Multidisciplinary rehabilitation in case of internal/external dental reabsorption

Dental reabsorptions are rare situations in Dentistry. In this clinical case, a Caucasian patient, female, appeared at Cecom's dental clinic for endodontic treatment of element 22. On the initial radiographic examination, the presence of internal and external reabsorption of 21 was observed, wh...

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Bibliographic Details
Main Authors: Santos, Wellington Pereira, Soares, Ilze, Tiziani, Ângela
Format: Online
Language:Portuguese
Published: Universidade Estadual de Campinas (UNICAMP) 2016
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Online Access:https://econtents.sbu.unicamp.br/eventos/index.php/simtec/article/view/9795
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Summary:Dental reabsorptions are rare situations in Dentistry. In this clinical case, a Caucasian patient, female, appeared at Cecom's dental clinic for endodontic treatment of element 22. On the initial radiographic examination, the presence of internal and external reabsorption of 21 was observed, which presented itself asymptomatic. The patient did not remember of having suffered trauma on the mentioned region. The only complaint regarding this element was the occasional presence of a fistula in marginal gingiva, from which exudate was emerging. The patient was submitted to endodontic and restoring treatment of 22; afterwards, the multidisciplinary treatment of 21 (endodontics, periondotology and dentistry). Initially, the endodontic treatment of 21 was performed by an endodontist, plugging the third root apical with gutta-percha + sealer 26, and the rest of conduit with MTA. After 01 week, the patient returned for esthetic complementation of external reabsorption sealing. A mucosa remnant was performed by a periodontist, which was elevated, with the root being debrided after that. Areas sealed with MTA, after the tusk, become blackened, then the need of replacing this part by a more esthetic material. From here, an aesthetics specialist removed this MTA part, then performing a transurgical restoration with light curing resin. Once the restoration was made, the periodontist repositioned the remnant and held the suture. The case has been followed up for 18 months, without signs of reabsorption reactivation and without periodontal damage.
ISSN:2525-5398