Endoesthetic management of a traumatized central incisor with an embedded screw

Abstract

Foreign objects in the pulp chamber or root canal are not unusual findings in teeth undergoing root canal treatment or in root canal treated teeth. Detailed case history, clinical and radiographic examinations are necessary to come to a conclusion about the nature, size, and location of the foreign body. This kind of situation is more likely to occur in children due to their habit of placing foreign objects in the mouth. The foreign objects may act as a potential source of infection and may later lead to a painful condition. This case report describes a clinical case in which a screw embedded in the root canal of a fractured anterior tooth was removed through nonsurgical approach. Screw was retrieved followed by removal of old gutta-percha from the canal. Later, the apical third of the tooth was filled with mineral trioxide aggregate followed by post and core. Porcelain crown was placed with gingival margin of the crown replaced with pink porcelain.