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Case Report | Dentistry | Volume 15 Issue 8, August 2026 | Pages: 1239 - 1247 | India
Multidisciplinary Management of a Post-Traumatic Inflammatory Cystic Lesion in the Mandibular Anterior Region of a 12-Year-Old Child: A Case Report
Abstract: Background: Traumatic dental injuries can lead to crown fracture, tooth mobility and pulpal necrosis and periapical pathology in children. Due to the ability for the pulp to change status after trauma, clinical and radiographic examination should be performed periodically. Case: A 12-year-old boy came in after sustaining a fall while playing, resulting in trauma to his anterior mandibular region. The patient subsequently developed pain, swelling and purulent discharge. Clinical examination showed inflammation of gums, buccal mucosa obliteration and discharge of pus from 41. There were 41 Ellis Class II fractures, 32 Ellis Class I fractures and 31 were noted to be Grade II mobile. Orthopantomography was performed showing a well-defined radiolucency extending from 31 to 42 and further evaluation was carried out in CBCT. Thirty-one and 41 were non-vital, and 32 and 42 were delayed by pulp sensibility testing. After the stabilization, 31 and 41 were treated with root canal instrumentation using 4% taper rotary instrumentation and 40 finishing file, and obturation with bioceramic sealer. Surgical enucleation of the lesion, apicoectomy and retrograde filling with Septodont mineral trioxide aggregate (MTA) were subsequently performed. Peripheral venous blood was collected in 10 mL and centrifuged for 12 minutes to prepare platelet-rich fibrin (PRF) which was applied at the surgery site. Thirty-two and 42 were followed up and became pulpal non-vitals and had root canal treatment with the same protocol. After the crown preparation of 32 and 42, definitive rehabilitation was completed with Confident zirconia crowns. Follow-up radiographs showed that the radiolucent area diminished and the radiopacity increased in the anterior mandibular area. Conclusion: The need for long-term follow-up after a traumatic dental injury is highlighted and the role of a multidisciplinary management combining endodontic, surgical, biological and restorative treatment is illustrated.
Keywords: Dental trauma, Inflammatory Cystic Lesion, Pediatric Dentistry, Root Canal treatment, Mineral Trioxide Aggregate, Platelet-rich fibrin, Bioceramic sealer, Zirconia crown
How to Cite?: Dr. Vaishnavi K Naik, Dr. Bharath K P, Dr. Mallikarjuna K, Dr. Praveenkumar Bali, "Multidisciplinary Management of a Post-Traumatic Inflammatory Cystic Lesion in the Mandibular Anterior Region of a 12-Year-Old Child: A Case Report", Volume 15 Issue 8, August 2026, International Journal of Science and Research (IJSR), Pages: 1239-1247, https://www.ijsr.net/getabstract.php?paperid=SR26812190034, DOI: https://dx.doi.org/10.21275/SR26812190034