Abstract

Patients with obsolete anterior tooth trauma often see a doctor because of dental stain or gingiva tumefaction and suppuration in clinical. In this case, a 28-year-old female patient took root canal therapy for repeated gingiva tumefaction and tooth stain in anterior teeth of left maxillary and giant foreign body at apex shown in X-ray photography. After removing the foreign body at apex by endodontic surgery, internal bleaching and resin repair were conducted. The therapy shows that the usage specification of hot gutta-percha should strictly follow the operational steps, while the necessity of X-ray photography after operation should be confirmed in clinical operation. In addition, internal bleaching and resin repair should be combined to obtain the success in clinical therapy.

Highlights

  • A 28-year-old female patient took root canal therapy for repeated gingiva tumefaction and tooth stain in anterior teeth of left maxillary and giant foreign body at apex shown in X-ray photography

  • The therapy shows that the usage specification of hot gutta-percha should strictly follow the operational steps, while the necessity of X-ray photography after operation should be confirmed in clinical operation

  • Tooth trauma is a common disease in Department of Stomatology, and obsolete tooth trauma refers to a series of clinical symptoms in later period because the patient did not have treatment, did not have treatment in time, or interrupted the treatment after getting tooth trauma

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Summary

Introduction

Tooth trauma is a common disease in Department of Stomatology, and obsolete tooth trauma refers to a series of clinical symptoms in later period because the patient did not have treatment, did not have treatment in time, or interrupted the treatment after getting tooth trauma. Such symptoms include tooth stain, ankylosed tooth, internal and external root resorption, root fracture, apical abscess, apical cyst and odontoseisis caused by pulp necrosis. This work summarized and reported one case of apical abscess caused by irregular operation in root canal therapy for central incisor (obsolete tooth trauma) in the left maxillary as follows

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