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Pulp Canal Obliteration Following Traumatic Dental Injury in an Upper Lateral Incisor: A Case Report with 3-year Follow-up.
da Cunha Isaltino, Marina; de Sousa, Wesley Viana; de Almeida Souto Montenegro, Luiza; Velozo Telles, Christianne Tavares; da Silva, Marcely Cristiny Figueredo Cassimiro; de Albuquerque, Diana Santana.
Afiliação
  • da Cunha Isaltino M; Department of Dentistry, Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil.
  • de Sousa WV; Department of Dentistry, Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil.
  • de Almeida Souto Montenegro L; Department of Dentistry, Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil.
  • Velozo Telles CT; Department of Dentistry, Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil.
  • da Silva MCFC; Department of Dentistry, Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil.
  • de Albuquerque DS; Department of Dentistry, Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil.
Iran Endod J ; 19(2): 134-138, 2024.
Article em En | MEDLINE | ID: mdl-38577003
ABSTRACT
Endodontic management of teeth afflicted with pulp canal obliteration faces a challenge due to the heightened risk of complications including excessive wear, perforation, and suboptimal chemomechanical preparation. This report aims to elucidate the clinical endodontic strategy employed in addressing pulp canal obliteration after a history of dental trauma and an associated periradicular lesion in an upper lateral incisor. A patient visited the dental emergency department with symptoms of apical swelling, acute persistent pain, and discoloration of tooth 22. Following comprehensive clinical evaluation and cone-beam computed tomography, the diagnosis of pulp canal obliteration involving the cervical and middle thirds of the tooth, alongside an acute periradicular abscess was established. Root canal was accessed using tomographic image planning, augmented by loupe magnification and ultrasonic instrumentation. Precise identification of the access cavity was radiographically confirmed, preceded by thorough irrigation with 2.5% sodium hypochlorite and subsequent cervical and middle third preparation. Verification of the working length by an electronic apex locator ensured precise apical preparation, followed by passive ultrasonic irrigation to optimize disinfection and to enhance penetrability of intracanal calcium hydroxide medication, administered for 15 days to eliminate microbial invasion. Upon resolution of symptoms, root canal obturation employing thermo-mechanical compaction and coronal sealing with composite resin was accomplished. Radiographic assessment after a one-year interval presented evidence of lesion regression and bone repair. Subsequent cone-beam computed tomography imaging at the three-year follow-up confirmed complete healing of the periradicular tissues, attesting to the efficacy of the endodontic intervention.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Iran Endod J Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Irã
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Iran Endod J Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Irã