Coronal Perforation in Prematurely Erupted Permanent Tooth: Endo-Perio Treatment

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Karadeniz H. B., Saraç F., Şahin B. N.

2024 FDI World Dental Congress, İstanbul, Türkiye, 12 - 15 Eylül 2024, cilt.74, ss.354

  • Yayın Türü: Bildiri / Özet Bildiri
  • Cilt numarası: 74
  • Doi Numarası: 10.1016/j.identj.2024.07.447
  • Basıldığı Şehir: İstanbul
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.354
  • Atatürk Üniversitesi Adresli: Evet

Özet

INTRODUCTION

Premature eruption occurs when a tooth emerges earlier than expected due to various reasons. Managing perforations in permanent teeth with premature eruption presents significant clinical challenges. This case report aims to highlight repairing coronal perforations in prematurely erupted permanent teeth with mineral trioxide aggregate (MTA) and managing Endodontic & Periodontal treatment.

CASE DESCRIPTION

An 8-year-old girl presenting with pain complaint to our clinic, clinical and radiographic examinations revealed percussion, mobility, and periodontal abscess on #34. Upon initiating treatment, an iatrogenic coronal perforation was observed on the prematurely erupted #34. In the first session, the perforation was repaired with MTA. Two weeks later, subgingival curettage and drainage were performed with the first session of the regeneration treatment protocol. Two weeks later, the second session of the regenerative treatment was carried out, and it was restored with a stainless steel crown.

DISCUSSION

Repairing the perforation area in a leak-proof manner is important for preventing complications in the periradicular region. MTA is frequently preferred for both regeneration and perforation repair. In our study, in line with the literature, perforation repair was performed using MTA on #34, while also applying a regeneration protocol. As far as we know, cases combining factors that complicate clinical management, such as premature eruption and perforation, are limited. From this point, we believe our case will contribute to the literature.

CONCLUSION/CLINICAL SIGNIFICANCE

Following a year-long follow-up, it was observed that periradicular pathology recovered, the tooth was asymptomatic, and root development continued. This case presentation demonstrates the regenerative potential of young permanent teeth.