Pasternak-Júnior Bráulio, Delai Débora, Oliveira César Augusto Pereira, Kopper Patrícia Maria Poli
Gen Dent. 2018 Jan-Feb;66(1):e1-e4.
The aim of this case report is to describe the treatment of an 11-year-old boy who was referred to an endodontist for evaluation of external inflammatory root resorption in the distal apical third of the permanent maxillary left lateral incisor, caused by deviation in the eruption path of the permanent maxillary left canine. The results of the pulpal sensitivity test of the permanent maxillary left lateral incisor were inconclusive and similar to those for the homologous tooth, so the endodontist opted for a clinical and radiographic follow-up. The patient was referred to an orthodontist, who placed a fixed Haas-type palatal expander. After the eruption of all permanent teeth, the orthodontist placed a fixed orthodontic appliance. After approximately 3 years of monitoring, bone repair with dental remodeling was observed, and the results of a pulpal sensitivity test were positive. This case demonstrates that proper monitoring is critical in establishing the diagnosis and treatment plan and ultimately to the success of clinical management.
本病例报告的目的是描述一名11岁男孩的治疗情况。该男孩因上颌左侧恒尖牙萌出路径异常,导致上颌左侧恒侧切牙根尖三分之一处出现外部炎性牙根吸收,被转诊至牙髓病医生处进行评估。上颌左侧恒侧切牙髓活力测试结果不明确,与同名牙相似,因此牙髓病医生选择进行临床和影像学随访。患者被转诊至正畸医生处,正畸医生放置了固定式哈斯型腭扩展器。所有恒牙萌出后,正畸医生放置了固定正畸矫治器。经过大约3年的监测,观察到骨修复和牙齿重塑,牙髓活力测试结果为阳性。本病例表明,在确定诊断和治疗方案以及最终临床管理的成功方面,适当的监测至关重要。