scholarly journals Apical Revascularization after Delayed Tooth Replantation: An Unusual Case

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Marília Pacífico Lucisano ◽  
Paulo Nelson-Filho ◽  
Lea Assed Bezerra Silva ◽  
Raquel Assed Bezerra Silva ◽  
Fabricio Kitazono de Carvalho ◽  
...  
Keyword(s):  
Root Resorption ◽  
Blood Clot ◽  
Mineral Trioxide Aggregate ◽  
Dental Trauma ◽  
Incisor Tooth ◽  
External Root Resorption ◽  
Tooth Replantation ◽  
Digital Pressure ◽  
Clinical And Radiological Outcome

The aim of this paper is to present the clinical and radiological outcome of the treatment involving a delayed tooth replantation after an avulsed immature permanent incisor, with a follow-up of 1 year and 6 months. An 8-year-old boy was referred after dental trauma that occurred on the previous day. The permanent maxillary right central incisor (tooth 11) had been avulsed. The tooth was hand-held during endodontic therapy and an intracanal medication application with calcium hydroxide-based paste was performed. An apical plug with mineral trioxide aggregate (MTA) was introduced into the apical portion of the canal. When the avulsed tooth was replanted with digital pressure, a blood clot had formed within the socket, which moved the MTA apical plug about 2 mm inside of the root canal. These procedures developed apical revascularization, which promoted a successful endodontic outcome, evidenced by apical closure, slight increase in root length, and absence of signs of external root resorption, during a follow-up of 1 year and 6 months.

scholarly journals Root Resorption a 6-Year Follow-up Case Report

2015 ◽  
Vol 9 (1) ◽  
pp. 103-105 ◽  
Author(s):  
Caroline Dias ◽  
Luciane Closs ◽  
Fernando Barletta ◽  
Eduardo Reston ◽  
Maximiano F Tovo ◽  
...  
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Clinical Course ◽  
Dental Trauma ◽  
Central Incisor ◽  
External Root Resorption ◽  
Dental Practitioners ◽  
Pulp Exposure ◽  
Natural Dentition

This paper describes the clinical course of a pediatric patient developing cervical external root resorption (CERR). An 11-year old male patient had sustained dental trauma and was diagnosed with crown fracture affecting the incisal and middle thirds of the maxillary right permanent central incisor and the maxillary right permanent lateral incisor with pulp exposure and CERR after 24 months. Diagnosis and treatment of CERR are a challenge for dental practitioners. In this case, preservation of natural dentition is shown as a successful treatment in a 6-year follow-up.

scholarly journals Mineral trioxide aggregate for the treatment of external root resorption in an avulsed immature tooth - ten years of follow-up

2020 ◽  
Vol 148 (3-4) ◽  
pp. 231-235
Author(s):  
Tamara Peric ◽  
Dejan Markovic ◽  
Bojan Petrovic
Keyword(s):  
Root Resorption ◽  
Mineral Trioxide Aggregate ◽  
Avulsion Injury ◽  
Tooth Structure ◽  
Immature Teeth ◽  
Gutta Percha ◽  
External Root Resorption ◽  
Progressive Loss ◽  
Radiographic Changes

Introduction. Root resorption may occur as a consequence of avulsion injury and may lead to the progressive loss of tooth structure. The aim was to report the outcome of root resorption treated with mineral trioxide aggregate in a replanted immature permanent incisor after 10 years of follow-up. Case outline. This case presents external root resorption that was detected 18 months after the avulsion injury in a nine-year-old child. Apical portion of the canal was filled with mineral trioxide aggregate and the rest of the canal was filled with a canal sealer and gutta-percha. Control examinations were performed six months after the completion of the endodontic treatment and afterwards yearly. The tooth was asymptomatic clinically and radiographs did not show progression of root resorption up to four years of follow-up. Infraposition of the injured tooth was detected five years after the replantation, but without significant radiographic changes, until the eight-year follow-up, when root resorption was detected again. However, the tooth was still hard and symptomless at the 10-year follow-up. Conclusion. Mineral trioxide aggregate may have an important role in the preservation of replanted immature teeth for a prolonged period.

scholarly journals Non-Surgical Endodontic Management of External Root Resorption in a Permanent Maxillary Central Incisor Tooth - A 3 Year Follow-Up of a Rare Case Scenario

2021 ◽  
Vol 10 (30) ◽  
pp. 2350-2353
Author(s):  
Kothandaraman Sathyanarayanan ◽  
Lingeswaran Poornima ◽  
Keerthi V. Narayan
Keyword(s):  
Surgical Management ◽  
Root Canal ◽  
Root Resorption ◽  
Signs And Symptoms ◽  
Central Incisor ◽  
Partial Loss ◽  
Incisor Tooth ◽  
Tooth Structure ◽  
External Root Resorption

Resorption of the tooth represents a multifactorial and a perplexing problem for all clinicians resulting in complete or partial loss of tooth structure. The present clinical demonstration describes management of the permanent maxillary left central incisor (tooth number #21) affected by external root resorption involving the mesial and distal surface of middle one-third of the root. Conventional nonsurgical endodontic treatment followed by MTA (Mineral trioxide aggregate) obturation (PRoRoot MTA, Dentsply, Tulsa Dental Specialties) was planned. The root canal of the affected teeth was debrided with Dual Rinse HEDP (Medcem Weinfelden, Switzerland) containing etidronate powder and chemomechanical preparation of the root canal was performed with XP endo shaper file system (FKG Dentaire, SA, Switzerland). Thirtysix months’ post-operative follow-up revealed complete healing of the external root resorption defect with no clinical and radiological signs and symptoms. In the present case simple non-surgical endodontic management of severe external root resorption was done in a permanent maxillary tooth by using a continuous chelation irrigation technique, intracanal medicament followed by obturation with bio-ceramic material produced satisfactory results in contrast to the recommended surgical management. Resorption of the tooth being a multifactorial and a perplexing problem for all clinicians results in complete or partial loss of tooth structure. According to the Glossary of Endodontic terms, Resorption is defined as a condition associated with either a physiologic or a pathologic process resulting in the loss of dentine, cementum, and/or bone.1 Traditionally resorption can present either as internal or as external resorption.2 External root resorption occurs on the outer surface of the root and are of dissimilar nature such as external surface resorption, external inflammatory root resorption, ankylosis, and external replacement resorption, the most common being external inflammatory root resorption.3 According to the Glossary of Endodontics, “Inflammatory resorption is defined as an internal or external pathologic loss of tooth structure and possibly bone, resulting in a defect; occurs as the result of microbial infection; characterized radiographically by radiolucent areas along the root”.1 It may result due to dental trauma, forceful orthodontic tooth movement, long standing infection of the pulp or periodontal tissues. External resorption presents as a major resorptive condition of the root without any clinical signs and symptoms.2 The non-surgical management of external inflammatory root resorption is based on its aetiology, which needs to be eliminated

scholarly journals The Incidence of Complications of Dental Trauma and Associated Factors: A Retrospective Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Ines Kallel ◽  
Nabiha Douki ◽  
Syrine Amaidi ◽  
Faten Ben Amor
Keyword(s):  
Retrospective Study ◽  
Root Resorption ◽  
Dental Trauma ◽  
External Root Resorption ◽  
Pulp Exposure ◽  
Long Term Prognosis ◽  
One Year ◽  
Dental Injuries

Objective. The aim of this work was to study the incidence of complications of dental traumatisms and look for associations between factors related to trauma and the occurrence of complications. Materials and Methods. It is a longitudinal retrospective study on a sample of 125 traumatized teeth. The sample is taken from patients consulting the dentistry service at the hospital Sahloul Sousse between 2014 and 2017. Criteria for including a patient were presence of a permanent incisor affected by a subluxation, intrusion, lateral luxation, extrusion, or avulsion injuries associated or not with concomitant dentoalveolar injuries. Data were collected using a questionnaire. The information about etiology of trauma, delay of consultation, orientation of the patient, kind of injury, and emergency treatment and complications were obtained from the patients’ records. Results. The incidence of complications was 8%: external root resorption was present in 70% of cases, surface resorption was observed in 10% of cases, and replacement resorption in 10%, ankylosis in 10%. About pulpal complications, pulp necrosis was found after 4 weeks of follow-up, as well as the internal root resorption after one year. The most common cause of the trauma was the fall (40%). The majority of patients came for emergency consultation within “1 to 3 days,” and the coronary fracture without pulp exposure was the first diagnosis (20.60%). Statistical analysis showed no significant relationship between the cause of the trauma and the complication (P=0.577) and between the delay of consultation and complication (P=0.143). However, an association between consultation time and patient orientation was found (P=0.009). Conclusion. Treatment of dental injuries is usually delayed and not given as much attention as general medical treatment that can explain the occurrence of pulpal and periodontal complications. Immediate consultation and treatment could improve long-term prognosis of the injured tooth.

scholarly journals Delayed Replantation of Avulsed Teeth: A Case Report

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sahar Ameli ◽  
Karim Jafari ◽  
Firouz Zadfatah ◽  
Mehrdad Blurian ◽  
Somayeh Hekmatfar
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Treatment Guidelines ◽  
Standard Procedure ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Tooth Avulsion ◽  
External Root Resorption ◽  
Dry Conditions

Introduction: Dental avulsion is a severe injury in which the tooth is totally displaced out of its alveolar socket. Replantation of avulsed teeth is a standard procedure. The success of the treatment of traumatized teeth revolves around the status of periodontium since it is a vital structure. Furthermore, other factors, including extra-alveolar time period, choice of storage media, and contamination of the avulsed tooth, can determine the success of replantation. Delay in the replantation of avulsed incisors increases the risk of dentoalveolar ankylosis and replacement root resorption. Case Presentation: This case report presented a 9-year-old girl with tooth avulsion subjected to a 3-year follow-up after the replantation of avulsed maxillary central incisors kept in dry conditions for seven days. The avulsed mature permanent teeth were managed through the application of treatment guidelines with prolonged extra-oral time. The avulsed teeth were replanted and splinted for four weeks. The canals of both teeth were filled with calcium hydroxide and replaced by mineral trioxide aggregate after six months. Two months after replantation, there were signs of external root resorption in tooth 21. Conclusions: In the third year of follow-up, both teeth were infraoccluded, although they had an acceptable level of functionality and appearance. These ankylosed incisors can be managed successfully with the decoronation technique in the future.

scholarly journals Root resorption after dental trauma in permanent molar: a 5-year follow-up

2016 ◽  
Vol 19 (2) ◽  
pp. 116
Author(s):  
Manoela Teixeira de Sant'Anna Dadalti ◽  
Fabíola Orgima Barbosa Soares ◽  
Heloísa Carla Dell Santo Gusman ◽  
Patrícia De Andrade Risso
Keyword(s):  
Root Resorption ◽  
Mineral Trioxide Aggregate ◽  
Dental Trauma ◽  
Successful Outcome ◽  
Posterior Teeth ◽  
Dental Injury ◽  
Permanent Molar ◽  
Mechanical Preparation ◽  
Low Incidence

<p><strong>Introduction</strong>: There is low incidence of trauma in posterior teeth, and their complications are rarely reported in the literature. This report describes a case of internal root resorption with communication with the periodontal area as a result of traumatic dental injury of a permanent molar tooth. <strong>Case Report</strong>: The treatment consisted of chemo-mechanical preparation and the use of calcium hydroxide as intracanal medication, followed by filling and sealing of the resorption area with mineral trioxide aggregate. <strong>Results</strong>: After 5 years of follow-up, the tooth was in function, without signs or symptoms and the resorption area was repaired. <strong>Conclusion</strong>: We emphasize the importance of follow-up in cases of dental trauma, even in cases of low severity, such as subluxative injury, in order to predict possible sequelae in advance. The correct approach to treatment of the resorption area and sealing with mineral trioxide aggregate ensured the successful outcome of the case.<strong></strong></p><p><strong>Keywords</strong></p><p>Molar; Permanent dentition; Tooth injuries; Root resorption.</p>

Management of Perforating Internal Root Resorption with Periodontal Surgery and Mineral Trioxide Aggregate: A Case Report with 5-Year Follow-Up

2013 ◽  
Vol 33 (2) ◽  
pp. e65-e71 ◽  
Author(s):  
Alberto Sierra-Lorenzo ◽  
Alejandro Herrera-García ◽  
Luis Oscar Alonso-Ezpeleta ◽  
Juan José Segura-Egea
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Mineral Trioxide Aggregate ◽  
Periodontal Surgery

Treatment of Traumatic Dental Injuries: Shift in Strategy

1990 ◽  
Vol 6 (4) ◽  
pp. 588-602 ◽  
Author(s):  
Frances M. Andreasen ◽  
Jens O. Andreasen
Keyword(s):  
Root Resorption ◽  
Dental Trauma ◽  
Third Party ◽  
Restorative Dentistry ◽  
The Public ◽  
Bonding System ◽  
External Root Resorption ◽  
Accepted Part ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

AbsractA more conservative approach to the treatment of traumatic dental injuries has been made possible by knowledge concerning the pathogensis of external root resorption, increased knowledge about wound healing processes in the pulp and periodintium, as well as by advances in restorative dentistry (reattachment of crown fragments with a dentin bonding system, the use of adhesive bridges, and advances in autotransplantation and implantation). However, a rethinking by the public, clinicians, and third-party payers is necessary for these procedures to gain wider acceptance. The present article describes the state of the art of treating dental trauma in the hope that these advances cam become an accepted part of the dental trauma armamentarium and not merely scientific curiosities.

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