Endodontic approach in a replanted tooth with an immature root apex and chronic apical periodontitis: a case report
This study describes the clinical steps taken in the treatment of a patient who had an avulsed right upper central incisor that presented with incomplete root development and chronic apical periodontitis. A 7-year-old boy was referred from a private dentist to a dental office specializing in endodon...
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| Format: | Article |
| Language: | English |
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Korean Academy of Conservative Dentistry
2020-08-01
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| Series: | Restorative Dentistry & Endodontics |
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| Online Access: | http://rde.ac/upload/pdf/rde-45-e29.pdf |
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| author | Graziela Garrido Mori Bruna Souza Andrade Marina Bardelli Araujo |
| author_facet | Graziela Garrido Mori Bruna Souza Andrade Marina Bardelli Araujo |
| author_sort | Graziela Garrido Mori |
| collection | DOAJ |
| description | This study describes the clinical steps taken in the treatment of a patient who had an avulsed right upper central incisor that presented with incomplete root development and chronic apical periodontitis. A 7-year-old boy was referred from a private dentist to a dental office specializing in endodontics. The tooth had remained in a dry environment for 20 minutes, and tooth replantation was performed at an emergency appointment. After clinical and radiographic examinations, root canal decontamination was performed, followed by several changes in intracanal calcium hydroxide medication. Blood clot formation was attempted, but bleeding within the root canal was insufficient; therefore, we opted for an intracanal medication change to stimulate mineralized tissue formation in the apical region. Root obturation was performed 45 days after the last change of intracanal medication, and clinical, radiographic, and tomographic follow-up examinations were performed at 3, 6, 18, and 40 months after the endodontic intervention. The increase in thickness and length of the root structure and the absence of root resorption were verified through follow-up examinations. Therefore, it was concluded that the procedures used were successful for tooth replantation. |
| format | Article |
| id | doaj-art-994e5e519fe844fe8f73ca64048c0cc8 |
| institution | DOAJ |
| issn | 2234-7658 2234-7666 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | Korean Academy of Conservative Dentistry |
| record_format | Article |
| series | Restorative Dentistry & Endodontics |
| spelling | doaj-art-994e5e519fe844fe8f73ca64048c0cc82025-08-20T02:43:50ZengKorean Academy of Conservative DentistryRestorative Dentistry & Endodontics2234-76582234-76662020-08-01453e2910.5395/rde.2020.45.e29911Endodontic approach in a replanted tooth with an immature root apex and chronic apical periodontitis: a case reportGraziela Garrido Mori0Bruna Souza Andrade1Marina Bardelli Araujo2Dental School of Presidente Prudente, University of Western São Paulo (UNOESTE), Presidente Prudente, SP, BrazilDental School of Presidente Prudente, University of Western São Paulo (UNOESTE), Presidente Prudente, SP, BrazilDental School of Presidente Prudente, University of Western São Paulo (UNOESTE), Presidente Prudente, SP, BrazilThis study describes the clinical steps taken in the treatment of a patient who had an avulsed right upper central incisor that presented with incomplete root development and chronic apical periodontitis. A 7-year-old boy was referred from a private dentist to a dental office specializing in endodontics. The tooth had remained in a dry environment for 20 minutes, and tooth replantation was performed at an emergency appointment. After clinical and radiographic examinations, root canal decontamination was performed, followed by several changes in intracanal calcium hydroxide medication. Blood clot formation was attempted, but bleeding within the root canal was insufficient; therefore, we opted for an intracanal medication change to stimulate mineralized tissue formation in the apical region. Root obturation was performed 45 days after the last change of intracanal medication, and clinical, radiographic, and tomographic follow-up examinations were performed at 3, 6, 18, and 40 months after the endodontic intervention. The increase in thickness and length of the root structure and the absence of root resorption were verified through follow-up examinations. Therefore, it was concluded that the procedures used were successful for tooth replantation.http://rde.ac/upload/pdf/rde-45-e29.pdftooth avulsiontooth replantedroot canal treatmentodontogenesis |
| spellingShingle | Graziela Garrido Mori Bruna Souza Andrade Marina Bardelli Araujo Endodontic approach in a replanted tooth with an immature root apex and chronic apical periodontitis: a case report Restorative Dentistry & Endodontics tooth avulsion tooth replanted root canal treatment odontogenesis |
| title | Endodontic approach in a replanted tooth with an immature root apex and chronic apical periodontitis: a case report |
| title_full | Endodontic approach in a replanted tooth with an immature root apex and chronic apical periodontitis: a case report |
| title_fullStr | Endodontic approach in a replanted tooth with an immature root apex and chronic apical periodontitis: a case report |
| title_full_unstemmed | Endodontic approach in a replanted tooth with an immature root apex and chronic apical periodontitis: a case report |
| title_short | Endodontic approach in a replanted tooth with an immature root apex and chronic apical periodontitis: a case report |
| title_sort | endodontic approach in a replanted tooth with an immature root apex and chronic apical periodontitis a case report |
| topic | tooth avulsion tooth replanted root canal treatment odontogenesis |
| url | http://rde.ac/upload/pdf/rde-45-e29.pdf |
| work_keys_str_mv | AT grazielagarridomori endodonticapproachinareplantedtoothwithanimmaturerootapexandchronicapicalperiodontitisacasereport AT brunasouzaandrade endodonticapproachinareplantedtoothwithanimmaturerootapexandchronicapicalperiodontitisacasereport AT marinabardelliaraujo endodonticapproachinareplantedtoothwithanimmaturerootapexandchronicapicalperiodontitisacasereport |