Multidisciplinary Intervention After Dental Trauma in a Young Patient During Sports Practice: A Case Report

This case report describes the multidisciplinary management of a young patient after sports-related dental trauma. A 13-year-old girl was referred to the endodontics service after initial emergency care for evaluation of persistent apical periodontitis associated with the permanent maxillary left central incisor (20). The treatment plan, based on CBCT images, included the removal of the orthodontic intracanal wire, which had been used for orthodontic traction, followed by adhesive restoration of Tooth 21 and paraendodontic surgical intervention performed under magnification. During surgery, biological material was collected using sterile paper cones to obtain biofilm material. Granulation tissue was curetted and processed for histological analysis. It was possible to observe the presence of dense connective tissue associated with diffuse inflammatory infiltrate, classified as a periapical granuloma. Microbiological analysis identified Pseudomonas aeruginosa in the clinical sample obtained during paraendodontic surgery. Six-month CBCT follow-up demonstrated periapical bone healing. This case highlights the importance of long-term multidisciplinary management after dental trauma in young patients.