Management of Tooth Discoloration after Orthognathic Surgery Complications: Report of Two Cases

Autor: Milton Carlos Kuga, José Roberto Cury Saad, Andrea Abi Rached Dantas, Lucas David Galvani, Ester Alves Ferreira Bordini, Hernán Coaguila-Llerena
Rok vydání: 2021
Předmět:
Zdroj: International journal of odontostomatology v.15 n.3 2021
SciELO Chile
CONICYT Chile
instacron:CONICYT
ISSN: 0718-381X
DOI: 10.4067/s0718-381x2021000300553
Popis: Orthognathic surgery is performed for the correction of craniofacial discrepancies. However, complications, such as tooth discoloration are possible. This case report presents two patients who underwent bilateral sagittal split ramus osteotomy associated with segmental Le Fort I osteotomy and genioplasty. During surgeries, the apical region of anterior teeth was accidentally injured in both cases. After three-week surgery follow-up, the injured teeth showed a change in color to dark pink. In both teeth, the root canal treatment was performed followed by the non vital tooth bleaching. Three sessions were necessary to achieve a significant color change of the teeth. The two-year follow-up showed that both teeth preserved an acceptable color. It was concluded that tooth discoloration after orthognathic surgery is a possible complication, which could be overcome following a conservative approach. Additionally, patients should be informed preoperatively.
Databáze: OpenAIRE