Successful retreatment of a maxillary central incisor with a wide-open apex using MTA to fill the entire canal: 24-year follow-up.

Autor: Saavedra Felipe JD; Private Practice, Caracas, Venezuela.; Department of Endodontics, Universidad Central de Venezuela, Caracas, Venezuela., Watson Molina VA; Private Practice, Caracas, Venezuela., Bologna Escalona A; Private Practice, Caracas, Venezuela., Laplana Martínez R; Private Practice, Caracas, Venezuela., Areso A; Hôpital Marin-APHP, Hendaye, France., Nagendrababu V; Department of Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, UAE., Abella Sans F; Department of Endodontics, School of Dentistry, Universitat International de Catalunya, Barcelona, Spain.
Jazyk: angličtina
Zdroj: Australian endodontic journal : the journal of the Australian Society of Endodontology Inc [Aust Endod J] 2024 Sep 02. Date of Electronic Publication: 2024 Sep 02.
DOI: 10.1111/aej.12885
Abstrakt: Managing teeth with open apices can be a challenging scenario for clinicians. This case report describes the 24-year follow-up of a maxillary central incisor that failed to develop after a traumatic injury resulting in a wide-open apex. A 10-year-old girl presented complaining of discomfort in her upper teeth. Tooth #9 had received a traumatic blow several years before and was discoloured with a resin composite restoration on the mesio-incisal edge. The tooth was painful to percussion and palpation. An inadequate root canal filling and incomplete root formation were observed on the initial periapical radiograph. Root canal retreatment was initiated, and the canal filled entirely with mineral trioxide aggregate (MTA) because of the extremely wide canal and open apex. The patient was asymptomatic at the 24-year follow-up with the cone beam computed tomography and periapical radiographs demonstrating the stability of the MTA.
(© 2024 The Author(s). Australian Endodontic Journal published by John Wiley & Sons Australia, Ltd on behalf of Australian Society of Endodontology Inc.)
Databáze: MEDLINE