Sepultamento de raízes residuais como opção de tratamento em paciente com risco de osteonecrose: Relato de caso

Abstract

The report of this clinical case aims to describe a conservative procedure performed in a patient with a history of oropharynx cancer and, consequently, high risk of mandibular osteonecrosis with exodontia. Clinical case: A 61-year-old male patient, leucoderma, attended the dental clinic reporting dissatisfaction with his oral condition. In patient anamnesis told his previous medical history of oropharynx cancer with local radiotherapy, and on clinical examination were visualized several conditions that deserved attention, confirmed in the imaging examination (Panoramic Radiography). As the patient underwent radiotherapy and also chemotherapy sessions, we opted for conservative treatments, not invasive, first by medical history, according to dental history and third by the age of the patient, which proved to be very important variants to be considered as risk factors for osteonecrosis, if they opted for an invasive or non-conservative treatment. On clinical examination, the unadapted prosthetic crown can be observed with the presence of extensive caries in tooth 46. Due to the systemic condition of the patient, the treatment plan for this tooth was the removal of this crown and the burial of the roots performing functional rehabilitation with fixed adhesive prosthesis, using teeth 45 and 47 as apillars. With this clinical case, it can be concluded that the patient's history is extremely important for the elaboration of the treatment plan and several times need to use more conservative approaches to meet the functional and aesthetic needs in a patient with systemic risks.