Girelli Caroline-Felipe-Magalhães, de Lima Carolina-Oliveira, Lacerda Mariane-Floriano-Lopes-Santos, Coellho Renato-Girelli, Silveira Frank-Ferreira, Nunes Eduardo
MSc. Department of Dentistry, Pontificial Catholic University of Minas Gerais, Brazil.
MSc. Department of Dentistry, State University of Rio de Janeiro,UERJ- RJ.
J Clin Exp Dent. 2020 May 1;12(5):e514-e518. doi: 10.4317/jced.56585. eCollection 2020 May.
Root fractures resulting from dental trauma involve dentin, cementum and pulp. The present study aimed to demonstrate the importance of cone-beam computed tomography (CBTC) and bioceramics in the correct planning and intervention of a horizontal root fracture case in tooth 11 with late treatment in an 18-year-old patient. Clinical and radiographic examinations revealed tooth displacement, pain on vertical percussion and images suggestive of a horizontal root fracture. Pulp necrosis was diagnosed and CBTC was requested for treatment planning. Subsequently, endodontic treatment was performed using a bioceramic apical plug. A 2-year follow-up indicated the absence of root resorption and normal periodontal and periapical tissues. It was concluded that endodontic treatment associated with the use of bioceramics and the aid of CBTC is an effective therapeutic option in cases of permanent horizontal root fractures. Bioceramics, Cone-beam computed tomography, dental Injuries, root fracture.
牙外伤导致的根折累及牙本质、牙骨质和牙髓。本研究旨在证明锥形束计算机断层扫描(CBTC)和生物陶瓷在一名18岁患者11号牙水平根折延迟治疗的正确治疗计划和干预中的重要性。临床和影像学检查发现牙齿移位、垂直叩诊疼痛以及提示水平根折的影像。诊断为牙髓坏死,并要求进行CBTC以制定治疗计划。随后,使用生物陶瓷根尖充填物进行根管治疗。2年的随访表明没有牙根吸收,牙周和根尖周组织正常。得出的结论是,在恒牙水平根折病例中,结合使用生物陶瓷和CBTC辅助的根管治疗是一种有效的治疗选择。生物陶瓷、锥形束计算机断层扫描、牙外伤、根折。