RESUMO
AIM: Long-term follow-up evaluations of pulpectomy in primary teeth have revealed retention of ZOE filling particles in the periapical area even after root resorption. CASE REPORT: This paper reports a case of a child submitted to pulpectomy with ZOE paste in primary teeth. After 28 months, the filling particles remained, having migrated to the alveolar bone from the gingival vestibular mucosa during permanent dentition eruption. Aesthetics required periodontal surgical removal of the paste particles. Primary teeth submitted to pulpectomy should be evaluated carefully both clinically and radiographically to verify radicular and ZOE filling paste resorption. The consequences of retained particles during permanent dentition eruption are unknown.
Assuntos
Corpos Estranhos/cirurgia , Gengiva/cirurgia , Pulpectomia/efeitos adversos , Materiais Restauradores do Canal Radicular/efeitos adversos , Cimento de Óxido de Zinco e Eugenol/efeitos adversos , Criança , Extravasamento de Materiais Terapêuticos e Diagnósticos , Humanos , Masculino , Reabsorção da RaizRESUMO
Connated teeth are the consequences of developmental anomalies leading to the eruption of joined elements. According to current definitions, gemination occurs when one tooth bud tries to divide, while fusion occurs if two buds unite. Clinical experience shows, however, that diagnosis can be complicated due to superimposed anomalies. This report describes a unique case of bilateral fusion of permanent mandibular incisors and discusses the differential diagnosis and possible future treatment options anticipated for this particular case.