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Endodontic treatment of a dental fracture with pulp exposure of the right upper fourth premolar in a canine: case report.
Tratamiento endodóntico en fractura dentaria con exposición pulpar de cuarto premolar superior derecho en un canino: reporte de caso.
DOI:
https://doi.org/10.15446/rfmvz.v71n3.116167Keywords:
pulp exposure, root canal, treatment, dental fracture (en)fractura dental, exposición pulpar, obturación, canal radicular (es)
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Dental fractures represent a specific set of injuries affecting the tooth and/or its supporting structures. In veterinary dentistry, crown fractures with pulp chamber exposure are among the most common endodontic injuries. While tooth extraction is one possible treatment for these cases, root canal therapy offers a more specialized and less invasive alternative, particularly suitable for horizontal supragingival tooth fractures. This report presents the case of a 5-year-old male Cavalier King Charles Spaniel, neutered, evaluated and treated by the Amico Dental veterinary team in Brazil. During the clinical examination, mild gingivitis and a dental fracture involving enamel, dentin, and pulp of tooth 108 were observed. Radiographic examination revealed signs of periapical bone lysis, suggesting a localized infection. This case emphasizes the significance of dental fractures and presents endodontic treatment through root canal obturation as an alternative to tooth extraction in cases of pulp exposure.
Las fracturas dentales son un conjunto de lesiones específicas que afectan al diente y/o a sus estructuras de soporte. En la odontología veterinaria, la fractura de la corona dental con exposición de la cámara pulpar es una de las lesiones endodónticas más comunes. Aunque la extracción dental es uno de los tratamientos que se puede utilizar para estos casos, el tratamiento del canal radicular es un procedimiento más especializado y menos invasivo, por lo cual es una alternativa viable para fracturas supragingivales horizontales del diente. Este trabajo reporta el caso de un canino macho de raza Cavalier King Charles Spaniel, castrado y de 5 años, evaluado y tratado por el equipo veterinario Amico Dental en Brasil. Durante el examen clínico, se observó gingivitis leve y una fractura dental que afectaba el esmalte, la dentina y la pulpa en el diente 108. El examen radiográfico mostró indicios de lisis ósea periapical, lo que sugirió una posible infección localizada. Este caso subraya la importancia de las fracturas dentales y presenta el tratamiento endodóntico mediante la restauración radicular con la técnica de obturación del canal pulpar como una opción frente a la extracción dental en casos de exposición pulpar.
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