International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 1 , ISSUE 1 ( September-December, 2008 ) > List of Articles

CASE REPORT

Endo-esthetic Management of Permanent Maxillary Lateral Incisor with Severe Root Dilaceration in a 12-year-old Child

Vishwas Chaugule, Chetan Bhat, Vishwas Patil, Krupali Shah, Shirish Vihapure

Keywords : Root dilacerations, Endo-esthetic management, Fiber post and core buildup

Citation Information : Chaugule V, Bhat C, Patil V, Shah K, Vihapure S. Endo-esthetic Management of Permanent Maxillary Lateral Incisor with Severe Root Dilaceration in a 12-year-old Child. Int J Clin Pediatr Dent 2008; 1 (1):32-38.

DOI: 10.5005/jp-journals-10005-1006

License: CC BY-NC 4.0

Published Online: 00-12-2008

Copyright Statement:  Copyright © 2008; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Functional, esthetic and endodontic restoration of a pulpally involved permanent incisor with root dilaceration often presents a daunting clinical challenge. The outcome of conventional treatment modalities like surgical removal of the tooth followed by orthodontic closure of the space is time consuming and esthetically compromising. Even the prosthetic and implantalogical rehabilitation after extraction is not possible until the patient reaches certain age; while the compliance is a problem with the use of removable partial denture in young children. Autoalloplastic anterior tooth transplantation can lead to physical and psychological trauma in a young individual. Thus endo-esthetic management of such teeth helps in maintaining both morphology and esthetics in a growing child until the permanent long lasting prosthetic solution is sought after the complete development of the dentition and jaws. This treatment option for a pulpally involved permanent incisor with root dilaceration involves completing the endodontic treatment in a partially calcified and aberrantly located root canal followed by the use of light transmitting fiber post and core build up using composite resin.


PDF Share
  1. Andreasen JO, Sundstrom B, Ravn JJ. The effect of traumatic injuries to primary teeth on their successors. A clinical, radiographic, microradiographic and electron-microscopic study of 117 injured permanent teeth. Scand J Dent Res 1970;79:219-283.
  2. Selliseth NE. The significance of traumatised primary incisors on the development and eruption of permanent teeth. Rep Congr Eur Orthod Soc 1970:443-459.
  3. Andreasen, JO. Injuries to developing teeth. In: Andreasen, JO.; Andreasen, FM., editors. Textbook and color atlas of traumatic injuries to the teeth. 3rd ed. Copenhagen: Munksgaard; 1994. p. 457-494.
  4. Zilberman Y, Fuks A, Ben Bassat Y, Brin I, Lustmann J. Effect of trauma to primary incisors on root development of their permanent successors. Pediatr Dent 1986 Dec;8(4):289-293.
  5. Smith DM, Winter GB. Root dilaceration of maxillary incisors. Br Dent J 1981 Mar 3;150(5):125-127.
  6. Stewart DJ. Dilacerated unerupted maxillary central incisors. Br Dent J 1978 Oct 17;145(8):229-233.
  7. Davies PH, Lewis DH. Dilaceration-a surgical/orthodontic solution. Br Dent J 1984 Jan 7;156(1):16-18.
  8. Tsukiboshi, M.; Yamauchi, N. Treatment planning for traumatized teeth. 2nd ed. USA: Quintessence Publishing Co;
  9. Chapter 12, Trauma to the primary dentition. 231 p.
  10. Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1972;1(5):235-239.
  11. Filippi A, Pohl Y, Tekin U. Transplantation of displaced and dilacerated anterior teeth. Endod Dent Traumatol 1998 Apr;14(2): 93-98.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.