E-ISSN 2548-0839
European Endodontic Journal Therapeutic Approach to Pulp Canal Calcification as Sequelae of Dental Avulsion []
. 2017; 2(1): 12 | DOI: 10.5152/eej.2017.16060

Therapeutic Approach to Pulp Canal Calcification as Sequelae of Dental Avulsion

Lucas Borin Moura1, Bibiana Dalsasso Velasques1, Luis Fernando Machado Silveira2, Josue Martos2, Cristina Braga Xavier1
1Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthodontics, Federal University of Pelotas School of Dentistry, Pelotas, Brazil
2Department of Semiology Clinics, Federal University of Pelotas School of Dentistry, Pelotas, Brazil

Tooth avulsion represents the most complicated dental injury, and the classic treatment is tooth replanta- tion. The most common sequelae are pulp canal calcification (PCC) and pulp necrosis. The presence of pulp necrosis after PCC is reported in up to 30% of the cases and is a challenge due to the difficulty of endodontic treatment. This case report describes the surgical treatment of a replanted tooth presenting PCC and periapi- cal pathology eight years after the trauma. An endodontic surgery was performed to remove the apical gran- uloma, to prepare the apical root, and to seal the apical region with an endodontic cement. In a three-year follow-up, there was an absence of inflammatory signs and symptoms or apical lesion. This report shows the importance of close follow-up after dentoalveolar injuries. After the initial dental trauma and its consequenc- es to pulpal tissues, the executed procedures allowed a favourable outcome.

Keywords: Dental pulp calcification, oral surgery, periapical granuloma, tooth avulsion, tooth replantation

Lucas Borin Moura, Bibiana Dalsasso Velasques, Luis Fernando Machado Silveira, Josue Martos, Cristina Braga Xavier. Therapeutic Approach to Pulp Canal Calcification as Sequelae of Dental Avulsion. . 2017; 2(1): 12

Corresponding Author: Lucas Borin Moura, Brazil

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