORT

2013 ◽  
Vol 03 (01) ◽  
pp. 86-89
Author(s):  
Aditya Shetty ◽  
C. Ravi Chandra ◽  
Mithra N. Hegde ◽  
Uday S. Mahale ◽  
Ganesh Bhat
Keyword(s):  
Case Report ◽  
Cystic Lesion ◽  
Treatment Approach ◽  
Mineral Trioxide Aggregate ◽  
Dental Trauma ◽  
Filling Material ◽  
Central Incisor ◽  
Anterior Teeth

AbstractInjury to anterior teeth is a relatively common event. Dentists regularly deal with management of dental trauma and restoration of fractured teeth. Hence the treatment approach and medicaments that assures the biologically acceptable healing and improve long term success rate are of potential value and should be considered.A big cystic lesion, which is unable to heal non-surgically, heals well with use of Mineral Trioxide Aggregate (MTA Angelus) by surgical approach. Results of clinical trials have recommended the use of MTA as the most suitable root end filling material.This article presents the case report of management of big cystic lesion along with the lateral root perforation with maxillary left central incisor. Root canal treatment was followed by the resection of root end of tooth in question at the level of perforation and sealed with MTA. 12 month's follow up radiograph showed completely healed Cystic lesion.

scholarly journals Extrusive Luxation Injuries in Young Patients: A Retrospective Study with 5-Year Follow-Up

2020 ◽  
Vol 8 (4) ◽  
pp. 136
Author(s):  
Enrico Spinas ◽  
Laura Pipi ◽  
Claudia Dettori
Keyword(s):  
Therapeutic Approach ◽  
Traumatic Event ◽  
Young Patients ◽  
Time To Treatment ◽  
Exact Test ◽  
Immature Teeth ◽  
Standardized Protocol ◽  
Type Of Injury ◽  
Pulp Obliteration

(1) Background: The purpose of this study was to analyze the influence of the chosen diagnostic and therapeutic approach (repositioning and splinting methods) on the risk, frequency and timing of the onset of pulp canal obliteration and pulp necrosis following extrusive luxation in young patients with permanent dentition. (2) Methods: From an initial sample of 50 subjects affected by extrusive luxation, were selected the clinical data of 13 patients presenting extrusive luxation but no other type of injury to the dental hard tissue. All teeth were examined according to a standardized protocol. Follow-up examinations were performed at regular intervals for 5 years. Statistical associations between pulp consequences and several covariates were assessed using the Mann–Whitney test and Fisher’s exact test. (3) Results: Among the 13 studied teeth, only 1 healed completely, whereas 9 showed pulp obliteration and 3 developed pulp necrosis. No tooth with obliteration developed pulp necrosis. The average time to treatment was 11.9 h. The treatment approaches used were manual repositioning, orthodontic repositioning and stabilization splinting. “Time to treatment” was the only covariate that showed a weak statistical association with the onset of pulp consequences. (4) Conclusions: There is still uncertainty over the most appropriate therapeutic approach to adopt in young patients with extrusive luxation injuries, particularly for repositioning of the injured tooth. Extruded teeth should be treated as soon as possible after the traumatic event. This study highlighted the value of orthodontic repositioning of the extruded tooth, which does not seem to aggravate the conditions of the dental pulp. In addition, the study confirmed that prophylactic endodontic treatment is not appropriate for immature teeth affected by extrusive luxation injuries, given the extreme rarity of pulp necrosis in teeth already affected by pulp obliteration.

scholarly journals Regenerative Endodontic Management of an Immature Molar Using Calcium Hydroxide and Triple Antibiotic Paste: a Two-Year Follow-Up

2020 ◽  
Vol 2020 ◽  
pp. 1-5 ◽  
Author(s):  
Mohannad Alasqah ◽  
Sulthan Ibrahim Raja Khan ◽  
Khalid Alfouzan ◽  
Ahmed Jamleh
Keyword(s):  
Calcium Hydroxide ◽  
Root Formation ◽  
Root Canals ◽  
Immature Teeth ◽  
Triple Antibiotic Paste ◽  
Mandibular Molar ◽  
Blood Clots ◽  
Periapical Healing ◽  
Viable Treatment

The regenerative endodontic procedure (REP) is considered a viable treatment option for immature teeth with necrotic pulp and periapical radiolucency which can facilitate continued root formation. In this report, an immature necrotic mandibular molar received REP in three appointments wherein chemomechanical debridement was performed with a sequential application of nonsetting calcium hydroxide (in the whole canal) and triple antibiotics paste (in the root’s middle third) dressings in the first and second appointments, respectively. In the third appointment, blood clots were created in the root canals. MTA was placed over the blood clots and the tooth was restored with a composite filling and stainless-steel crown. Recall appointments were performed for two years where the tooth was deemed asymptomatic clinically and a complete root formation with significant periapical healing was evident radiographically. More cases are required to warrant the feasibility of this disinfection protocol.

scholarly journals Tooth Reattachment and Palatal Veneer on a Multidisciplinary Approach of Crown Fractures in Upper Central Incisors

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Vanessa Machado ◽  
Ricardo Alves ◽  
Luísa Lopes ◽  
João Botelho ◽  
José João Mendes
Keyword(s):  
Multidisciplinary Approach ◽  
Treatment Approach ◽  
Young Patients ◽  
Dental Trauma ◽  
Trauma Management ◽  
Indirect Composite

Dental trauma is more common in young patients and its sequelae may have great impact on the esthetics, functions, and phonetics. This paper reports a case of trauma in both central incisors in a young 17-year-old patient who was treated using adhesive tooth fragment reattachment on tooth 2.1 and a palatal indirect composite veneer on tooth 1.1. Regarding the available literature and fracture extension, the treatment approach proposed for this case provided good functional and esthetic outcomes. Clinical and radiographic results after 1 year were successful. This case demonstrates the importance of establishing a multidisciplinary approach for successful dental trauma management.

scholarly journals Management of two teeth unerupted due to an odontoma: two years follow-up

2014 ◽  
Vol 13 (1) ◽  
pp. 107
Author(s):  
Tacíria Machado Bezerra ◽  
Thaís Pinto Alves ◽  
Thaís Rodrigues Soares ◽  
Oswaldo Costa Neto ◽  
Maria da Encarnação P. R. Costa ◽  
...  
Keyword(s):  
Case Report ◽  
Primary Teeth ◽  
Young Patients ◽  
Dental Trauma ◽  
Permanent Tooth ◽  
Font Size ◽  
Successful Management ◽  
Correct Alignment ◽  
History Of

<p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><strong><em><span style="font-size: 8.0pt; font-family: Calibri-BoldItalic; mso-bidi-font-family: Calibri-BoldItalic; mso-ansi-language: EN-US;" lang="EN-US">Objective: </span></em></strong><em><span style="font-size: 8.0pt; font-family: Calibri-Italic; mso-hansi-font-family: Calibri-BoldItalic; mso-bidi-font-family: Calibri-Italic; mso-ansi-language: EN-US;" lang="EN-US">The purpose of this case report was to describe the successful management of unerupted incisors due to an odontoma in two young girls with history of dental trauma in primary teeth. </span></em><strong><em><span style="font-size: 8.0pt; font-family: Calibri-BoldItalic; mso-bidi-font-family: Calibri-BoldItalic; mso-ansi-language: EN-US;" lang="EN-US">Case report</span></em></strong><em><span style="font-size: 8.0pt; font-family: Calibri-Italic; mso-hansi-font-family: Calibri-BoldItalic; mso-bidi-font-family: Calibri-Italic; mso-ansi-language: EN-US;" lang="EN-US">: The radiographic examinations revealed odontoma-like malformations, which were surgically removed in both cases. In case 1 the crown of the permanent tooth was exposed and orthodontic traction performed and in case 2, a waiting period of at least 6 months for spontaneous eruption of permanent tooth was expected. After 8 months it was necessary the orthodontic traction because the tooth had not erupted. In both cases the correct alignment of the upper incisors was achieved, the final occlusion was satisfactory and periapical radiographs revealed no pathological signs. </span></em><strong><em><span style="font-size: 8.0pt; font-family: Calibri-BoldItalic; mso-bidi-font-family: Calibri-BoldItalic; mso-ansi-language: EN-US;" lang="EN-US">Conclusion</span></em></strong><em><span style="font-size: 8.0pt; font-family: Calibri-Italic; mso-hansi-font-family: Calibri-BoldItalic; mso-bidi-font-family: Calibri-Italic; mso-ansi-language: EN-US;" lang="EN-US">: The satisfactory results confirmed the advantages of these approaches, which restored the esthetics and oral function of these two young patients.</span></em></p>

scholarly journals Interdisciplinary Trauma Management in an Elderly Patient, A Case Report

2014 ◽  
Vol 8 (1) ◽  
pp. 201-206 ◽  
Author(s):  
George T Felt ◽  
Ahmad Soolari
Keyword(s):  
Recovery Period ◽  
Dental Trauma ◽  
Restorative Dentistry ◽  
Older Patient ◽  
Acute Injuries ◽  
And Function ◽  
Treatment Step ◽  
Normal Speech ◽  
Current Report

The current report reviews a case of mixed dental trauma consequent to a fall by an older patient. The patient’s teeth were forced out of alignment by the trauma and suffered pulpal necrosis. Treatment involved not only healing the acute injuries, but also attending to some subtle delayed problems that became apparent during treatment. Treatments involving endodontics, periodontics, orthodontics, and restorative dentistry were used to address all of the patient’s concerns. This insured that the traumatic occlusion was corrected, appropriate esthetics was restored and normal speech and function was regained. All signs of trauma were recognized, every treatment step was documented, and appropriate follow-up was provided throughout the recovery period.

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