Keywords
ligamento periodontal
reimplantación
trauma
endodoncia
trauma dentoalveolar
How to Cite
Abstract
RESUMEN. Antecedentes: La avulsión es un tipo de lesión traumática poco frecuente en la dentición permanente. La reabsorción radicular externa es un evento común posterior al reimplante de un diente avulsionado. Objetivo: Reportar un caso de trauma de dos dientes reimplantados, en el que se obtuvieron resultados satisfactorios con 26 semanas de seguimiento. Reporte del caso: Manejo clínico de paciente de sexo masculino de 8 años de edad que se presenta a la clínica del Postgrado de Endodoncia de la Universidad de Cartagena, Colombia, con antecedente de avulsión y posterior reimplante con ferulización de los dos incisivos centrales superiores. Los dientes fueron preparados hasta lima 50 tipo K, medicados con hidróxido de calcio y obturados con MTA. Resultados: Se observó cicatrización de la superficie radicular con disminución de las zonas de reabsorción externa radicular después de 26 semanas de seguimiento. Conclusión: La reabsorción radicular externa en dientes avulsionados reimplantados puede contrarrestarse en la medida que hayan sido manejados con conocimiento profesional, dentro de un marco de tiempo y condiciones biológicas.
ABSTRACT. Background: Dental avulsion is a rare traumatic lesion in permanent teeth. External root resorption is a common event after reimplantation of an avulsed tooth. Purpose: To report a case of two reimplanted teeth with satisfactory results after controls during 26 weeks. Case report: Clinical management of an 8-year-old boy that seeks attention in the clinic of the Postdoctoral Program in Endodontics of University of Cartagena with background of avulsion of both central upper incisors. The teeth were prepared up to a type K # 50 file, medicated with calcium hydroxide and later filled with MTA. Results: Healing was observed on the root surface with reduction of the external radicular resorption after a 26-week follow-up. Conclusion: External radicular resorption can be counteracted as long as its handling was performed professionally within parameters of time and biological conditions.
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