Dental News - Bone block graft to treat an apicomarginal defect simultaneously with apical surgery of the maxillary incisors: A case report with three-year follow-up

Dr. Juan Cervera Ballester et al.

Wed. 24. August 2016

save

Objective: The objective of this article is to describe the successful management of an apicomarginal defect of a maxillary lateral incisor with a bone block graft performed simultaneously with apical surgery of both lateral and central incisors.

Case presentation: A 15-year-old male patient with a recurrent sinus tract involving the maxillary right incisors was referred for possible treatment with apical surgery. Root canal treatment and apical surgery had been undertaken unsuccessfully one year before. Radiographic examination revealed a radiolucent area surrounding the tooth apexes. A bone block was harvested from the apical area of the central incisor with ultrasound tips to gain access to the root end and apical surgery of both incisors was performed. The bone block graft was used to cover an apicomarginal bony defect of the maxillary lateral incisor. At the three-year follow-up, the teeth had no clinical signs or symptoms, and the periapical radiograph demonstrated complete healing around the apexes.

Conclusions: The use of a bone block graft to treat an apicomarginal defect in conjunction with apical surgery achieved complete healing of the periradicular tissue in this case.

Editorial note: The full article was published in the 2/2016 issue of the Journal of Oral Science and Rehabilitation. Access the full article at www.dtscience.com.

To post a reply please login or register

Prosthetic rehabilitation with short GTB implants: A case report with nine-year follow-up

Implant-prosthesis systems have continuously evolved regarding osseointegration, implant size reduction and long-term predictability results, guided by the ...

Maxillary full-arch implant-supported rehabilitation with a digital workflow: Two-year follow-up

Complete edentulism is an irreversible condition that is a known marker of disease burden for oral health.1 Edentulism significantly influences both oral ...

Spontaneous bone regeneration after removal of cysts: One-year follow-up of 336 consecutive cases

Objectives: The objective of this study was to assess spontaneous bone healing after enucleation of large jaw cysts without using any grafting material.

Sinus lift surgery in severely resorbed maxillae: One-year follow-up

The aim of this prospective study was to clinically analyze the behavior of implants inserted into severely resorbed maxillae after sinus grafting.

How to give a second life to third molars: A case series with follow-up

Dental autotransplantation entails extracting and repositioning a tooth into a different site in the mouth of the same patient. A successfully transplanted ...

Apical lesions: To treat or not to treat?

What do endodontic experts base their decisions on: intuition, experience or CBCT imaging? The following case report on a 10-year-old patient shows that an ...

Laser-assisted irrigation in endodontic treatment of a tooth with obstructed canals—A case report

A 72-year-old patient presented to our clinic for whom crown treatment of tooth #37 was planned owing to the patient complaining of recent pain on biting ...

Guided bone regeneration around one-stage nonsubmerged dental implants with bone defects

The aim was to evaluate the three-year outcome of nonsubmerged dental implants with buccal periimplant defects treated with a guided bone regeneration ...

Apexification with mineral trioxide aggregate (MTA): A case report

Mineral trioxide aggregate (MTA) was introduced as an alternative to traditional materials for the repair of root perforations and pulp capping and as a ...

A Class II open bite case with missing mandibular right central incisor, managed with a hybrid aligner treatment approach

Clear aligners are not always a perfect alternative to conventional orthodontic appliances.1–4 Although theoretically it is possible to achieve good ...

Education

Live webinar
Mon. 22 April 2024
10:00 am EST (New York)