Eur Endod J. 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 Xavier^1
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: Canal anatomy, case reports, dental pulp calcification, oral surgery, periapical granuloma, trauma, tooth avulsion, tooth replantation

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