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[Transient pink tooth discoloration during orthodontic treatment]
Nederlands Tijdschrift Voor Tandheelkunde
|December 28, 2020
Summary
Transient apical breakdown caused pink tooth discoloration in an orthodontic patient. This condition resolved spontaneously without endodontic treatment, highlighting the importance of accurate diagnosis in dental emergencies.
Area of Science:
- Dentistry
- Orthodontics
- Endodontics
Background:
- Sudden pink discoloration of a tooth can occur after orthodontic treatment.
- Differential diagnosis is crucial, as it may mimic other dental conditions.
Purpose of the Study:
- To report a case of transient apical breakdown (TAB) in a patient undergoing orthodontic treatment.
- To emphasize the importance of accurate diagnosis and conservative management for TAB.
Main Methods:
- Clinical examination including percussion, palpation, and cold testing.
- Radiographic assessment.
- Follow-up observation of clinical signs and symptoms.
Main Results:
- A healthy adult male developed pink discoloration of tooth 21 after orthodontic appliance placement.
- Initial diagnosis suggested non-painful periapical periodontitis requiring endodontic treatment.
- Further examination revealed no reaction to cold stimulus, leading to a likely diagnosis of transient apical breakdown.
- No endodontic treatment was performed, and orthodontic treatment continued.
- Visible recovery of the tooth was observed within six weeks.
Conclusions:
- Transient apical breakdown is a likely diagnosis for pink tooth discoloration in orthodontic patients.
- Conservative management without endodontic intervention can lead to spontaneous resolution.
- Accurate diagnosis is essential to avoid unnecessary endodontic treatment.
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