Successful Non Surgical Endodontic Management of Multi-fractured Maxillary Anterior Teeth: A Two-year Follow-up
ZD17-ZD19
Correspondence
Dr. Kanwalpreet Kaur Bhullar,
Professor and Head, Department of Conservative Dentistry and Endodontics, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar-143006, Punjab, India.
E-mail: drkanwalpreetbhullar@gmail.com
Traumatic Dentoalveolar Injuries (TDI) refer to injuries to the tooth (crown/root) and/or the tooth-supporting structures (Periodontal Ligament (PDL)/alveolar bone) due to traumatic force. The incidence of trauma to maxillary anterior teeth is very high. Hereby, the authors present a case report of non surgical endodontic management of fractured maxillary anterior teeth in a 19-year-old female at the middle and apical third root levels. Clinical examination of the patient revealed multiple fracture injuries involving the upper anterior teeth. There was no response to the pulp sensibility test concerning teeth 11, 12, 21, 22, 23, and 24. The Conical Beam Computed Tomography (CBCT) results showed apical third root fractures in teeth 11 and middle third fractures in tooth 23. Resorptive abnormalities were visible in the periapical regions of teeth 11, 12, 21, 22, and 24. Root canal treatment was performed using a bioceramic sealer and Mineral Trioxide Aggregrate (MTA). Clinical, CBCT, and radiographic evaluations conducted 24 months after the initial treatment verified total resolution in the periapical areas of the affected teeth. The present case study demonstrated the usefulness of MTA for the rehabilitation of teeth with broken roots and bioceramic sealers in the treatment of resorptive defects in traumatised teeth. Clinical and radiological signs of healing were observed during a follow-up period of 24 months.