Cunha Rodrigo Sanches, Abe Flavia Casale, Araujo Roberta Aranha, Fregnani Eduardo Rodrigues, Bueno Carlos Eduardo da Silveiro
Endodontics Area, Catholic University of Campinas, Campinas, SP, Brazil.
Gen Dent. 2011 May-Jun;59(3):e101-4.
The aim of this case report was to present a treatment for severe inflammatory external root resorption. The condition developed due to the patient's neglect to seek adequate treatment following replantation of an avulsed maxillary left central incisor. Following diagnosis, treatment consisted of conventional endodontic therapy with calcium hydroxide dressings and definitive filling of the root canal after the resorption was controlled radiographically. A 24-month follow-up showed that the resorption process had stabilized and the patient was free of symptoms. Successful tooth replantation requires following the indicated therapy effectively. Nevertheless, when an inflammatory external root resorption occurs, adequate endodontic treatment to remove the necrotic content and bacteria is required, as is the use of calcium hydroxide dressings.
本病例报告的目的是介绍一种针对严重炎症性牙根外吸收的治疗方法。该病症是由于患者在左上颌中切牙脱位再植后未寻求适当治疗而发展形成的。诊断后，治疗包括采用氢氧化钙敷料进行常规牙髓治疗，并在影像学上控制吸收后对根管进行最终充填。24个月的随访显示，吸收过程已稳定，患者无症状。成功的牙齿再植需要有效遵循指定的治疗方法。然而，当发生炎症性牙根外吸收时，需要进行充分的牙髓治疗以清除坏死物质和细菌，同时也需要使用氢氧化钙敷料。
