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Non-surgical Therapeutics of large size periapical injury: Clinical case report

Authors

  • María José Rodriguez Universidad Latina de Costa Rica
  • Mayid Barzuna Universidad Latina de Costa Rica

DOI:

https://doi.org/10.59334/ROV.v1i32.377

Keywords:

Dental trauma, periapical injury, bioceramics, biodentine, apexification, periapical diseases, endodontic obturation

Abstract

This report describes a clinical case involving a 21-year-old woman, who suffered dental trauma at age 6,
compromising left tooth 2.1. On time she developed a large periapical injury in this area. Radiographically,
incomplete root formation, thin walls of the root canal, and extensive periapical damage is clearly shown. Chemomechanical debridement was performed with K files and disinfection of the root canal using 2% chlorhexidine.
The root canal was left medicated with calcium hydroxide (Metapex), which was replaced periodically until 9
months. Finally, the root canal was completely sealed with Biodentine. The case had a follow up for over four years
and concerning esthetical aspects, through this period of time an internal whitening, resin veneer, intra radicular
post and complete crown were provided. Regarding the considerable periapical injury, tomography shows that
it has been drastically reduced and generated bone healing. Clinical observations also show that the fistula and
symptomatology disappeared.

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Published

2020-10-06

Versions

How to Cite

Rodriguez, M. J., & Barzuna, M. . (2020). Non-surgical Therapeutics of large size periapical injury: Clinical case report. O.V., 1(32). https://doi.org/10.59334/ROV.v1i32.377

Issue

Section

Research Article

Métricas alternativas