Multidisciplinary Treatment of Traumatised Maxillar Central Incisor Associated With Open Apex

Year 2018, Issue: 1, 26 - 30, 01.01.2018

İşıl Karahasanoğlu Aysun Avşar Özlem Ülker

Abstract

This case report aims to present the management of a tooth with open apex and periradicular lesion with Mineral Trioxide Aggregate MTA apexification and indirect restoration using CAD-CAM technique. A 9-year-old girl was referred to our clinic with fracture of her tooth #11. Following endodontic access cavity preparation, the root canal was prepared with hand files up to #120 K-file. 2 weeks later the tooth was asymptomatic. MTA apical plug was placed to the apical third of the root canal. One day later, the tooth was restored with fiber post, composite core and reconstructed with CEREC. At 24th month, the tooth showed good periodontal health, marginal adaptation and periapical view at clinical examination and radiographic control. This case report indicates that MTA apexification technique and CAD-CAM restorations are safe and effective treatment options for the management of traumatized teeth with open apex following root canal treatment.

Keywords

MTA, Dental trauma, Pedodontics, CEREC, CAD-CAM

Açık Apeksli ve Travma Geçirmiş Bir Üst Keser Dişin Multidisipliner Tedavisi

Abstract

Bu olgu sunumu, açık apeks ve periradiküler lezyonlu bir dişin Mineral Trioksit Agregat MTA kullanılarak apeksifikasyonu ve CAD-CAM tekniği ile indirekt restorasyonunu sunmayı amaçlamaktadır. 9 yaşındaki kız çocuğu 11 numaralı dişindeki kırık şikayeti ile kliniğimize başvurdu. Endodontik giriş kavitesinin açılmasından sonra, kök kanalı 120 K tipi eğeye kadar genişletildi. 2 hafta sonra diş asemptomatikti ve MTA apikal tıkaç olarak kök kanalının apikal üçte birine yerleştirildi. Bir gün sonra, dişe fiber post ve kompozit kor uygulandı ve CEREC ile restore edildi. 24. ayda, klinik ve radyografik kontrollerde diş iyi bir periodontal sağlık, marjinal adaptasyon ve periapikal görünüme sahiptir. Bu olgu sunumu, travmaya uğramış kök ucu açık dişlerin kök kanal tedavisinde MTA apeksifikasyonunun ve CAD-CAM restorasyonların etkili ve güvenli tedavi seçenekleri olduğunu göstermektedir.

Keywords

MTA, Dental travma, Pedodonti, CEREC, CAD-CAM.

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