Non-surgical resolution of a tooth with periapical injury and open apex in an adult patient, laser diode treatment. Case Repor
DOI:
https://doi.org/10.31984/oactiva.v6i2.628Keywords:
Trauma, Open apex, Laser diode, BiodentineAbstract
Dentoalveolar trauma affects not only the teeth but also the supporting tissues. It can be followed by various sequelae, among them pulp necrosis. These if not detected in time, can worsen the clinical picture.In cases of young permanent teeth, the treatment involves a challenge in the therapy, since there is an interruption in root development, causing the tooth to present thin walls and an open apex. The following article is a case report of a patient who presents to the appointment with a history of trauma in the anterior sector, presenting his upper central incisor with incomplete root development and an extensive periapical lesion. The chosen treatment included endodontic therapy with a Biodentine apical plug and application of laser therapy. Follow-up after 24 months of completion of the treatment showed a favorable evolution both in the CBCT and clinical control. Despite presenting extensive periapical injury, conventional endodontic treatment was the first choice.
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