Apexificación de un Diente Traumatizado con Barrera Apical Artificial de Material Bioactivo
Caso Clínico
DOI:
https://doi.org/10.62172/revfouba.n92.a210Palabras clave:
odontología pediátrica, endodoncia, traumatismos dentales, diente no vital, apexificaciónResumen
Los traumatismos dentarios son muy frecuentes en niños de edad escolar. Una de sus complicaciones es la necrosis pulpar, que impide la maduración del diente permanente joven. Su tratamiento constituye un verdadero desafío para el odontólogo, quien debe recurrir a técnicas endodónticas específicas y complejas. Se describe el tratamiento de urgencia, realizado en la Cátedra de Odontología Integral Niños de la Facultad de Odontología de la Universidad de Buenos Aires (FOUBA), de una infección odontogénica en un diente inmaduro con antecedente de traumatismo de 2 años de antigüedad y la posterior terapéutica endodóntica empleada con creación de una barrera apical artificial con material bioactivo y seguimiento por dos años. Los resultados fueron satisfactorios, con dos años de seguimiento.
Citas
Abbas, A., Kethineni, B., Puppala, R., Birapu, U. C., Raghavendra, K. J., y Reddy, P. (2020). Efficacy of mineral trioxide aggregate and biodentine as apical barriers in immature permanent teeth: a microbiological study. International Journal of Clinical Pediatric Dentistry, 13(6), 656–662. https://doi.org/10.5005/jp-journals-10005-1853
Aeran, H., Sharma, M., y Tuli, A. (2021). Biodentine: material of choice for apexification. International Journal of Oral Health Dentistry, 7(1), 54-56. https://doi.org/10.18231/j.ijohd.2021.011
Alobaid, A. S., Cortes, L. M., Lo, J., Nguyen, T. T., Albert, J., Abu-Melha, A. S., Lin, L. M., y Gibbs, J. L. (2014). Radiographic and clinical outcomes of the treatment of immature permanent teeth by revascularization or apexification: a pilot retrospective cohort study. Journal of Endodontics, 40(8), 1063–1070. https://doi.org/10.1016/j.joen.2014.02.016
American Academy of Pediatric Dentistry. AAPD. (2023). Pulp therapy for primary and immature permanent teeth. The Reference Manual of Pediatric Dentistry [en línea]. American Academy of Pediatric Dentistry, 457–465. https://www.aapd.org/research/oral-health-policies--recommendations/pulp-therapy-for-primary-and-immature-permanent-teeth/
American Association of Endodontists. AAE. (2020). Glossary of endodontic terms [en línea]. https://www.aae.org/specialty/clinical-resources/glossary-endodontic-terms/
Andreasen, F. M., Lauridsen, E., y Andreasen, J. O. (2019). Crown fractures (cap. 13). En Andreasen, J. O., Andreasen, F. M., y Andersson, L. (eds). Textbook and color atlas of traumatic injuries to the teeth (5ta ed.). John Wiley & Sons.
Andreasen, J. O., Farik, B., y Munksgaard, E. C. (2002). Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dental Traumatology, 18(3), 134–137. https://doi.org/10.1034/j.1600-9657.2002.00097.x
Bani, M., Sungurtekin-Ekçi, E., y Odabaş, M. E. (2015). Efficacy of biodentine as an apical plug in nonvital permanent teeth with open apices: an in vitro study. BioMed Research International, 2015, 359275. https://doi.org/10.1155/2015/359275
Bourguignon, C., Cohenca, N., Lauridsen, E., Flores, M. T., O'Connell, A. C., Day, P. F., Tsilingaridis, G., Abbott, P. V., Fouad, A. F., Hicks, L., Andreasen, J. O., Cehreli, Z. C., Harlamb, S., Kahler, B., Oginni, A., Semper, M., y Levin, L. (2020). International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. Dental Traumatology, 36(4), 314–330. https://doi.org/10.1111/edt.12578
Camilleri, J., Sorrentino, F., y Damidot, D. (2013). Investigation of the hydration and bioactivity of radiopacified tricalcium silicate cement, Biodentine and MTA Angelus. Dental Materials, 29(5), 580–593. https://doi.org/10.1016/j.dental.2013.03.007
Cvek M. (1992). Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study. Endodontics & Dental Traumatology, 8(2), 45–55. https://doi.org/10.1111/j.1600-9657.1992.tb00228.x
Cvek, M., Abbott, P. V., Bakland, L. K., y Heithersay, G. S. (2019). Management of trauma‐related pulp disease and tooth resorption (cap. 25). En Andreasen, J. O., Andreasen, F. M., y Andersson, L. (eds). Textbook and color atlas of traumatic injuries to the teeth (5ta ed.). John Wiley & Sons.
Damle, S. G., Bhattal, H., y Loomba, A. (2012). Apexification of anterior teeth: a comparative evaluation of mineral trioxide aggregate and calcium hydroxide paste. The Journal of Clinical Pediatric Dentistry, 36(3), 263–268. https://meridian.allenpress.com/jcpd/article-pdf/36/3/263/2192850/jcpd_36_3_02354g044271t152.pdf
Darak, P., Likhitkar, M., Goenka, S., Kumar, A., Madale, P., y Kelode, A. (2020). Comparative evaluation of fracture resistance of simulated immature teeth and its effect on single visit apexification versus complete obturation using MTA and biodentine. Journal of Family Medicine and Primary Care, 9(4), 2011–2015. https://doi.org/10.4103/jfmpc.jfmpc_1145_19
Frank A. L. (1966). Therapy for the divergent pulpless tooth by continued apical formation. Journal of the American Dental Association (1939), 72(1), 87–93. https://doi.org/10.14219/jada.archive.1966.0017
Harlamb S. C. (2016). Management of incompletely developed teeth requiring root canal treatment. Australian Dental Journal, 61(Suppl. 1), 95–106. https://doi.org/10.1111/adj.12401
Huang G. T. (2009). Apexification: the beginning of its end. International Endodontic Journal, 42(10), 855–866. https://doi.org/10.1111/j.1365-2591.2009.01577.x
Kahler, B., Rossi-Fedele, G., Chugal, N., y Lin, L. M. (2017). An evidence-based review of the efficacy of treatment approaches for immature permanent teeth with pulp necrosis. Journal of Endodontics, 43(7), 1052–1057. https://doi.org/10.1016/j.joen.2017.03.003
Kaiser, H. J. (1964). Management of wide-open apex canals with calcium hydroxide. En 21st Annual Meeting of the American Association of Endodontists., Washington DC (17 al 19 de abril). https://www.aae.org/specialty/wp-content/uploads/sites/2/2017/07/1964annualsessionprogram_d.c.pdf
Kaup, M., Schäfer, E., y Dammaschke, T. (2015). An in vitro study of different material properties of Biodentine compared to ProRoot MTA. Head & Face Medicine, 11, 16. https://doi.org/10.1186/s13005-015-0074-9
Levin, L., Day, P. F., Hicks, L., O'Connell, A., Fouad, A. F., Bourguignon, C., y Abbott, P. V. (2020). International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: general introduction. Dental Traumatology, 36(4), 309–313. https://doi.org/10.1111/edt.12574
Murray P. E. (2023). Review of guidance for the selection of regenerative endodontics, apexogenesis, apexification, pulpotomy, and other endodontic treatments for immature permanent teeth. International Endodontic Journal, 56(Suppl 2), 188–199. https://doi.org/10.1111/iej.13809
Nazzal, H., y Duggal, M. S. (2017). Regenerative endodontics: a true paradigm shift or a bandwagon about to be derailed?. European Archives of Paediatric Dentistry, 18(1), 3–15. https://doi.org/10.1007/s40368-016-0265-5
Nolla, C. M. (1960). The development of permanent teeth. Journal of Dentistry for Children, 27, 254–266. https://www.dentalage.co.uk/wp-content/uploads/2014/09/nolla_cm_1960_development_perm_teeth.pdf
Rafter M. (2005). Apexification: a review. Dental Traumatology, 21(1), 1–8. https://doi.org/10.1111/j.1600-9657.2004.00284.x
Sanz, J. L., Rodríguez-Lozano, F. J., Llena, C., Sauro, S., y Forner, L. (2019). Bioactivity of bioceramic materials used in the dentin-pulp complex therapy: a systematic review. Materials (Basel, Switzerland), 12(7), 1015. https://doi.org/10.3390/ma12071015
Swaikat, M., Faus-Matoses, I., Zubizarreta-Macho, Á., Ashkar, I., Faus-Matoses, V., Bellot-Arcís, C., Iranzo-Cortés, J. E., y Montiel-Company, J. M. (2023). Is revascularization the treatment of choice for traumatized necrotic immature teeth? A systematic review and meta-analysis. Journal of Clinical Medicine, 12(7), 2656. https://doi.org/10.3390/jcm12072656
Torabinejad, M., Hong, C. U., McDonald, F., y Pitt Ford, T. R. (1995). Physical and chemical properties of a new root-end filling material. Journal of Endodontics, 21(7), 349–353. https://doi.org/10.1016/S0099-2399(06)80967-2
Torabinejad, M., Nosrat, A., Verma, P., y Udochukwu, O. (2017). Regenerative endodontic treatment or mineral trioxide aggregate apical plug in teeth with necrotic pulps and open apices: a systematic review and meta-analysis. Journal of Endodontics, 43(11), 1806–1820. https://doi.org/10.1016/j.joen.2017.06.029
Torabinejad, M., y Parirokh, M. (2010). Mineral trioxide aggregate: a comprehensive literature review--part II: leakage and biocompatibility investigations. Journal of Endodontics, 36(2), 190–202. https://doi.org/10.1016/j.joen.2009.09.010
Vidal, K., Martin, G., Lozano, O., Salas, M., Trigueros, J., y Aguilar, G. (2016). Apical closure in apexification: a review and case report of apexification treatment of an immature permanent tooth with biodentine. Journal of Endodontics, 42(5), 730–734. https://doi.org/10.1016/j.joen.2016.02.007
Walia, T., Chawla, H. S., y Gauba, K. (2000). Management of wide open apices in non-vital permanent teeth with Ca(OH)2 paste. The Journal of Clinical Pediatric Dentistry, 25(1), 51–56. https://doi.org/10.17796/jcpd.25.1.n224g827014n02n2
Wikström, A., Brundin, M., Lopes, M. F., El Sayed, M., y Tsilingaridis, G. (2021). What is the best long-term treatment modality for immature permanent teeth with pulp necrosis and apical periodontitis?. European Archives of Paediatric Dentistry, 22(3), 311–340. https://doi.org/10.1007/s40368-020-00575-1
Witherspoon, D. E., y Ham, K. (2001). One-visit apexification: technique for inducing root-end barrier formation in apical closures. Practical Procedures & Aesthetic Dentistry : PPAD, 13(6), 455–462.
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Derechos de autor 2024 Revista de la Facultad de Odontologia de la Universidad de Buenos Aires
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