Treatment of external inflammatory root resorption after autogenous tooth transplantation: case report.
This paper describes a case of autogenous tooth transplantation. An external inflammatory root resorption developed in a 30-year-old female patient and was successfully treated with the placement of calcium hydroxide-based intracanal dressings. Autotransplantation of tooth 32 into the extraction socket of tooth 30 was carried out with no intraoperative complications and uneventful postoperative course. However, the patient did not appear on the 14th postoperative day to initiate endodontic therapy of the transplanted tooth. She did not return for 3 months, at which time the clinical and periapical radiographic examinations revealed the presence of external inflammatory root resorption. Endodontic treatment was initiated immediately. Root canals were prepared and filled with a calcium hydroxide-based intracanal dressing (Calen paste), changed every 21 days during a 6-month period, and were thereafter obturated with Sealapex calcium hydroxide-based sealer and gutta-percha points. After 2 years of follow-up, the transplanted tooth was symptom free with no exacerbated sensibility to percussion, normal mobility, occlusion, and masticatory function. Probing revealed no periodontal pockets or other pathological signs. Radiographic examination showed the periradicular area with normal appearance, completely healed resorption areas, and presence of an intact lamina dura.
Herrera
Henry
H
Evangelic University of El Salvador, San Salvador, El Salvador.
Herrera
Helen
H
Leonardo
Mário Roberto
MR
de Paula e Silva
Francisco Wanderley Garcia
FW
da Silva
Léa Assed Bezerra
LA
D000328:Adult; D002126:Calcium Hydroxide; D005260:Female; D006171:Gutta-Percha; D006801:Humans; D008964:Molar, Third / Q000637:transplantation*; D019647:Oral Surgical Procedures / Q000009:adverse effects*; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D012388:Root Canal Irrigants / Q000627:therapeutic use; D012390:Root Canal Therapy / Q000379:methods*; D012391:Root Resorption / Q000209:etiology / Q000628:therapy*; D012459:Salicylates; D020390:Tooth Socket / Q000601:surgery*; D014182:Transplantation, Autologous / Q000009:adverse effects
D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants; D012459:Salicylates; C420643:calen; C055601:Sealapex; D006171:Gutta-Percha; D002126:Calcium Hydroxide