The impact of covid-19 on a patient with a severely compromised permanent maxillary central incisor.

Abstract

Abstract The SARS-CoV-2 pandemic situation led to public health measures that forced patients to remain isolated and take steps to prevent the dissemination of the virus. Many of these patients were unable to attend to the dental services or delayed seeking dental care due to a lack of private services and concerns about the SARS-CoV-2 outbreak, which in many cases complicated their situation. This case report describes the long-term clinical outcome of an endo-periodontal periapical lesion with associated bone defect of a maxillary central incisor in an esthetically demanding, systemically healthy patient, who neglected dental treatment during the pandemic outbreak. Treatment procedures included primary endodontic treatment of the periapical lesion and cause-related therapy aimed to control the infection in the rest of the mouth. Clinical examination at the 1-year recall revealed clinical attachment gain with shallow residual probing pocket depths and a slight increase in gingival recession. The esthetic appearance of the treated tooth was improved via a zirconia-ceramic crown. The present case report suggests that successful periodontal and esthetic results can be accomplished and maintained for at least 2 years after treatment of an apparently hopeless tooth with extremely compromised endoperiodontal conditions.