Management of Tooth Discoloration after Orthognathic Surgery Complications: Report of Two Cases

ABSTRACT: Orthognathic surgery is performed for the correction of craniofacial discrepancies. However, complications, such as tooth discoloration are possible. This case report presents two patients who underwent bilateral sagittal split ramus osteotomy associated with segmental Le Fort I osteotomy...

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Autores principales:	Galvani,Lucas David, Coaguila-Llerena,Hernán, Bordini,Ester Alves Ferreira, Dantas,Andréa Abi Rached, Saad,Jose Roberto Cury, Kuga,Milton Carlos
Lenguaje:	English
Publicado:	Universidad de La Frontera. Facultad de Medicina 2021
Materias:	endodontics orthognathic surgery tooth bleaching tooth discoloration
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2021000300553
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spelling	oai:scielo:S0718-381X20210003005532021-09-21Management of Tooth Discoloration after Orthognathic Surgery Complications: Report of Two CasesGalvani,Lucas DavidCoaguila-Llerena,HernánBordini,Ester Alves FerreiraDantas,Andréa Abi RachedSaad,Jose Roberto CuryKuga,Milton Carlos endodontics orthognathic surgery tooth bleaching tooth discoloration ABSTRACT: Orthognathic surgery is performed for the correction of craniofacial discrepancies. However, complications, such as tooth discoloration are possible. This case report presents two patients who underwent bilateral sagittal split ramus osteotomy associated with segmental Le Fort I osteotomy and genioplasty. During surgeries, the apical region of anterior teeth was accidentally injured in both cases. After three-week surgery follow-up, the injured teeth showed a change in color to dark pink. In both teeth, the root canal treatment was performed followed by the non vital tooth bleaching. Three sessions were necessary to achieve a significant color change of the teeth. The two-year follow-up showed that both teeth preserved an acceptable color. It was concluded that tooth discoloration after orthognathic surgery is a possible complication, which could be overcome following a conservative approach. Additionally, patients should be informed preoperatively.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.15 n.3 20212021-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2021000300553en10.4067/S0718-381X2021000300553
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	endodontics orthognathic surgery tooth bleaching tooth discoloration
spellingShingle	endodontics orthognathic surgery tooth bleaching tooth discoloration Galvani,Lucas David Coaguila-Llerena,Hernán Bordini,Ester Alves Ferreira Dantas,Andréa Abi Rached Saad,Jose Roberto Cury Kuga,Milton Carlos Management of Tooth Discoloration after Orthognathic Surgery Complications: Report of Two Cases
description	ABSTRACT: Orthognathic surgery is performed for the correction of craniofacial discrepancies. However, complications, such as tooth discoloration are possible. This case report presents two patients who underwent bilateral sagittal split ramus osteotomy associated with segmental Le Fort I osteotomy and genioplasty. During surgeries, the apical region of anterior teeth was accidentally injured in both cases. After three-week surgery follow-up, the injured teeth showed a change in color to dark pink. In both teeth, the root canal treatment was performed followed by the non vital tooth bleaching. Three sessions were necessary to achieve a significant color change of the teeth. The two-year follow-up showed that both teeth preserved an acceptable color. It was concluded that tooth discoloration after orthognathic surgery is a possible complication, which could be overcome following a conservative approach. Additionally, patients should be informed preoperatively.
author	Galvani,Lucas David Coaguila-Llerena,Hernán Bordini,Ester Alves Ferreira Dantas,Andréa Abi Rached Saad,Jose Roberto Cury Kuga,Milton Carlos
author_facet	Galvani,Lucas David Coaguila-Llerena,Hernán Bordini,Ester Alves Ferreira Dantas,Andréa Abi Rached Saad,Jose Roberto Cury Kuga,Milton Carlos
author_sort	Galvani,Lucas David
title	Management of Tooth Discoloration after Orthognathic Surgery Complications: Report of Two Cases
title_short	Management of Tooth Discoloration after Orthognathic Surgery Complications: Report of Two Cases
title_full	Management of Tooth Discoloration after Orthognathic Surgery Complications: Report of Two Cases
title_fullStr	Management of Tooth Discoloration after Orthognathic Surgery Complications: Report of Two Cases
title_full_unstemmed	Management of Tooth Discoloration after Orthognathic Surgery Complications: Report of Two Cases
title_sort	management of tooth discoloration after orthognathic surgery complications: report of two cases
publisher	Universidad de La Frontera. Facultad de Medicina
publishDate	2021
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2021000300553
work_keys_str_mv	AT galvanilucasdavid managementoftoothdiscolorationafterorthognathicsurgerycomplicationsreportoftwocases AT coaguilallerenahernan managementoftoothdiscolorationafterorthognathicsurgerycomplicationsreportoftwocases AT bordiniesteralvesferreira managementoftoothdiscolorationafterorthognathicsurgerycomplicationsreportoftwocases AT dantasandreaabirached managementoftoothdiscolorationafterorthognathicsurgerycomplicationsreportoftwocases AT saadjoserobertocury managementoftoothdiscolorationafterorthognathicsurgerycomplicationsreportoftwocases AT kugamiltoncarlos managementoftoothdiscolorationafterorthognathicsurgerycomplicationsreportoftwocases
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Management of Tooth Discoloration after Orthognathic Surgery Complications: Report of Two Cases

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