Publication
Management of an unsuccessful regenerative endodontic procedure after tooth fracture: a case report
| Summary: | Dental trauma is a very frequent occurrence in children and adolescents, which creates a great impact on the esthetics, functions, and phonetics. Traumatic dental injuries can range from simple enamel fractures to permanent tooth loss. This case report presents an eight-year-old patient with an uncomplicated crown fracture of tooth 21, and 30 days after trauma, it was diagnosed as necrotic pulp. The first treatment choice was a regenerative endodontic procedure (REP), however, the failure led to apexification with Mineral Trioxide Aggregate (MTA). The chosen rehabilitation was a composite veneer. Concerning the available literature and fracture enamel dentin, the treatment approach proposed for the case provided good functional and esthetic outcomes. |
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| Main Authors: | Lopes, Luísa Bandeira |
| Other Authors: | Paredes, Francisco; Pimenta, Andreia; Carpinteiro, Inês |
| Subject: | regenerative endodontic procedure tooth fracture mineral trioxide aggregate dental trauma |
| Year: | 2020 |
| Country: | Portugal |
| Document type: | contribution to journal |
| Access type: | open access |
| Associated institution: | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| Language: | English |
| Origin: | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| Summary: | Dental trauma is a very frequent occurrence in children and adolescents, which creates a great impact on the esthetics, functions, and phonetics. Traumatic dental injuries can range from simple enamel fractures to permanent tooth loss. This case report presents an eight-year-old patient with an uncomplicated crown fracture of tooth 21, and 30 days after trauma, it was diagnosed as necrotic pulp. The first treatment choice was a regenerative endodontic procedure (REP), however, the failure led to apexification with Mineral Trioxide Aggregate (MTA). The chosen rehabilitation was a composite veneer. Concerning the available literature and fracture enamel dentin, the treatment approach proposed for the case provided good functional and esthetic outcomes. |
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