Apexification in a patient with septic arthritis of idiopathic origin

Abstract

Introduction: A patient with systemic risk is one who has a history that implies a greater probability of suffering complications during dental procedures. The approach must include complete information on the underlying pathology, and work in a transdisciplinary manner during invasive procedures that contact the bloodstream, avoiding causing systemic alterations and reacting in a timely manner to medical emergencies. Septic arthritis is an inflammatory reaction of the joint space of infectious origin where the most common microorganism is Staphylococcus aureus, with hematogenous dissemination being the most common in children, which is why odontogenic infections may be part of the etiology. Case report: The present case refers to an 11-year-old female patient referred to the Children's Hospital in the city of La Paz in the remission phase after diagnosis of septic arthritis of idiopathic origin that allegedly began with pulp therapy in a young permanent tooth with the possibility of an unconfirmed odontogenic infectious pathway. Conclusions: It was decided to conclude the treatment considering the patient at high medical risk and performing apexification to induce apical closure by applying bioactive pastes.