Case report: endodontic and surgical treatment of an upper central incisor with external root resorption and radicular cyst following a traumatic tooth avulsion.
In the age group between 6 and 12 years, trauma to the upper incisors happens frequently. In the case of avulsion, a replantation is the state-of-the-art treatment; however, it may lead to several complications, particularly if suitable posttraumatic management is not carried out. External cervical resorptions as well as apical granuloma and cysts due to microbial contamination of the root canal are common complications. In the presented trauma case, a conservative approach was chosen to treat a large cystic lesion combined with cervical and apical resorptions. After initial placement of Ledermix and calcium hydroxide into the root canal, a marsupialization with the temporary insertion of an obturator was performed. The gradual reduction led to a fast recovery of the bony defect and a root canal filling was placed. The 2-year follow-up showed an improved condition. All adjacent teeth remained vital during the course of the treatment.
Lux
Hans-Christian
HC
University Hospital Freiburg, Operative Dentistry and Periodontology, Freiburg, Germany. hans-christian.lux@uniklinik-freiburg.de
Goetz
Falko
F
Hellwig
Elmar
E
D000293:Adolescent; D017607:Aluminum Compounds / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D017610:Calcium Compounds / Q000627:therapeutic use; D002126:Calcium Hydroxide / Q000627:therapeutic use; D003707:Demeclocycline / Q000627:therapeutic use; D003751:Dental Fistula / Q000601:surgery; D004338:Drug Combinations; D005260:Female; D005500:Follow-Up Studies; D006171:Gutta-Percha / Q000627:therapeutic use; D006801:Humans; D007180:Incisor / Q000293:injuries* / Q000473:pathology; D010087:Oxides / Q000627:therapeutic use; D011842:Radicular Cyst / Q000601:surgery*; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D012388:Root Canal Irrigants / Q000627:therapeutic use; D012390:Root Canal Therapy / Q000379:methods*; D012391:Root Resorption / Q000628:therapy*; D017640:Silicates / Q000627:therapeutic use; D019227:Tooth Apex / Q000473:pathology; D014084:Tooth Avulsion / Q000628:therapy*; D019237:Tooth Cervix / Q000473:pathology; D014222:Triamcinolone Acetonide / Q000627:therapeutic use; D014945:Wound Healing / Q000502:physiology
D017607:Aluminum Compounds; D000893:Anti-Inflammatory Agents; D017610:Calcium Compounds; D004338:Drug Combinations; D010087:Oxides; D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants; D017640:Silicates; C086631:mineral trioxide aggregate; D003707:Demeclocycline; C001527:Ledermix; D006171:Gutta-Percha; D014222:Triamcinolone Acetonide; D002126:Calcium Hydroxide