Author/Authors :
Borin Moura, Lucas Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthodontics - Federal University of Pelotas School of Dentistry, Pelotas, Brazil , Dalsasso Velasques, Bibiana Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthodontics - Federal University of Pelotas School of Dentistry, Pelotas, Brazil , Machado Silveira, Luis Fernando Department of Semiology Clinics - Federal University of Pelotas School of Dentistry, Pelotas, Brazil , Martos, Josue Department of Semiology Clinics - Federal University of Pelotas School of Dentistry, Pelotas, Brazil , Braga Xavier, Cristina Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthodontics - Federal University of Pelotas School of Dentistry, Pelotas, Brazil
Abstract :
Tooth avulsion represents the most complicated dental injury, and the classic treatment is tooth replanta- tion. The most common sequelae are pulp canal calcification (PCC) and pulp necrosis. The presence of pulp necrosis after PCC is reported in up to 30% of the cases and is a challenge due to the difficulty of endodontic treatment. This case report describes the surgical treatment of a replanted tooth presenting PCC and periapi- cal pathology eight years after the trauma. An endodontic surgery was performed to remove the apical gran- uloma, to prepare the apical root, and to seal the apical region with an endodontic cement. In a three-year follow-up, there was an absence of inflammatory signs and symptoms or apical lesion. This report shows the importance of close follow-up after dentoalveolar injuries. After the initial dental trauma and its consequenc- es to pulpal tissues, the executed procedures allowed a favourable outcome.
Keywords :
Canal anatomy , case reports , dental pulp calcification , oral surgery , periapical granuloma , trauma , tooth avulsion , tooth replantation
