scholarly journals Nonsurgical Endodontic Retreatment of Advanced Inflammatory External Root Resorption Using Mineral Trioxide Aggregate Obturation

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Shivani Utneja ◽  
Gaurav Garg ◽  
Shipra Arora ◽  
Sangeeta Talwar
Keyword(s):  
Root Canal ◽  
Root Resorption ◽  
Clinical Symptoms ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Apical Region ◽  
Central Incisor ◽  
Root Canal Filling ◽  
Maxillary Central Incisor ◽  
External Root Resorption

Inflammatory external root resorption is one of the major complications after traumatic dental injury. In this case report, we describe treatment of a maxillary central incisor affected by severe, perforating external root resorption. An 18-year-old patient presented with a previously traumatized, root-filled maxillary central incisor associated with pain and sinus tract. Radiographic examination revealed periradicular lesion involving pathologic resorption of the apical region of the root and lateral root surface both mesially and distally. After removal of the root canal filling, the tooth was disinfected with intracanal triple antibiotic paste for 2 weeks. The antibiotic dressing was then removed, and the entire root canal was filled with mineral trioxide aggregate. The endodontic access cavity was restored with composite resin. After 18 months, significant osseous healing of the periradicular region and lateral periodontium had occurred with arrest of external root resorption, and no clinical symptoms were apparent.

scholarly journals Management of Traumatic Inflammatory External Root Resorption

2019 ◽  
Vol 15 (1) ◽  
pp. 71-74
Author(s):  
Shikha Bantawa ◽  
Navin Agrawal ◽  
Mannu Vikram ◽  
Vimmi Singh ◽  
Ashok Ayer ◽  
...  
Keyword(s):  
Root Canal ◽  
Root Resorption ◽  
Clinical Symptoms ◽  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Apical Region ◽  
Dental Tissue ◽  
Root Canal Filling ◽  
Gutta Percha ◽  
External Root Resorption

Inflammatory external  root resorption is one of the major complications after traumatic dental injury. It is characterized by the loss of mineralized dental tissue which may, ultimately, result in loss of the tooth.    However, with appropriate treatment, prognosis for these teeth may be greatly improved, by preventing or arresting resorption. This is a case report of an 18-year-old male patient presented with root canal treated maxillary central incisors associated with pain; with history of trauma. Radiographic examination revealed periradicular lesion and associated pathologic resorption of the apical region of the root with respect to 11 and calcification of the root canal with inadequate obturation with respect to 21. After removal of the root canal filling, 11 was disinfected with intracanal double antibiotic paste. After 2 weeks, antibiotic dressing was removed, and apical third was sealed with mineral trioxide aggregate (MTA). Canal was obturated with custom-fit gutta-percha and accessory cones with AH plus sealer and restoration was done with composite resin. Retreatment was also done with respect to 21 and obturated with custom-fit gutta-percha. Both teeth were restored with E-max crown. No clinical symptoms were apparent, significant osseous healing of the periradicular region was observed with arrest of external root resorption with respect to 11 and no periapical changes were apparent with respect to 21 on subsequent  follow-up.

scholarly journals Nonsurgical Removal of Overextended Gutta-Percha Root Canal Filling in a Permanent Maxillary Central Incisor with Apical Root Resorption - A Case Report

2020 ◽  
Vol 9 (42) ◽  
pp. 3159-3162
Author(s):  
Gaurav Umesh Chaudhari ◽  
Sumanthini Venkatsubramanyam Margasahayam ◽  
Vanitha Umesh Shenoy ◽  
Akash Kiran More ◽  
Anuradha Bhausaheb Patil
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Resorption ◽  
Central Incisor ◽  
Root Canal Filling ◽  
Maxillary Central Incisor ◽  
Apical Root Resorption ◽  
Gutta Percha

scholarly journals Surgical Retreatment of an Invaginated Maxillary Central Incisor Following Overfilled Endodontic Treatment: A Case Report

2010 ◽  
Vol 04 (03) ◽  
pp. 324-328 ◽  
Author(s):  
Hakan Ozbas ◽  
Rustem Kemal Subay ◽  
Melike Ordulu
Keyword(s):  
Case Report ◽  
Clinical Symptoms ◽  
Present Report ◽  
Mineral Trioxide Aggregate ◽  
Central Incisor ◽  
Class Iii ◽  
Root Canal Filling ◽  
Maxillary Central Incisor ◽  
Mucoperiosteal Flap ◽  
Periapical Healing

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)

Fifteen-year Clinical Follow-up of Restoration of Extensive Cervical Resorption in a Maxillary Central Incisor

2017 ◽  
Vol 42 (2) ◽  
pp. E55-E58 ◽  
Author(s):  
EG Reston ◽  
RPR Bueno ◽  
LQ Closs ◽  
J Zettermann
Keyword(s):  
Root Resorption ◽  
Treatment Options ◽  
Glass Ionomer Cement ◽  
Central Incisor ◽  
Endodontically Treated Teeth ◽  
Maxillary Central Incisor ◽  
External Root Resorption ◽  
Fixed Prosthodontics ◽  
Single Structure ◽  
The One

SUMMARY Internal bleaching in endodontically treated teeth requires care and protection to prevent harm to the periodontal ligament due to peroxide and may result in external root resorption. There is a myriad of treatment options when this occurs, such as monitoring, extraction, and subsequent rehabilitation with implants or fixed prosthodontics. In some cases, such as the one described here, a conservative attempt to maintain the tooth as a single structure can be made by sealing the resorptive defect. In the present case, we show a multidisciplinary approach where orthodontics, periodontics, and restorative dentistry were involved in treating the maxillary right central incisor (#8) of a 65-year-old patient with extensive cervical resorption, whose chief complaint was esthetics. The proposed treatment was extrusion of the tooth followed by curettage and restoration of the defect with glass ionomer cement. The patient has been followed for 15 years with no signs of recurrence, maintenance of periodontal health, and patient satisfaction with the esthetic outcome.

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

2016 ◽  
Vol 10 (1) ◽  
pp. 733-738 ◽  
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.

Healing of root resorption: a case report

2003 ◽  
Vol 27 (3) ◽  
pp. 235-238 ◽  
Author(s):  
Sham Bhat ◽  
S. Sharan ◽  
Imneet Madan
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Central Incisor ◽  
Large Area ◽  
Maxillary Central Incisor ◽  
External Root Resorption ◽  
Periodontal Membrane ◽  
Dental Injuries

External resorption is sequelae of necrotic periodontal membrane over a large area of root following an injury to the tooth. This usually occurs after severe dental injuries such as intrusion, severe luxations or exarticulation injuries complicated by a prolonged extra oral period. This case report presents a clinical and radiographic follow up (13 months) of treatment of inflammatory external root resorption on maxillary central incisor using Vitapex®. Gradual healing of resorption was observed radiographically with no tenderness or pathological mobility.

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

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.

Inadvertent MTA Extrusion in an Immature Traumatized Permanent Incisor

2010 ◽  
Vol 35 (2) ◽  
pp. 145-148 ◽  
Author(s):  
Bahar Tezel ◽  
Serdar Uysal ◽  
Melek Turgut ◽  
Zafer Cehreli
Keyword(s):  
Surgical Approach ◽  
Root Canal ◽  
Clinical Symptoms ◽  
Mineral Trioxide Aggregate ◽  
Central Incisor ◽  
Periapical Lesion ◽  
Radiographic Outcome ◽  
Successful Management

This report describes the 24-month clinical and radiographic outcome of an unintentionally extruded mineral trioxide aggregate (MTA) apical plug. A 9 year old boy presented with a previously traumatized, immature central incisor; associated with a large periradicular lesion. During placement of MTA in the treatment of wide open apex, the material was inadvertently extruded into the periapical region upon a sudden movement of the child. No intervention was made, except for obturation of the remaining root canal two weeks later. The radiographic follow up at 12 and 24 months confirmed successful management through the non surgical approach, as evidenced by advanced healing of the periapical lesion and regeneration of the periradicular tissue in the absence of clinical symptoms.

scholarly journals External Root Resorption Management of an Avulsed and Reimplanted Central Incisor: A Case Report

2021 ◽  
Vol 9 (6) ◽  
pp. 72
Author(s):  
Gianni Di Giorgio ◽  
Alessandro Salucci ◽  
Gian Luca Sfasciotti ◽  
Flavia Iaculli ◽  
Maurizio Bossù
Keyword(s):  
Case Report ◽  
Calcium Silicate ◽  
Root Resorption ◽  
Signs And Symptoms ◽  
Clinical Results ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
External Root Resorption

Background: Avulsion and reimplantation of permanent teeth represent a major challenge in terms of treatment and long-term prognosis. The present study reported clinical management of external root resorption of an avulsed and reimplanted maxillary central incisor. Case report: A 9-year-old boy reported an uncomplicated crown fracture and avulsion of tooth 11 and complicated crown fracture of tooth 21 due to trauma. Reimplantation of element 11 was obtained within 30 min post-trauma and 3 days after both elements were diagnosed with necrotic pulp. In addition, tooth 11 showed early external root resorption. Both elements underwent endodontic treatment and root closure with apical plug using calcium-silicate-based cement. At 6-month follow-up root resorption appeared to be arrested. Twenty-four months after trauma the clinical results were stable, although signs and symptoms of ankylosis were observed. Conclusions: An immediate endodontic approach and use of calcium-silicate-based cement seemed to contrast the progression of root resorption of an avulsed and reimplanted central incisor after 24 months of follow-up.

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