Successful Orthograde Treatment of Teeth with External Inflammatory Root Resorption and Perforation Using a Tricalcium Silicate-Based Material
One possible consequence of dentoalveolar trauma is the development of external inflammatory root resorption (EIRR), which represents an anatomic and microbiologic challenge for clinicians. This case report describes different strategies implemented for successful endodontic management of teeth with...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2022/7119172 |
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| author | Mariana Díaz Hugo Plascencia Fabián Esaú Hernández-Guerrero Flávio R. F. Alves Karina Martínez-Carrillo Gerardo Gascón |
| author_facet | Mariana Díaz Hugo Plascencia Fabián Esaú Hernández-Guerrero Flávio R. F. Alves Karina Martínez-Carrillo Gerardo Gascón |
| author_sort | Mariana Díaz |
| collection | DOAJ |
| description | One possible consequence of dentoalveolar trauma is the development of external inflammatory root resorption (EIRR), which represents an anatomic and microbiologic challenge for clinicians. This case report describes different strategies implemented for successful endodontic management of teeth with multiple EIRR lesions, highlighting the orthograde root canal filling using a tricalcium silicate-based material (Biodentine, Septodont, Saint-Maur-des-Fossés, France). A 17-year-old female patient presented with severe pain in the anterior maxillary teeth and a history of trauma. Two- and three-dimensional radiographic exams confirmed EIRR in three teeth, with a total of 11 EIRR lesions, three exhibiting communication with the root canal. Therefore, chemo-mechanical preparation complemented by ultrasonic activation of irrigants and some changes of intra-canal dressing with calcium hydroxide were performed to reduce the microbiologic load of the affected teeth as much as possible. Then, the canals were entirely filled with Biodentine to interrupt the root resorption process and strengthen the remaining root structure. A 60-month follow-up showed the disappearance of bone rarefactions and the complete repair of the 11 EIRR lesions. The favorable long-term response indicates the feasibility of using tricalcium silicate-based putty as part of orthograde endodontic treatment of teeth with EIRR and root perforations. |
| format | Article |
| id | doaj-art-5a7d52dd952e42fb8813236bfeca02ac |
| institution | Kabale University |
| issn | 2090-6455 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-5a7d52dd952e42fb8813236bfeca02ac2025-02-03T06:01:49ZengWileyCase Reports in Dentistry2090-64552022-01-01202210.1155/2022/7119172Successful Orthograde Treatment of Teeth with External Inflammatory Root Resorption and Perforation Using a Tricalcium Silicate-Based MaterialMariana Díaz0Hugo Plascencia1Fabián Esaú Hernández-Guerrero2Flávio R. F. Alves3Karina Martínez-Carrillo4Gerardo Gascón5Endodontic Postgraduate ProgramEndodontic Postgraduate ProgramEndodontic Postgraduate ProgramDepartment of Endodontics and Dental Research GroupEndodontic Postgraduate ProgramEndodontic Postgraduate ProgramOne possible consequence of dentoalveolar trauma is the development of external inflammatory root resorption (EIRR), which represents an anatomic and microbiologic challenge for clinicians. This case report describes different strategies implemented for successful endodontic management of teeth with multiple EIRR lesions, highlighting the orthograde root canal filling using a tricalcium silicate-based material (Biodentine, Septodont, Saint-Maur-des-Fossés, France). A 17-year-old female patient presented with severe pain in the anterior maxillary teeth and a history of trauma. Two- and three-dimensional radiographic exams confirmed EIRR in three teeth, with a total of 11 EIRR lesions, three exhibiting communication with the root canal. Therefore, chemo-mechanical preparation complemented by ultrasonic activation of irrigants and some changes of intra-canal dressing with calcium hydroxide were performed to reduce the microbiologic load of the affected teeth as much as possible. Then, the canals were entirely filled with Biodentine to interrupt the root resorption process and strengthen the remaining root structure. A 60-month follow-up showed the disappearance of bone rarefactions and the complete repair of the 11 EIRR lesions. The favorable long-term response indicates the feasibility of using tricalcium silicate-based putty as part of orthograde endodontic treatment of teeth with EIRR and root perforations.http://dx.doi.org/10.1155/2022/7119172 |
| spellingShingle | Mariana Díaz Hugo Plascencia Fabián Esaú Hernández-Guerrero Flávio R. F. Alves Karina Martínez-Carrillo Gerardo Gascón Successful Orthograde Treatment of Teeth with External Inflammatory Root Resorption and Perforation Using a Tricalcium Silicate-Based Material Case Reports in Dentistry |
| title | Successful Orthograde Treatment of Teeth with External Inflammatory Root Resorption and Perforation Using a Tricalcium Silicate-Based Material |
| title_full | Successful Orthograde Treatment of Teeth with External Inflammatory Root Resorption and Perforation Using a Tricalcium Silicate-Based Material |
| title_fullStr | Successful Orthograde Treatment of Teeth with External Inflammatory Root Resorption and Perforation Using a Tricalcium Silicate-Based Material |
| title_full_unstemmed | Successful Orthograde Treatment of Teeth with External Inflammatory Root Resorption and Perforation Using a Tricalcium Silicate-Based Material |
| title_short | Successful Orthograde Treatment of Teeth with External Inflammatory Root Resorption and Perforation Using a Tricalcium Silicate-Based Material |
| title_sort | successful orthograde treatment of teeth with external inflammatory root resorption and perforation using a tricalcium silicate based material |
| url | http://dx.doi.org/10.1155/2022/7119172 |
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