Use of bioceramic for apexification in a tooth with trauma: case report

Abstract

Dental trauma is an involuntary occurrence that can affect patients of both sexes and different ages, ranging from concussion, fracture and pulp exposure to tooth avulsion. Objective: describe a clinical case of the effect of bioceramic on a tooth with a resorbed apex due to trauma. Case report: Male patient, 26 years old, hypertensive, who sought the emergency service of the Dental polyclinic of the state of Amazonas (POUEA), presenting as his main complaint diffuse and spontaneous tooth pain in the anterior region of the jaw with history of dental trauma, having fractured the crown without seeking dental care at the time. In the oral clinical examination, loss of the crown of element 41 was observed, presence of pain on palpation at the bottom of the vestibule, with a positive response to vertical and horizontal percussion tests, as well as absence of sensitivity to cold. On the periapical radiograph of the element, it was seen that the tooth had its apex resorbed. The treatment was carried out in three sessions, with access to the element, instrumentation and filling of the canal with Biodentine bioceramic for apexification. Subsequently, clinical radiographic follow-up of the patient was carried out, where the beginning of apical bone neoformation and absence of symptoms were observed. Final consideration: bioceramics have bioactivity capable of forming hydroxyapatite, promoting apical repair.