Alternative treatment for traumatized teeth with inflammatory root resorption: 4 years follow-up

Authors

  • Joana Dourado Martins Cerqueira
  • Ludmilla Macedo Bacelar
  • Maria Tereza Pedrosa de Albuquerque
  • Erica dos Santos Carvalho

Keywords:

Root resorption, Tooth Injurie, Endodontics

Abstract

Objective: This report describes the treatment of a previously traumatized central central incisor affected by internal/external inflammatory root resorption. Method: This is the case report of a 12-year-old patient who reported a fall trauma one year before the consultation, causing crown fracture and intrusive dislocation in the right upper central incisor. Clinical examinations verified sensitivity to percussion and discoloration of the crown. Radiographically, radiolucent areas suggested inflammatory root resorption (in the third of the cervical root) and periapical lesion. Results: Endodontic treatment was performed with a calcium hydroxide paste with canouted paramonochlorophenol inserted into the root canal for 2 months. When a calcified barrier in the apical area was observed radiographically, the entire root was computed with mineral trioxide aggregate (MTA). The tooth was followed for 4 years, showing regression of symptoms, healing by resorption and also increase in root length. Conclusion: The present case showed that endodontic treatment associated with MTA promoted bone remodeling of the periapical area and paralyzed resorption.

References

Saoud TMA, Mistry S, Kabler B, Sigurdsson A, Lin LM. Regenerative endodontic procedures for traumatized teeth after horizontal root fracture, avulsion and perforating root resorption. JOE. Octuber 2016; oct 42 (10): 1476-82.

Taiwo OO, Jalo HP. Dental Injuries in 12-year old Nigerian students. Dental Traumatology 2011 Jun; 27(3): 230-4.

Andreasen JO, Bacland LK, Andreasen FM. Traumatic intrusion of permanent teeth: part 2-a clinical study of the effects of preinjury and injury factors, such as sex, age, stage of root development, tooth location and extent of injury including number of intruded teeth on 140 intruded permanent teeth. Dent Traumatol 2006:22:90-8.

Tsilingaridis G, Malmgren B, Andreasen JO, Wigen TI, Maseng Ass AL, Malmgren O. Scandinavian multicenter study on the treatment of 168 patients with 230 intruded permanent teeth- a retrospective cohort study. Dent Traumatol 2016 Oct 32(5):353-60.

Soares AJ, Souza GA, Pereira AC, Vargas-Neto J, Zaia AA, Silva EJ. Frequency of root resorption following trauma to permanent teeth. J Oral Sci. 2015 Jun;57(2):73-8.

Bartok RI, Văideanu T, Dimitriu B, Vârlan CM, Suciu I and Podoleanu D. External radicular resorption: Selected cases and review of the literature. J Med Life. 2012 Jun 12; 5(2): 145–148.

Elbay US, Elbay M, Kaya E, Sinanoglu. A Management of an Intruded Tooth and Adjacent Tooth Showing External Resorption as a Late Complication of Dental Injury: Three-Year Follow-Up. Case Reports in Dentistry,10: 1-6;2015.

Law AS. Considerations for regeneration procedures. Pediatr Dent 2013 Mar-Apr; 35 (2): 141-52.

Güzeler I, Uysal S, Cehreli ZC. Management of trauma-induced inflammatory root resorption using mineral trioxide aggregate obturation: two-year follow up. Dental Traumatology 2010 Dec; 26 (6): 501–4.

Lima TFR, Silva E, Gomes B, Almeida JFA, Zaia AA, Soares AJ. Relationship between Initial Attendance after Dental Trauma and Development of External Inflammatory Root Resorption. Braz Dent J. 2017;28(2):201-5.

Tzanetakis GN. Management of Intruded Immature Maxillary Central Incisor with Pulp Necrosis and Severe External Resorption by Regenerative Approach. J Endod. 2018; 44(2):245-9.

Trope M. Root resorption due to dental trauma. Endod Top 2002;1:79–100.

Grover C, Shetty N. Evaluation of calcium ion release and change in pH on combining calcium hydroxide with different vehicles. Contemporary Clinical Dentistry. 2014; Oct; 5(4):434-9

Fernandes M, Menezes L, De Ataide I. Management of invasive cervical resorption using a surgical approach followed by an internal approach after 2 months due to pulpal involvement. J Conserv Dent. 2017 May-Jun; 20(3): 214–218.

Mehra N, Yadav M, Kaushik M, Roshni R. Clinical management of root resorption: A report of three cases. Cureus 2018 Aug 27; 10(8): e3215.

Albuquerque MTP, Nagata JY, Soares AJ, Zaia AA. Pulp revascularization: an alternative treatment to the apexification of immature teeth. Rev Gaúch Odontol, 2014; 62 (4); 401-410.

Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, Andersson L, Bourguignon C, Flores MT, Hicks ML,Lenzi AR, Malmgren B, Moule AJ, Pohl Y, Tsukiboshi M. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol. 2012 Feb;28(1):2-12.

Published

2021-01-10

How to Cite

Cerqueira, J. D. M., Bacelar, L. M., Albuquerque, M. T. P. de, & Carvalho, E. dos S. (2021). Alternative treatment for traumatized teeth with inflammatory root resorption: 4 years follow-up. Revista De Divulgação Científica Sena Aires, 9(4), 854–859. Retrieved from https://rdcsa.emnuvens.com.br/revista/article/view/529

Issue

Section

Original Paper