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Guided Autotransplantation of an Immature Premolar to the Maxillary Incisor Region with Immediate Restoration of Esthetics: A Case Report.
Abella Sans, Francesc; Suresh, Nandini; Dummer, Paul M H; Garcia-Font, Marc; Gómez-Rojas, Adriana; Nagendrababu, Venkateshbabu.
Affiliation
  • Abella Sans F; Department of Endodontics, Universitat International de Catalunya, School of Dentistry, Barcelona, Spain. Electronic address: franabella@uic.es.
  • Suresh N; Faculty of Dentistry, Department of Conservative Dentistry and Endodontics, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (MAHER), TamilNadu, India.
  • Dummer PMH; School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.
  • Garcia-Font M; Department of Endodontics, Universitat International de Catalunya, School of Dentistry, Barcelona, Spain.
  • Gómez-Rojas A; Department of Endodontics, Universitat International de Catalunya, School of Dentistry, Barcelona, Spain.
  • Nagendrababu V; Department of Preventive and Restorative Dentistry, University of Sharjah, College of Dental Medicine, Sharjah, UAE.
J Endod ; 50(2): 252-257, 2024 Feb.
Article in En | MEDLINE | ID: mdl-38000692
This case report describes the treatment of two maxillary central incisors following a traumatic injury with tooth #8 developing replacement resorption and #9 developing inflammatory root resorption. A 10-year-old girl presented complaining of pain in her maxillary central incisors. Upon clinical examination, teeth #8 and #9 were tender to percussion and palpation of the buccal soft tissues. Thermal and electrical pulpal sensitivity tests for teeth #8 and #9 were negative. An intraoral periapical radiograph revealed resorptive defects in tooth #8, which were filled with bone-like tissue, while tooth #9 had radiolucent resorptive defects along the root surface and a periapical radiolucency. A diagnosis of replacement resorption was made for tooth #8 and external inflammatory root resorption for tooth #9. Tooth #8 was treated with a multidisciplinary approach utilizing a guided template for premolar autotransplantation with an immediate veneer restoration, while tooth #9 was managed with root canal treatment using a tricalcium silicate cement to fill the canal. At the 1, 4, 8, 12, and 24-month follow-ups, the patient remained asymptomatic, and there was no radiographic evidence of root or periapical pathosis on either tooth. The root-end of the donor tooth transplanted to the #8 site continued to develop. This case report highlights successful interdisciplinary management of two forms of root resorption using modern treatment strategies that provided immediate function and esthetics to the maxillary central incisors in a young patient following trauma.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Root Resorption / Incisor Limits: Child / Female / Humans Language: En Journal: J Endod Year: 2024 Document type: Article Country of publication: United States

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Root Resorption / Incisor Limits: Child / Female / Humans Language: En Journal: J Endod Year: 2024 Document type: Article Country of publication: United States