Conservative endodontic treatment in a traumatized tooth with incomplete root formation: case report
DOI:
https://doi.org/10.33448/rsd-v11i9.31717Keywords:
Tooth Injuries; Endodontics; Conservative treatment.Abstract
Dental traumas are frequent episodes caused by several factors that can result in injuries to dentoalveolar tissues. The severity of the injury can cause irreversible damage to the affected structures, which can lead to loss of the dental element. To report the clinical case of a patient who suffered dental trauma to the maxillary central incisors resulting in a complicated crown-radicular fracture. Patient M.G.S.M.A., female, 09 years old, attended the UniFTC Dental School Clinic accompanied by her mother complaining of “My daughter fell off her bicycle and broke her tooth”. Upon clinical intra-oral examination and analysis of imaging tests, it was observed that the patient had a cororadicular fracture complicated by the fact that it was a tooth with incomplete root formation and a crack in the root of the unit was diagnosed, a conservative endodontic treatment was performed, using the technique of apexification and total filling of the canal with Mineral Trioxide Aggregate. The treatment of this case required a multidisciplinary approach, where other dental specialties integrated their knowledge to solve the case. After 06 months, the dental unit was reassessed, and absence of painful symptoms and apical bone repair was observed. At the end of the clinical case, we can observe that the treatment of traumatized teeth is a challenge for Endodontics and this must be carried out in an integrated way with other dental specialties in order to restore the functional and aesthetic characteristics of the teeth, resulting in positive psychosocial changes in the personal life of the patient. patient.
References
Amaral, R. P. R. do. (2017) “Traumatismo Dentário Em Dentes Permanentes: Um Estudo Retrospectivo de Pacientes Atendidos No Hospital Universitário de Brasília (HUB) Durante 5 Anos.” Advanced Drug Delivery Reviews 135(January 2006):989–1011.
Astolfi, G. G., Marlowa M. C., Priscyla W. S., & Renan A. C. (2017) “Tratamento Endodôntico Em Dente Desvitalizado Por Trauma: Relato de Caso Clínico.” Revista de Odontologia Da Universidade Cidade de São Paulo 29(1):90.
Batista, J. F. N. F.; & Valença, L. O. (2019) "Intrusão De Elemento Dentário Decorrente De Trauma Em Paciente Infantil: Relato De Caso". TCC (Graduação) - Curso de Odontologia, Universidade de Tiradentes, Aracaju.
Cabral, C. S. L., et al., (2016) “Tratamento de Dentes Com Rizogênese Incompleta Após Procedimentos Regenerativos Ou de Apicificação: Uma Revisão Sistemática de Literatura.” Revista Brasileira de Odontologia 73(4):336.
Cruz, A. Í. (2014) “Protocolo de Tratamento Conservador Em Fraturas Radiculares Horizontais de Terço Cervical –Relato de Caso.” Paper Knowledge . Toward a Media History of Documents 7(2):107–15.
Lee, L-W, et al. (2015) “Comparison of Clinical Outcomes for 40 Necrotic Immature Permanent Incisors Treated with Calcium Hydroxide or Mineral Trioxide Aggregate Apexification/Apexogenesis.” Journal of the Formosan Medical Association = Taiwan Yi Zhi 114(2):139–46.
Lopes, H. P.; & Siqueira, J. F. J. "Endodontia - Biologia e Técnica". (3a ed.), Guanabara Koogan, p. 877-890, 2010.
Lopes, H.P.; & Siqueira, J. F. J. "Endodontia - Biologia e Técnica". (4a ed.), Elsevier, 2015.
Marques, E. F. et al. (2018) "Apicificação com MTA para obturação de dente traumatizado: relato de caso". Dental Press Endodontics, 8(1), 17-22
Mileski, T., et al. (2018). “Clareamento Interno Em Dente Traumatizado: Relato De Caso Clínico.” Revista UNINGÁ 55(2):24–32.
Neto, V. J. L. et al. (2014)"Traumatismo Dental – Relato De Caso Clínico". Revista UNINGÁ Review, Uningá, 19(3), 37-40
Niedermaier, K. C, & Guerisoli, D. M. Z. (2013) “Apicificação Com Plug Apical de MTA Em Dente Traumatizado.” Revista Brasileira de Odontologia 70(2):213–15.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). "Metodologia da pesquisa científica". UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf
Pignatti, J. A. "A importância da proservação clínico-radiográfica de dentes tratados endodonticamente". 2011. 33 f. TCC (Graduação) - Curso de Odontologia, Unicamp, Piracicaba, 2011.
Pinheiro, S., & Carina D. (2014) “Conhecimento Do Cirurgião-Dentista Sobre Trauma Dentário.” Revista de Cirurgia e Traumatologia Buco-Maxilo-Facial 14(1):88–90.
Rafter, M. (2005) “Apexification: A Review.” Dental Traumatology : Official Publication of International Association for Dental Traumatology 21(1):1–8.
Rai, P., Ramesh K. P., & Richa K. (2016) “A Multidisciplinary Approach to the Management of Traumatic Intrusion in Immature Permanent Teeth.” BMJ Case Reports 2016.
Rissato, M., & Micheline S. T. (2012) “Aumento de Coroa Clínica Para Restabelecimento Das Distâncias Biológicas Com Finalidade Restauradora ? Revisão Da Literatura.” Rfo Upf 17(2):234–39.
Sanabe, M. E. et al. (2009)"Urgências em traumatismos dentários: classificação, características e procedimentos". Rev Paul Pediatr, 27(4), 447-51
Soares, I. J.; & Goldberg, F. (2011) "Endodontia: Técnicas E Fundamentos". Editora Artmed, Grupo A
Silva, Isabela M. V, Liziane C. Donaduzzi, Carla C. Perini, Soraya A. B. Couto, Renata I. Werneck, Melissa R. de Araújo, Maikol Kurahashi, Aline C. B. R. Johann, Luciana R. Azevedo-Alanis, Alexandre R. Vieira, and Paulo H. & Couto-Souza. (2021) “Association of Xerostomia and Taste Alterations of Patients Receiving Antineoplastic Chemotherapy: A Cause for Nutritional Concern.” Clinical Nutrition
Traebert, J. (2012) “Epidemiologia Do Traumatismo Dentário Em Crianças: A Produção Científica Brasileira.” Pesquisa Brasileira Em Odontopediatria e Clínica Integrada 12(2):263–72.
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Copyright (c) 2022 Joana Dourado Martins Cerqueira; Pollyana de Souza Siqueira Lima; Alexandra Amorim Helfenstein; Ana Marcia de Jesus Oliveira Freitas; Francine Militão dos Santos; Kaio Henrique da Silva Carneiro; Nara Antonia Figueredo dos Santos
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