Reestablishing the Function and Esthetics in Traumatized Permanent Teeth with Large Apical Lesion

Area of Science:

• Endodontics
• Dental Traumatology
• Restorative Dentistry

Background:

• Dental trauma poses a significant risk to tooth integrity, potentially leading to pulp necrosis.
• Maxillary anterior teeth are particularly susceptible to traumatic injuries.
• Timely and appropriate intervention is crucial for preserving traumatized teeth.

Observation:

• A clinical case involving a traumatized maxillary right central incisor with subsequent pulp necrosis.
• Diagnosis revealed apical periodontitis complicating the dental trauma.
• The tooth required a multidisciplinary treatment approach.

Findings:

• Apexification using calcium hydroxide was performed to promote root end closure.
• Apical surgery was necessary to address persistent apical periodontitis.
• Internal and external tooth whitening procedures were conducted to restore aesthetics.

Implications:

• Multidisciplinary treatment, including apexification and apical surgery, can successfully manage complex dental trauma.
• Restorative procedures like tooth whitening are vital for achieving favorable aesthetic outcomes.
• Effective management highlights the importance of interdisciplinary collaboration in dentistry.