Late endodontic treatment of a tooth with extrusive dislocation and invasive cervical resorption: a clinical case report

Ana Paula Fernandes Ribeiro,Rogério De Castilho Jacinto,Caroline Loureiro,Julia Guerra De Andrade,Heitor César Maia,Gladiston Willian Lobo Rodrigues

doi:10.33448/rsd-v10i12.20061

Ana Paula Fernandes Ribeiro, Rogério De Castilho Jacinto + Show 4 more

Open Access

https://doi.org/10.33448/rsd-v10i12.20061

Copy DOI

Abstract

This study aims to report the clinical case of a 16 years-old male patient, who attended a private office reporting that at an accident suffered at the age of 10 years-old, which caused extrusive dislocation in both teeth 11 and 21. At that time, the teeth were repositioned, without an adequate follow-up. Upon physical and radiographic examination, the following features were observed: presence of recurrent sinus tract on the vestibular surface, area of external cervical resorption, and a periapical lesion on tooth 21. Endodontic treatments (necropulpectomy) were performed on teeth 11 and 21, with the placement of a root canal dressing of calcium hydroxide and subsequent root canal filling. In addition, soft tissue flap folding was performed to treat the resorption area and to seal it with glass ionomer cement. A 7 months follow-up radiograph shows stabilization in the process of the tooth resorption and remission of the periapical lesion. In conclusion, the endodontic treatment with intracanal medication, and the sealing of the resorption area were successful to preserve the traumatized tooth. In addition, it is noteworthy that following up with the patient after the trauma episode is essential to monitor the pulp vitality of the tooth involved.

Highlights

Due to its high prevalence, orofacial trauma is classified as a public health problem that causes physical and emotional damage to the patient (Ribeiro et al, 2021)
This study aims to report the clinical case of a patient who suffered trauma and sought treatment after 6 years with tooth presenting pulp necrosis, sinus tract, and external coronary and cervical radicular resorption
A 16 years old systemically healthy male patient attended a private office reporting a traumatic injury suffered at the age of due to a bicycle accident, which resulted in the extrusive dislocation of both central incisors

Summary

Introduction

Due to its high prevalence, orofacial trauma is classified as a public health problem that causes physical and emotional damage to the patient (Ribeiro et al, 2021). Most traumas occur during childhood (Ramachandran et al, 2021) and adolescence, with the most affected region being the maxilla (Munoz-Sanchez et al, 2021). The maxillary central incisors are the most affected teeth in traumatic injuries, followed by the maxillary and mandibular lateral incisors (Munoz-Sanchez et al, 2021). The main factors that predispose to traumatic injuries in this region are the presence of pronounced overjet and incomplete lip seal (Lima et al, 2017). Trauma affects teeth but can cause soft tissue lacerations and injuries to support tissues. In traumas with greater impact, teeth may undergo changes in the periodontal tissue that support them, which may lead to concussion, dislocation, or even tooth avulsion (Mordini et al, 2021)

Objectives

Methods

Discussion

Conclusion