2021, Number 3
Surgical management of external root resorption of incisors caused by impacted canine
Language: Spanish
References: 13
Page: 454-460
PDF size: 349.61 Kb.
ABSTRACT
Background: preventing the premature loss of permanent teeth is the fundamental objective of the dental surgeon. External reabsorption can be a cause of tooth loss.Objective: to present the surgical management of a case of external root reabsorption of a central and left lateral incisor, caused by a retained upper canine.
Case report: 16-year-old female patient who comes to the office because she feels mobility of her incisors; the intra-oral clinical examination showed the absence in the mouth of the upper left canine and Miller's degree 1 mobility of the central and lateral incisors is observed on the same side. The radiographic and tomographic evaluation is done, and the presence of root reabsorption of the incisors is evidenced. Surgical removal of the canine accompanied by bone regeneration is proposed, to prevent external reabsorption from progressing. It is evaluated radiographically at 6 months after surgery, showing that there is no progression of reabsorption and there is a good stability of the compromised incisors.
Conclusions: with the removal of the impacted canine and bone regeneration, the patient was able to prevent the external reabsorption from progressing and recover the stability of his incisors.
REFERENCES
Yan B, Zongyang S, Fields H, Wang L. Maxillary canine impaction increases root resorption risk of adjacent teeth: A problem of physical proximity. Am J Orthod Dentofacial Orthop [Internet]. 2012 Dic [citado 22 Jul 2019];142(6):[aprox. 7 p.]. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/23195360/ .
Guarnieri R, Cavallini C, Vernucci R, Vichi M, Leonardi R, Barbato E. Impacted maxillary canines and root resorption of adjacent teeth: A retrospective observational study. Med Oral Patol Oral Cir Bucal [Internet]. 2016 Nov [citado 22 Jul 2019];21(6):[aprox. 8 p.]. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5116117/ .
Castro-Rodríguez Y, Arias-Duval G, Ballarta-Bernaola F, Cosar-Quiroz J. El periodontograma para el diagnóstico periodontal. Nueva propuesta para el registro de datos. Jpapo [Internet]. 2019 Jul [citado 22 Jul 2019];3(1):[aprox. 5 p.]. Disponible en: Disponible en: https://appo.com.pe/wp-content/uploads/2019/08/APPO_AF.pdf
Martínez Lozano MA, Forner Navarro L, Sánchez Cortés JL. Consideraciones clínicas sobre la resorción radicular externa por impactación dentaria. Av Odontoestomato [Internet]. Ene-Feb 2003 [citado 22 Jul 2019];19(1). Disponible en: Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-12852003000100004
Chaushu S, Kaczor-Urbanowicz K, Zadurska M, Becker A. Predisposing factors for severe incisor root resorption associated with impacted maxillary canines. Am J Orthod Dentofacial Orthop [Internet]. 2015 Ene [citado 22 Jul 2019];147(1):[aprox. 8 p.]. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/25533072/ . doi: 10.1016/j.ajodo.2014.09.012
Ucar FI, Celebi AA, Tan E, Topcuoğlu T, Sekerci AE. Effects of impacted maxillary canines on root resorption of lateral incisors. A cone beam computed tomography study. J Orofac Orthop [Internet]. 2017 [citado 22 Jul 2019];78(3):[aprox. 8 p.]. Disponible en: Disponible en: https://europepmc.org/article/med/28204849
de Campos Neves ATS, Volpato LER, Oliveira TM, Palma VC, Tonetto MR, Bandeca MC, et al. Root Resorption of Maxillary Incisors caused by Bilaterally Impacted Canines: An Evaluation by Cone-Beam Computed Tomography. World J Dent [Internet]. 2014 [citado 22 Jul 2019];5(1):[aprox. 5 p.]. Disponible en: Disponible en: https://www.wjoud.com/doi/WJOUD/pdf/10.5005/jp-journals-10015-1261
Ayoub AH, Belal SM. Clinical and radiographic evaluation of socket preservation using autologous concentrated growth factors enriched bone graft matrix (Sticky bone): a case report. EC Dental Scienc [Internet]. 2016 [citado 22 Jul 2019];5(4):[aprox. 8 p.]. Disponible en: Disponible en: https://www.ecronicon.com/ecde/pdf/ECDE-05-0000159.pdf