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

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

Full Dentistry in Science ◽

10.24077/2020;1245-113117 ◽

2020 ◽

Vol 12 (45) ◽

pp. 113-117

Author(s):

Caroline Felipe Magalhães Girelli ◽

Thaís da Silva Alves ◽

Betina Maria de Lima Oliveira ◽

Mariane Floriano Lopes Santos Lacerda ◽

Carolina Oliveira de Lima

Keyword(s):

Clinical Picture ◽

Root Canal ◽

Clinical Case ◽

Root Resorption ◽

Treatment Plan ◽

Root Surface ◽

Endodontic Treatment ◽

Radiographic Examination ◽

Dental Office

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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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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Diagnosis and treatment of internal resorption of teeth: a review of literature and clinical case

Эндодонтия Today ◽

10.36377/1683-2981-2020-18-1-47-52 ◽

2020 ◽

Vol 18 (1) ◽

pp. 47-52

Author(s):

M. V. Berkhman

Keyword(s):

Computed Tomography ◽

Conservative Treatment ◽

Root Canal ◽

Clinical Case ◽

Treatment Success ◽

Endodontic Treatment ◽

Review Of Literature ◽

Root Canal Filling ◽

Dental Hard Tissues ◽

Hard Tissues

Internal resorption is a separate category of diseases of hard tissues of teeth, characterized by the loss of dentine as a result of activation and activity of osteoclasts. The article discuss issues concerning etiology, the prevalence of internal resorption, its diagnosis, emphasise the contribution of computed tomography in the diagnosis and prediction of treatment success, clinical decisions and therapeutic treatment of this disease. Describe modern endodontic treatment methods, including the use of magnification, ultrasound in endodontic treatment, the use of certain materials for temporary and permanent root canal filling. Under these conditions, the prognosis of conservative treatment of internal resorption of dental hard tissues is improved, even if there is a perforation of the walls of the tooth cavity.

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C-shaped canal configuration in lower molar - Case report

Brazilian Dental Science ◽

10.14295/bds.2015.v18i2.1017 ◽

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.

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Decompression of a Large Periapical Lesion: A Case Report of 4-Year Follow-Up

Case Reports in Medicine ◽

10.1155/2016/3830987 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Claudio Maniglia-Ferreira ◽

Fabio de Almeida Gomes ◽

Marcelo de Morais Vitoriano ◽

Francisco de Assis Silva Lima

Keyword(s):

Case Report ◽

Endodontic Treatment ◽

Radiographic Examination ◽

Periapical Lesion ◽

Periodontal Tissues ◽

Periapical Granuloma ◽

Extensive Lesion ◽

Radiolucent Lesion ◽

Root Canal System

This case report described the endodontic treatment and decompression of an extensive lesion in the anterior region of the mandible, detected during clinical and radiographic examination, in a patient with a complaint of slight tenderness to palpation in the area of mandibular right lateral incisor and canine. These teeth had been accessed without proper clinical evaluation, and their pulp tissues were exposed. The periodontal tissues were healthy, with no signs of inflammation or fistula. On radiographic examination, a radiolucent lesion with well-defined borders was seen extending from the distal root of mandibular left second premolar to the mesial root of mandibular right second premolar. Central and lateral mandibular left incisors were unresponsive to thermal pulp testing and exhibited coronal discoloration, consistent with a diagnosis of pulp necrosis. Due to persistent discharge from the root canal system during endodontic procedures despite application of intracanal medicament (calcium hydroxide paste), the decision was made to biopsy and decompress the lesion and conclude endodontic treatment. Histopathologic examination revealed a periapical granuloma. After endodontic treatment of the involved teeth, at 4-year clinical and radiographic follow-up, the affected region was almost completely repaired.

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TRATAMENTO ENDODÔNTICO DE INCISIVO LATERAL SUPERIOR COM CURVATURA APICAL ACENTUADA E LESÃO PERIAPICAL: RELATO DE CASO

Journal of Dentistry & Public Health ◽

10.17267/2596-3368dentistry.v7i1.788 ◽

2016 ◽

Vol 7 (1) ◽

Author(s):

Ronaldo Araújo Souza ◽

Fernando Gavazza ◽

João Da Costa Pinto Dantas ◽

Maurício Lago ◽

Suely Colombo

Keyword(s):

Successful Treatment ◽

Root Canal ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

Lateral Incisor ◽

Periapical Lesion ◽

Root Canal Filling ◽

Determinant Factors ◽

Determinant Factor

Complexity of root canal treatment is well recognized, however some specific situations are still more difficult, such as treatment of apical third with accentuated curvature. Nevertheless, recent techniques of instrumentation and obturation brought new persperctives and became a determinant factor for successful treatment. Through the treatment of a maxillary left lateral incisor, with accentuated apical curvature, pulpal necrosis and periapical lesion through manual instrumentation and lateral condensation technique of root canal filling, this article is aimed to discuss whether these recent techniques of instrumentation and obturation of root canal are actually determinant factors for the success in endodontic treatment.

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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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Regenerative Endodontic Treatment of an Infected Immature Dens Invaginatus with the Aid of Cone-Beam Computed Tomography

Case Reports in Dentistry ◽

10.1155/2014/403045 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 3

Author(s):

Işıl Kaya-Büyükbayram ◽

Şerife Özalp ◽

Emre Aytugar ◽

Seda Aydemir

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Endodontic Treatment ◽

Cone Beam ◽

Radiographic Examination ◽

Periapical Lesion ◽

Type Iii ◽

Regenerative Endodontic Treatment ◽

Dens Invaginatus

Dens invaginatus is a developmental anomaly that results in an enamel-lined cavity intruding into the crown or root before the mineralization phase. This report presents regenerative endodontic treatment of a necrotic immature tooth with Oehler’s type III dens invaginatus of a nine-year-old female patient. A diagnosis of dens invaginatus (Oehler’s type III) and a large periapical lesion was established with the aid of cone-beam computed tomography (CBCT). In the presented case contrary to the classic revascularization protocol, mechanical instrumentation was performed which apparently did not interfere with the regeneration process. After mechanical instrumentation of the invaginated canal by manual K-files, the invaginated canal space was disinfected by triple antibiotic paste followed by blood clot induction from the periapical tissues and the placement of mineral trioxide aggregate. At one-year follow-up, the tooth remained clinically asymptomatic. Radiographic examination revealed complete healing of the periapical lesion. At the 20-month follow-up, the radiographic examination also showed that the open apex was closed and the walls of the root canal were thickened.

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Does Apical Papilla Survive and Develop in Apical Periodontitis Presence after Regenerative Endodontic Procedures?

Applied Sciences ◽

10.3390/app9193942 ◽

2019 ◽

Vol 9 (19) ◽

pp. 3942 ◽

Cited By ~ 5

Author(s):

Paulo J. Palma ◽

João Martins ◽

Patrícia Diogo ◽

Diana Sequeira ◽

João Carlos Ramos ◽

...

Keyword(s):

Root Development ◽

Root Canal ◽

Case Reports ◽

Sinus Tract ◽

Apical Periodontitis ◽

Endodontic Treatment ◽

Spontaneous Pain ◽

Endodontic Infection ◽

Apical Papilla

Regenerative endodontic procedures (REPs) have emerged as a treatment option for immature necrotic teeth to allow the reestablishment of a newly formed vital tissue and enable continued root development. The apical papilla stem cells (SCAPs) play an important role in physiologic root development and may also contribute to further root development during REPs. The goal of these case reports is to show evidence of the apical papilla survival and development, in human teeth with apical periodontitis, after REPs, with 5-year clinical and radiographic follow-up. In the first case, an 11-year-old girl with acute apical abscess of tooth 15 was referred for a REP. Treatment was performed with an intracanal medication followed by induction of a blood clot and a Mineral Trioxide Aggregate (MTA) cervical barrier. The 5-year follow-up showed an appreciable increase in root length as well as root canal thickness. In case 2, a 16-year-old girl was referred for endodontic treatment of tooth 21. The parents of the patient recalled a previous dental trauma (no specified on the patient records) on tooth 21 at age 7. The dental history reports a previous endodontic treatment failure and presence of a long-standing sinus tract. A mineralized tissue beyond the root apical portion could be seen at the preoperative X-ray. Nonsurgical root canal retreatment with an apical barrier was suggested as the treatment plan and accepted by the patient. After 2 weeks, the patient was recalled for a follow-up appointment presenting spontaneous pain, swelling, and sinus tract. Apical surgery was performed. Histopathological assessment of the apical root fragment collected showed the presence of dentin, cementum and pulp tissue, including odontoblasts. The 5-year follow-up depicted complete apical healing. The present case reports support survival and continued potential differentiation of the apical papilla after endodontic infection.

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