The importance of bioceramics and computed tomography in the late clinical management of a horizontal root fracture: a case report

• Caroline-Felipe-Magalhães Girelli ^[1] ; Carolina-Oliveira de Lima ^[2] ; Mariane-Floriano-Lopes-Santos Lacerda ^[3] ; Renato-Girelli Coellho ^[3] ; Frank-Ferreira Silveira ^[1] ; Eduardo Nunes ^[1]
  1. [1] Pontifícia Universidade Católica de Minas Gerais

     Pontifícia Universidade Católica de Minas Gerais

     Brasil

     
  2. [2] MSc. Department of Dentistry, State University of Rio de Janeiro,UERJ- RJ
  3. [3] DDs. Department of Dentistry, Juiz de Fora Federal University, UFJF/GV- MG

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• Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 12, Nº. 5 (May), 2020, págs. 514-518
• Idioma: inglés
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• Resumen

  • Root fractures resulting from dental trauma involve dentin, cementum and pulp. The present study aimed to demonstrate the importance of cone-beam computed tomography (CBTC) and bioceramics in the correct planning and intervention of a horizontal root fracture case in tooth 11 with late treatment in an 18-year-old patient. Clinical and radiographic examinations revealed tooth displacement, pain on vertical percussion and images suggestive of a horizontal root fracture. Pulp necrosis was diagnosed and CBTC was requested for treatment planning. Subsequently, endodontic treatment was performed using a bioceramic apical plug. A 2-year follow-up indicated the absence of root resorption and normal periodontal and periapical tissues. It was concluded that endodontic treatment associated with the use of bioceramics and the aid of CBTC is an effective therapeutic option in cases of permanent horizontal root fractures.