Apical Surgery and Resurgery After Recurrent Failure in Traumatised Immature Teeth: Reflections on Management Based on Two Case Reports

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Autori principali: Ana Laura Schauenberg Machado, Patrícia Maria Poli Kopper, Maurício Denicol Anastacio, Marcus Vinícius Reis Só, Patrícia Weidlich, Roberta Kochenborger Scarparo
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Pubblicazione: Wiley 2025
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author Ana Laura Schauenberg Machado
Patrícia Maria Poli Kopper
Maurício Denicol Anastacio
Marcus Vinícius Reis Só
Patrícia Weidlich
Roberta Kochenborger Scarparo
author_facet Ana Laura Schauenberg Machado
Patrícia Maria Poli Kopper
Maurício Denicol Anastacio
Marcus Vinícius Reis Só
Patrícia Weidlich
Roberta Kochenborger Scarparo
Ana Laura Schauenberg Machado
Patrícia Maria Poli Kopper
Maurício Denicol Anastacio
Marcus Vinícius Reis Só
Patrícia Weidlich
Roberta Kochenborger Scarparo
collection Wiley Open Access
contents Apical Surgery and Resurgery After Recurrent Failure in Traumatised Immature Teeth: Reflections on Management Based on Two Case Reports Ana Laura Schauenberg Machado Patrícia Maria Poli Kopper Maurício Denicol Anastacio Marcus Vinícius Reis Só Patrícia Weidlich Roberta Kochenborger Scarparo Australian Endodontic Journal ABSTRACTThis study reports two cases of traumatised non‐vital immature teeth (IT). Both underwent surgical and nonsurgical treatments after healing failure. In the first case, both maxillary central incisors underwent revascularization as the first treatment option. Failure was detected in tooth #8 after 15 months, while tooth #9 showed periapical healing and further root development. Apical microsurgery was performed because of persistent cystic fluid during nonsurgical retreatment. In the second case, there was recurrent endodontic treatment failure in tooth #9 after nonsurgical mineral trioxide aggregate (MTA) apical plug placement and apical surgery (AS). Endodontic resurgery comprised debridement, apical and lateral root surface planning and removal of remaining MTA from the bone lesion. For both cases, histopathological examination revealed the presence of inflammatory cysts. Periapical healing was observed 1 year after treatment. Apical surgery, and even resurgery, should be considered as alternatives to tooth extraction in growing patients with IT and recurrent healing failure. 10.1111/aej.12921 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/aej.12921
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spellingShingle Apical Surgery and Resurgery After Recurrent Failure in Traumatised Immature Teeth: Reflections on Management Based on Two Case Reports
Ana Laura Schauenberg Machado
Patrícia Maria Poli Kopper
Maurício Denicol Anastacio
Marcus Vinícius Reis Só
Patrícia Weidlich
Roberta Kochenborger Scarparo
Australian Endodontic Journal
Apical Surgery and Resurgery After Recurrent Failure in Traumatised Immature Teeth: Reflections on Management Based on Two Case Reports Ana Laura Schauenberg Machado Patrícia Maria Poli Kopper Maurício Denicol Anastacio Marcus Vinícius Reis Só Patrícia Weidlich Roberta Kochenborger Scarparo Australian Endodontic Journal ABSTRACTThis study reports two cases of traumatised non‐vital immature teeth (IT). Both underwent surgical and nonsurgical treatments after healing failure. In the first case, both maxillary central incisors underwent revascularization as the first treatment option. Failure was detected in tooth #8 after 15 months, while tooth #9 showed periapical healing and further root development. Apical microsurgery was performed because of persistent cystic fluid during nonsurgical retreatment. In the second case, there was recurrent endodontic treatment failure in tooth #9 after nonsurgical mineral trioxide aggregate (MTA) apical plug placement and apical surgery (AS). Endodontic resurgery comprised debridement, apical and lateral root surface planning and removal of remaining MTA from the bone lesion. For both cases, histopathological examination revealed the presence of inflammatory cysts. Periapical healing was observed 1 year after treatment. Apical surgery, and even resurgery, should be considered as alternatives to tooth extraction in growing patients with IT and recurrent healing failure. 10.1111/aej.12921 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Apical Surgery and Resurgery After Recurrent Failure in Traumatised Immature Teeth: Reflections on Management Based on Two Case Reports
topic Australian Endodontic Journal
url https://onlinelibrary.wiley.com/doi/10.1111/aej.12921