Akademik Veri Yönetim Sistemi
14th IFEA World Endodontic Congress 2024, Glasgow, İngiltere, 12 - 14 Eylül 2024, ss.1
Aim
Regenerative
endodontic treatment (RET) is used to increase the thickness of the root canal
wall, promote elongation of root length, and facilitate closure of an open apex.
In this case report, RET was used to manage a tooth with an complete root
fracture (CRT) and a large periapical lesion.
Summary
A 26-year-old male patient attended complaining of buccal soreness
and swelling around the maxillary left incisors. The patient reported a history
of dental trauma 12 years ago. A periapical radiograph of Tooth 21 and 22 revealed
a substantial sized periapical lesion and a CRT in Tooth 21. Tooth 21 and 22
did not respond to sensitivity testing and a CBCT scan was arranged.
A multidisciplinary treatment approach was adopted. In brief, at the
first treatment session, the root canal of Tooth 21 was irrigated, dried and
dressed with a double antibiotic paste (DAP); while with Tooth 22, the canal
was prepared and then also dressed with DAP.
After a week, surgery was carried out to remove the fractured apical
segment of the root and the periapical lesion of Tooth 21 while MTA was used to
seal the apical third of Tooth 22. Two days post-surgery, RET were performed on
Tooth 21. At the 9th follow-up appointment, the patient was symptom-free and Tooth
21 responded positively to sensitivity testing.
Key Learning
Points
·
RET can lead to a favourable
treatment outcome in the management of traumatized teeth.
·
Large periapical lesions can
heal when managed using a multidisciplinary treatment approach.