Successful Non-Surgical Root Canal Treatment on Auto-Transplanted Maxillary Premolar with Apical Periodontitis

Area of Science:

• Dentistry
• Endodontics
• Periodontics

Background:

• Tooth auto-transplantation replaces missing or damaged teeth.
• Complications like apical periodontitis can lead to auto-transplanted tooth failure.

Observation:

• A 15-year-old male received auto-transplanted teeth.
• One tooth integrated successfully, while the other developed pulp necrosis and a chronic apical abscess.

Findings:

• Non-surgical root canal treatment (NSRCT) was performed on the compromised auto-transplanted tooth.
• The treatment involved thorough cleaning, irrigation with sodium hypochlorite and EDTA, calcium hydroxide placement, and obturation with bioceramic material.

Implications:

• NSRCT can successfully manage apical periodontitis in auto-transplanted teeth, preserving them.
• This approach avoids extraction and maintains the tooth in young patients, promoting periodontal ligament healing.