Management of the perforations due to miniplate application.
Microdimensioned osteosynthesis using miniplates has been common practice in maxillofacial surgery. However, tooth injury during the application of the miniplates have been reported in few papers. In this case, a 32-yr-old female patient, whose two teeth were necrosed because of the perforation during screw insertion was presented. The reason of the perforations during the rigid internal fixation was the lack of radiographic assessment because of the pregnancy. Maxillary right first premolar and maxillary left canine were perforated and necrosed because of the screw insertion. The necrosed teeth were detected 1 yr after the rigid internal fixation. The root canals of nonvital teeth were filed using step-down approach. Cold lateral condensation of gutta-percha was used to fill the canals. Six-month recall visits were scheduled and there was no problem after 2-yr follow-up period.
Kocaelli
Hümeyra Arýkan
HA
Department of Oral Surgery, Ystanbul University [corrected]
Arikan
Hümeyra
H
Kaptan
Figen
F
Kayahan
Baybora
B
Haznedaroğlu
Faruk
F
D000328:Adult; D001860:Bone Plates; D001863:Bone Screws / Q000009:adverse effects*; D003790:Dental Pulp Necrosis / Q000628:therapy*; D005260:Female; D006801:Humans; D019248:Jaw Fixation Techniques / Q000009:adverse effects*; D008440:Maxillary Fractures / Q000601:surgery; D011247:Pregnancy; D012390:Root Canal Therapy; D018677:Tooth Injuries / Q000209:etiology* / Q000628:therapy; D019553:Tooth, Nonvital / Q000628:therapy; D014950:Wounds, Penetrating / Q000209:etiology* / Q000628:therapy