Dentistry Journal (Sep 2020)

Management of an Unsuccessful Regenerative Endodontic Procedure after Tooth Fracture: A Case Report

  • Luísa Bandeira Lopes,
  • Francisco Paredes,
  • Andreia Pimenta,
  • Inês Carpinteiro

DOI
https://doi.org/10.3390/dj8030094
Journal volume & issue
Vol. 8, no. 3
p. 94

Abstract

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Dental trauma is a very frequent occurrence in children and adolescents, which creates a great impact on the esthetics, functions, and phonetics. Traumatic dental injuries can range from simple enamel fractures to permanent tooth loss. This case report presents an eight-year-old patient with an uncomplicated crown fracture of tooth 21, and 30 days after trauma, it was diagnosed as necrotic pulp. The first treatment choice was a regenerative endodontic procedure (REP), however, the failure led to apexification with Mineral Trioxide Aggregate (MTA). The chosen rehabilitation was a composite veneer. Concerning the available literature and fracture enamel dentin, the treatment approach proposed for the case provided good functional and esthetic outcomes.

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