Apexificación en diente inmaduro traumatizado con fractura coronal-radicular: reporte de caso

Autores/as

DOI:

https://doi.org/10.33448/rsd-v11i2.25729

Palabras clave:

Endodoncia; Endodoncia regenerativa; Necrosis de la pulpa dental; Hidróxido de calcio; Trauma dental.

Resumen

El trauma dental es un problema de salud de alta frecuencia en niños y adultos jóvenes, y está asociado a consecuencias psicológicas, funcionales y estéticas. La necrosis pulpar es una de las principales consecuencias tras el traumatismo dental e implica un fallo en el desarrollo radicular de los dientes permanentes recién erupcionados, que por ello quedan con paredes delgadas y ápice abierto.  El objetivo de este estudio fue describir una opción de tratamiento que permita, al mismo tiempo, el cierre del ápice radicular y el refuerzo de las paredes apicales en dientes inmaduros que presentan un estado de necrosis pulpar posterior a un traumatismo. Se utilizó como técnica la apexificación con una sola aplicación de hidróxido de calcio. Este estudio permitió concluir que la apexificación con hidróxido de calcio es una alternativa de bajo costo, fácilmente aplicable en la rutina clínica y que tiene altas tasas de éxito en el tratamiento de dientes inmaduros traumatizados.

Citas

Alobaid, A. S., Cortes, L. M., Lo, J., Nguyen, T. T., Albert, J., Abu-Melha, A. S., Gibbs, J. L. (2014). Radiographic and clinical outcomes of the treatment of immature permanent teeth by revascularization or apexification: a pilot retrospective cohort study. Journal of endodontics. 40(8), 1063-1070.

Bajaj, P., Chordiya, R., Rudagi, K., & Patil, N. (2015). Multidisciplinary approach to the management of complicated crown-root fracture: a case report. Journal of international oral health: JIOH. 7(4), 88.

Bhola, M., Goyal, V., Tyagi, P., & Kumar, T. (2017). Mineral trioxide aggregate-induced apical closure in nonvital immature permanent maxillary incisor. Journal of Indian Society of Pedodontics and Preventive Dentistry. 35(4), 378.

Botero, T. M., Tang, X., Gardner, R., Hu, J. C., Boynton, J. R., & Holland, G. R. (2017). Clinical evidence for regenerative endodontic procedures: immediate versus delayed induction? Journal of endodontics. 43(9), S75-S81.

Boufdil, H., Mtalsi, M., El Arabi, S., & Bousfiha, B. (2020). Apexification with Calcium Hydroxide vs. Revascularization. Case reports in dentistry.

Chala, S., Abouqal, R., & Rida, S. (2011). Apexification of immature teeth with calcium hydroxide or mineral trioxide aggregate: systematic review and meta-analysis. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 112(4), e36-e42.

Damle, S. G., Bhattal, H., Damle, D., Dhindsa, A., Loomba, A., & Singla, S. (2016). Clinical and radiographic assessment of mineral trioxide aggregate and calcium hydroxide as apexification agents in traumatized young permanent anterior teeth: A comparative study. Dental research jornal. 13(3), 284.

De Jesus Soares, A., Nagata, J. Y., Casarin, R. C. V., de Almeida, J. F. A., de Almeida Gomes, B. P. F., Zaia, A. A., de Souza-Filho, F. J. (2012). Apexification with a new intra-canal medicament: a multidisciplinary case report. Iranian Endodontic Journal. 7(3), 165.

DiAngelis, A., Andreasen, J. O., Ebeleseder, K. A., Kenny, D. J., Trope, M., Sigurdsson A., et al. (2012) International Association of dental Traumatology guidlines for the management of traumatic dental injuries:1, Fractures and luxations of permanente teeth. Dent Traumatol. 28, 2-12.

Dominguez Reyes, A., Munoz, L., & Aznar Martin, T. (2005). Study of calcium hydroxide apexification in 26 young permanent incisors. Dental Traumatology. 21(3), 141-145.

Fonzar, F., Forner, L., Fabian-Fonzar, R., & Llena, C. (2018). Induced post-traumatic apexification: 20 year follow-up and morphological study after new fracture. Annals of Anatomy-Anatomischer Anzeiger. 216, 120-124.

Harlamb, S. C. (2016). Management of incompletely developed teeth requiring root canal treatment. Australian dental jornal. 61, 95-106.

Ince Yusufoglu, S., Ugur Aydin, Z., Tulumbaci, F., & Bayrak, S. (2021). Evaluation of different Apexification treatments of teeth with immature apices and apical periodontitis on the fractal dimensions of trabecular bone. Australian Endodontic Journal. 47(2), 163-169.

Kahler, B., Rossi-Fedele, G., Chugal, N., & Lin, L. M. (2017). An evidence-based review of the efficacy of treatment approaches for immature permanent teeth with pulp necrosis. Journal of endodontics. 43(7), 1052-1057.

Kandemir Demirci, G., Kaval, M. E., Güneri, P., & Çalışkan, M. K. (2020). Treatment of immature teeth with nonvital pulps in adults: a prospective comparative clinical study comparing MTA with Ca (OH) 2. International endodontic jornal. 53(1), 5-18.

Kubo, M., Komada, W., Otake, S., Inagaki, T., Omori, S., & Miura, H. (2018). The effect of glass fiber posts and ribbons on the fracture strength of teeth with flared root canals restored using composite resin post and cores. Journal of prosthodontic research. 62(1), 97-103.

Lee, L. W., Hsieh, S. C., Lin, Y. H., Huang, C. F., Hsiao, S. H., & Hung, W. C. (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. 114(2), 139-146.

Lee, L. W., Hsiao, S. H., Chang, C. C., & Chen, L. K. (2010). Duration for apical barrier formation in necrotic immature permanent incisors treated with calcium hydroxide apexification using ultrasonic or hand filing. Journal of the Formosan Medical Association. 109(8), 596-602.

Lin, J. C., Lu, J. X., Zeng, Q., Zhao, W., Li, W. Q., & Ling, J. Q. (2016). Comparison of mineral trioxide aggregate and calcium hydroxide for apexification of immature permanent teeth: A systematic review and meta-analysis. Journal of the Formosan Medical Association. 115(7), 523-530.

Lopes, H. P., Siqueira Junior, J. F., & Estrela, C. (1999). Tratamento endodôntico em dentes com rizogênese incompleta. In Endodontia: biologia e técnica (pp. 485-96).

Lopes J. H. P., Siqueira Jr. J. F. & Neves M.A.S. (2015) Tratamento Endodôntico de Dentes com Rizogênese Incompleta. In: Endodontia Biologia e Técnica. 4ª Ed. Elsevier. P.1456-1479.

Prompreecha, S., Sastraruji, T., Louwakul, P., & Srisuwan, T. (2018). Dynamic irrigation promotes apical papilla cell attachment in an ex vivo immature root canal model. Journal of endodontics. 44(5), 744-750.

Refaei, P., Jahromi, M. Z., & Moughari, A. A. K. (2020). Comparison of the microleakage of mineral trioxide aggregate, calcium-enriched mixture cement, and Biodentine orthograde apical plug. Dental research jornal. 17(1), 66.

Schmoldt, S. J., Kirkpatrick, T. C., Rutledge, R. E., & Yaccino, J. M. (2011). Reinforcement of simulated immature roots restored with composite resin, mineral trioxide aggregate, gutta-percha, or a fiber post after thermocycling. Journal of endodontics. 37(10), 1390-1393.

Shabahang, S. (2013). Treatment options: apexogenesis and apexification. Pediatric dentistry. 35(2), 125-128.

Shaik, I., Dasari, B., Kolichala, R., Doos, M., Qadri, F., Arokiyasamy, J. L., & Tiwari, R. (2021). Comparison of the Success Rate of Mineral Trioxide Aggregate, Endosequence Bioceramic Root Repair Material, and Calcium Hydroxide for Apexification of Immature Permanent Teeth: Systematic Review and Meta-Analysis. Journal of pharmacy & bioallied sciences. 13(Suppl 1), S43–S47

Silveira, C. M. M., Sebrão, C. C. N., Vilanova, L. S. R., & Sánchez-Ayala, A. (2015). Apexification of an immature permanent incisor with the use of calcium hydroxide: 16-year follow-up of a case. Case reports in dentistry.

Valera, M. C., Albuquerque, M. T. P., Yamasaki, M. C., Vassallo, F. N. S., da Silva, D. A. E. S. A., & Nagata, J. Y. (2015). Fracture resistance of weakened bovine teeth after long‐term use of calcium hydroxide. Dental Traumatology. 31(5), 385-389.

Vellore, K. G. (2010). Calcium hydroxide induced apical barrier in fractured nonvital immature permanent incisors. Journal of Indian Society of Pedodontics and Preventive Dentistry. 28(2), 110.

Zengin, A. Z., Celenk, P., Sumer, A. P., & Cankaya, S. (2015). Evaluation of traumatic dental injuries in a group of Turkish population. Nigerian Journal of clinical practice. 18(1), 86-89.

Publicado

26/01/2022

Cómo citar

FREIRE, T. C. .; LIMA, A. A. .; PACHECO, K. C. M. .; PEREIRA, P. L. R. .; BUENO, C. S. P. .; OLIVEIRA, D. P. de .; SILVA, L. C. .; ESPÍNDOLA, L. C. P. .; FAGUNDES, D. dos S. . Apexificación en diente inmaduro traumatizado con fractura coronal-radicular: reporte de caso. Research, Society and Development, [S. l.], v. 11, n. 2, p. e32611225729, 2022. DOI: 10.33448/rsd-v11i2.25729. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/25729. Acesso em: 22 dic. 2024.

Número

Sección

Ciencias de la salud