Effect of Trauma to Primary Tooth on
Permanent Maxillary Incisors: A Clinical
Case Report
Published: March 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/23935.9382
Bhawana Gupta, Sachin Gupta, Jitesh Wadhwa, Alpa Gupta
1. Consultant, Conservative and Operative Dentistry, Private Practice, Gupta dental clinic, Rohtak, Haryana, India.
2. Reader, Department of Periodontics, Career Institute of Dental Sciences, Lucknow, U.P, India.
3. Reader, Department of Orthodontics, K.D Dental College, Mathura, U.P, India.
4. Senior Resident, Conservative and Operative Dentistry, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.
Correspondence
Dr. Alpa Gupta,
H. No 640/30 Adarsh Nagar, Rohtak-124001, Haryana, India.
E-mail: alpagupta2008@gmail.com
Trauma to primary tooth leads to abnormal variations in crown and root canals of permanent teeth that presents a challenge in diagnosis and clinical management to the practitioner. This article presents a detailed case report of the endodontic treatment of a three canalled maxillary central incisor and maxillary lateral incisor having single canal with open apex linked with periodontal defect. Root canals were prepared with hand files and canals were irrigated with 2.5% sodium hypochlorite solution. Calcium hydroxide was placed as an intracanal medicament. As the expected healing did not occur even after one month of calcium hydroxide therapy, so periapical endodontic surgery was performed using Platelet Rich Plasma (PRP). Satisfactory clinical and radiographic results were obtained at 12 months. Detailed knowledge of the anatomical variations in the root canal and awareness of their configuration is essential for the success of such cases.
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