Endodoncia con tapón apical biocerámico y su relación con ortodoncia: Reporte de caso

Abstract

Orthodontic movement does not change the pulp biology from a morphological point of view. Endodontic treatment does not interfere with the cellular and tissue phenomena of tooth movement. Therefore, from a biological point of view and correlating the information on pulp biology and orthodontic movement, the application of forces can be carried out a few days after the endodontic treatment is finished. We present the clinical case of a 12-year-old patient who presents in tooth 35 the pulp diagnosis of pulp necrosis and periapical chronic apical abscess where the root canal treatment was performed with open apex (Nolla stage 8) and apical lesion PAI 4. It was decided to place a bioceramic apical plug and then subject the patient to orthodontic movement after 1 month of having completed the endodontic treatment. The radiographic control at 2 years showed repair of the periapical process without influencing its movement within the orthodontic plan.