Effect of Trauma to Primary Tooth on Permanent Maxillary Incisors: A Clinical Case Report

Trauma to primary tooth leads to abnormal variations in crown and root canals of permanent teeth that presents a challenge in diagnosis and clinical management to the practitioner. This article presents a detailed case report of the endodontic treatment of a three canalled maxillary central incisor...

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Bibliographic Details
Published in:Journal of clinical and diagnostic research 2017-03, Vol.11 (3), p.ZD06-ZD08
Main Authors: Gupta, Bhawana, Gupta, Sachin, Wadhwa, Jitesh, Gupta, Alpa
Format: Article
Language:English
Subjects:
anatomic variations
Dentistry Section
open apex
platelet rich plasma
Online Access:Get full text
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Summary:Trauma to primary tooth leads to abnormal variations in crown and root canals of permanent teeth that presents a challenge in diagnosis and clinical management to the practitioner. This article presents a detailed case report of the endodontic treatment of a three canalled maxillary central incisor and maxillary lateral incisor having single canal with open apex linked with periodontal defect. Root canals were prepared with hand files and canals were irrigated with 2.5% sodium hypochlorite solution. Calcium hydroxide was placed as an intracanal medicament. As the expected healing did not occur even after one month of calcium hydroxide therapy, so periapical endodontic surgery was performed using Platelet Rich Plasma (PRP). Satisfactory clinical and radiographic results were obtained at 12 months. Detailed knowledge of the anatomical variations in the root canal and awareness of their configuration is essential for the success of such cases.
ISSN:2249-782X
0973-709X
DOI:10.7860/JCDR/2017/23935.9382