Conservative non-surgical management of an extensive periapical lesion – a case report

Borisova-Papancheva, Tsvetelina; Panov, Vladimir; Papanchev, Georgi; Peev, Stefan

doi:10.18044/medinform.201524.364

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…4 Dengan menghilangkan sumber iritan dari sistem saluran akar dan dilakukan obturasi, diharapkan terjadinya penyembuhan lesi periapikal. 7 Apabila tidak dirawat, granuloma periapikal dapat bertransformasi menjadi kista periapikal melalui proliferasi sel epitel pada daerah tersebut. 4…”

Section: Diskusiunclassified

Perawatan saluran akar periodontitis apikalis kronis pada gigi insisivus lateral maksilaris kiri

Stefani

2023

JKGT

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Background: Root canal treatment is one of the modalities to treat periapical lesions. The success of root canal treatment in periapical lesions can be seen with the patient's chief complaint and the healing of periapical lesions as seen by the radiograph. Objective: This case report aims to demonstrate root canal treatment on a maxillary anterior tooth with periapical lesion. Case report: A 22-year-old female patient came with complaints of a maxillary anterior tooth that had throbbing pain several months ago, after having it filled by a previous dentist, and since then, it has never hurt again. Intra-oral examination of tooth 12 showed composite resin on the mesiopalatal surface. Radiographic findings showed that there was a round radiolucency in the periapical area with a diameter of 4 mm. Root canal treatment was performed based on the diagnosis of chronic apical periodontitis et causa necrotic pulp. Root canal treatment begins with the application of a rubber dam, opens the cavity, explores the root canal, and shapes the root canal. Biomechanical preparation was carried out using Protaper Hand Use with crown down technique, combined with 2.5% NaOCl irrigation. The first visit ends with the disinfection of the root canal using calcium hydroxide. Subsequent treatment was carried out with subjective and objective examination, removal of temporary filling, cleaning of calcium hydroxide, and final irrigation with 2.5% NaOCl, 17% EDTA, and 2% CHX. Obturation was achieved using the vertical condensation technique. The restoration was accomplished at the next visit using composite resin. Conclusion: Root canal treatment on teeth with chronic apical periodontitis was successfully carried out.

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Section: Diskusiunclassified

Perawatan saluran akar periodontitis apikalis kronis pada gigi insisivus lateral maksilaris kiri

Stefani

2023

JKGT

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“…Nonsurgical endodontic therapy of periapical lesions is a frequent and reliable course of treatment due to its high success rate 9 . Nevertheless, there are good reasons for endodontic surgery 10 .…”

Section: Introductionmentioning

confidence: 99%

“…7,8 Nonsurgical endodontic therapy of periapical lesions is a frequent and reliable course of treatment due to its high success rate. 9 Nevertheless, there are good reasons for endodontic surgery. 10 When endodontic surgery is required in the posterior region, it is frequently delayed in favor of tooth extraction, implant placement, or deliberate replantation of mandibular premolars and molars.…”

Section: Introductionmentioning

confidence: 99%

Surgical endodontic treatment of maxillary incisors: Case report

Almansour

2023

Clinical Case Reports

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“…Non-surgical endodontic management of periapical lesions is a routine predictable procedure for treatment because of its high success rate (1). However, there are valid indications for endodontic surgery (2).…”

Section: Introductionmentioning

confidence: 99%

Posterior Endodontic Surgery – A Case Report

Borisova-Papancheva¹,

Papanchev²,

Peev³

et al. 2016

MedInform

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Objective: Endodontic surgery is a standard procedure which enhances the retention* survival rate of many teeth which can not be treated only endodontically (inaccessibility to the apical part of the root by a coronal approach due to posts, root fractures, separated instruments in root canals, calcified and tortuous root canals, dens in dente, , etc.). Endodontic surgery can be applied both to the anterior and posterior regions on the maxilla and mandibula . In posterior regions the surgical procedure is more difficult due to anatomical conditions (maxillary sinus, mandibular canal, number of root canals, inaccessible posterior oral cavity, etc). Aim: To present a difficult clinical case where endodontic surgery was chosen as the most -convenient method for treatment because by the routine endodontic treatment is not possible to remove a separated instrument in the periapical lesion. Methods: The endodontic treatment was performed on tooth #36, followed by endodontic obturation of the root canal system. In two days an apicoectomy without retrograde filling was performed. Results: One year after the apicoectomy there is complete healing of the periapical lesion with new bone formation and no symptoms in the patient.

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Conservative non-surgical management of an extensive periapical lesion – a case report

Cited by 3 publications

References 8 publications

Perawatan saluran akar periodontitis apikalis kronis pada gigi insisivus lateral maksilaris kiri

Perawatan saluran akar periodontitis apikalis kronis pada gigi insisivus lateral maksilaris kiri

Surgical endodontic treatment of maxillary incisors: Case report

Posterior Endodontic Surgery – A Case Report

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