Endodontic Treatment Of Teeth With Post-Trauma Root Calcification: Case Report Tratamento Endodôntico De Dente Com Calcificação Radicular Pós-Trauma: Relato De Caso Clínico

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Published: Oct 20, 2022
DOI: https://doi.org/10.29327/25149.49.2-3
Keywords:
Dental pulp calcification, dental trauma, pulp necrosis, periapical diseases

Main Article Content

Thayla Huber Antes
Departamento de Odontologia Conservadora, Faculdade de Odontologia, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brasil
Leonardo Thomasi Jahnke
Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Wesley Misael Krabbe
Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Marcus Vinícius Reis Só
Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Abreu da Rosa Abreu da Rosa
Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Abstract

The calcification of the root canal is a process that may occur after a dental trauma or slowly develop due to physiological dental aging. It is characterized by hard tissue deposition on both the pulp chamber and the root canal. Periapical radiography and computed tomography can be used to diagnose this condition. In some cases, it may be associated with pulp necrosis and the presence of periapical injury, and the treatment may be considered to be quite complex. This case report addresses the endodontic treatment of the upper left central incisor, symptomatic, with root canal obliteration and pulp necrosis as a sequela of dental trauma. After all the tests, chronic apical periodontitis was diagnosed, and conventional endodontic treatment was proposed. The most significant difficulty faced was when locating the root canal's entrance. Numerous radiographs were carried out to avoid deviations. The opening of the root canal could only be found at the end of the middle third, só treatment could proceed by using the crown-down technique and intracanal medication based on calcium hydroxide during the sessions. When the patient was asymptomatic, the root canal has been filled. The accomplishment of the technique was successful, and after finishing the case, there was remission of symptoms. After a six-month follow-up period and three years, the healing of the periapical tissues was observed.

Article Details

How to Cite
Huber Antes, T., Thomasi Jahnke, L., Misael Krabbe, W., Vinícius Reis Só, M., & Abreu da Rosa, A. da R. (2022). Endodontic Treatment Of Teeth With Post-Trauma Root Calcification: Case Report. Naval Dental Jounal, 49(2), 23-32. https://doi.org/10.29327/25149.49.2-3
Issue
Vol 49 No 2 (2022): Naval Dental Journal
Section
Case Reports
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Author Biographies

Thayla Huber Antes, Departamento de Odontologia Conservadora, Faculdade de Odontologia, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brasil

Departamento de Odontologia Conservadora, Faculdade de Odontologia, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brasil.

Leonardo Thomasi Jahnke, Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Wesley Misael Krabbe, Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Marcus Vinícius Reis Só, Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Abreu da Rosa Abreu da Rosa, Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

References

1. Bastos JV, Côrtes MIS. Pulp canal obliteration after traumatic injuries in permanent teeth – scientific fact or fiction? Braz Oral Res. 2018;32(suppl 1):e75. 2. Robertson A. A retrospective evaluation of patients with uncomplicated crown fractures and luxation injuries. Endod Dent Traumatol. 1998;14(6):245-56. 3. Robertson A, Andreasen FM, Bergenholtz G, Andreasen JO, Norén JG. Incidence of pulp necrosis subsequent to pulp canal obliteration from trauma of permanent incisors. J Endod. 1996;22(10):557-60. 4. Andreasen JO. Luxation of permanent teeth due to trauma. A clinical and radiographic follow-up study of 189 injured teeth. Scand J Dent Res. 1970;78(3):273-86. 5. Jacobsen I, Kerekes K. Long-term prognosis of traumatized permanent anterior teeth showing calcifying processes in the pulp cavity. Scand J Dent Res. 1977;85(7):588-98. 6. Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 1. Diagnosis of healing complications. Endod Dent Traumatol. 1995;11(2):51-8. 7. Ahmed HMA, Hashem AAR, Dummer PMH. Application of a new System for Classifying Root and Canal Anatomy in
Revista Naval de Odontologia - 2022 - Volume 49 Número 232
Clinical Practice – Explanation and Elaboration. Eur Endod J. 62021. p. 132-42. 8. Andreasen FM, Zhijie Y, Thomsen BL, Andersen PK. Occurrence of pulp canal obliteration after luxation injuries in the permanent dentition. Endod Dent Traumatol. 1987;3(3):103-15. 9. Oginni AO, Adekoya-Sofowora CA, Kolawole KA. Evaluation of radiographs, clinical signs and symptoms associated with pulp canal obliteration: an aid to treatment decision. Dent Traumatol. 2009;25(6):620-5. 10. Levine M. Root-Canal Therapy: A Means of Treating Oral Pain and Infection. Can Fam Physician. 1988;34:1357-65. 11. Kuyk JK, Walton RE. Comparison of the radiographic appearance of root canal size to its actual diameter. J Endod. 1990;16(11):528-33. 12. Shokri A, Mortazavi H, Salemi F, Javadian A, Bakhtiari H, Matlabi H. Diagnosis of simulated external root resorption using conventional intraoral film radiography, CCD, PSP, and CBCT: a comparison study. Biomed J. 2013;36(1):18-22. 13. Kiefner P, Connert T, ElAyouti A, Weiger R. Treatment of calcified root canals in elderly people: a clinical study about the accessibility, the time needed and the outcome with a three-year follow-up. Gerodontology. 2017;34(2):164-70. 14. Dodds RN, Holcomb JB, McVicker DW. Endodontic management of teeth with calcific metamorphosis. Compend Contin Educ Dent (Lawrenceville). 1985;6(7):515-8, 20. 15. Cvek M, Granath L, Lundberg M. Failures and healing in endodontically treated non- vital anterior teeth with posttraumatically reduced pulp lumen. Acta Odontol Scand. 1982;40(4):223-8. 16. Amir FA, Gutmann JL, Witherspoon DE. Calcific metamorphosis: a challenge in endodontic diagnosis and treatment. Quintessence Int. 2001;32(6):447-55.
17. Robertson A, Lundgren T, Andreasen JO, Dietz W, Hoyer I, Norén JG. Pulp calcifications in traumatized primary incisors. A morphological and inductive analysis study. Eur J Oral Sci. 1997;105(3):196-206. 18. Levander E, Malmgren O, Eliasson S. Evaluation of root resorption in relation to two orthodontic treatment regimes. A clinical experimental study. Eur J Orthod. 1994;16(3):223-8. 19. Schindler WG, Gullickson DC. Rationale for the management of calcific metamorphosis secondary to traumatic injuries. J Endod. 1988;14(8):408-12. 20. Carrotte P. Surgical endodontics. Br Dent J. 2005;198(2):71-9. 21. Kvinnsland I, Oswald RJ, Halse A, Grønningsaeter AG. A clinical and roentgenological study of 55 cases of root perforation. Int Endod J. 1989;22(2):75-84. 22. van der Meer WJ, Vissink A, Ng YL, Gulabivala K. 3D Computer aided treatment planning in endodontics. J Dent. 2016;45:67-72. 23. Krastl G, Zehnder MS, Connert T, Weiger R, Kühl S. Guided Endodontics: a novel treatment approach for teeth with pulp canal calcification and apical pathology. Dent Traumatol. 2016;32(3):240-6. 24. Shi X, Zhao S, Wang W, Jiang Q, Yang X. Novel navigation technique for the endodontic treatment of a molar with pulp canal calcification and apical pathology. Aust Endod J. 2018;44(1):66-70. 25. Anderson J, Wealleans J, Ray J. Endodontic applications of 3D printing. Int Endod J. 2018;51(9):1005-18. 26. Connert T, Krug R, Eggmann F, Emsermann I, ElAyouti A, Weiger R, et al. Guided Endodontics versus Conventional Access Cavity Preparation: A Comparative Study on Substance Loss Using 3-dimensional-printed Teeth. J Endod. 2019;45(3):327-31.