Cervical lesions in the aesthetic zone with exposure of radicular canals: the role of a multidisciplinary approach

Madiana Magalhães Moreira, Liana Freire de Brito, Celiane Mary Carneiro Tapety, Flávia Aparecida Chaves Furlaneto, Bruno Carvalho de Vasconcelos

Introduction: Some clinical situations do not present as ideal for proper restorative treatment, and the dentist must find alternative ways to properly access the gingival margin. Objective: The objective of this report is to present a case of cervical lesions with buccal exposure of root canals in which interaction among Endodontics, Restorative Dentistry and Periodontics was key to success. Case report: Patient presented with subgingival cervical carious lesions, with exposure of anterior teeth root canals. Initial treatment was performed with adapted rubber dam isolation. After instrumentation, gutta-percha cones covered in petroleum jelly were introduced in the canals to assist provisional restoration on the buccal surface. Endodontic and periodontal treatment was later completed, and teeth were restored during periodontal surgery with composite resin. Conclusions: Multidisciplinary treatment planning of atypical cases and adaptation of conventional procedures for treatment of complex cases must always be taken into account, aiming at recovering patient’s health, aesthetics and function.

Keywords: Tooth caries. Composite resins. Dental specialties.

How to cite: Moreira MM, Brito LF, Tapety CMC, Furlaneto FAC, Vasconcelos BC. Cervical lesions in the aesthetic zone with exposure of radicular canals: the role of a multidisciplinary approach. Dental Press Endod. 2017 Sept-Dec;7(3):66-9. DOI: https://doi.org/10.14436/2358-2545.7.3.066-069.oar

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