Endodontic and prosthetic treatment of teeth with periapical lesions in a 16-year-old-girl

Abstract

This paper reports the nonsurgical endodontic therapy using calcium hydroxide intracanal dressing and prosthetic treatment of 9 teeth with periapical lesions in a 16-year-old female patient. The periodontal treatment plan included oral hygiene instructions, mechanical debridement and gingivectomy in the maxillary incisors to improve gingival contouring. Root canal treatment was indicated for teeth 11-13, 21, 22, 42-45. After successive changes of a calcium hydroxide intracanal dressing during 6 weeks, the size of the periapical radiolucencies decreased and lesion remission occurred after root canal obturation. The endodontically treated teeth received a bondable polyethylene reinforcement fiber (Ribbond) in the prepared canal space and crown buildup was done with composite resin. Prosthetic rehabilitation was planned with single-unit metal-ceramic crowns and fixed partial dentures. Clinical and radiographic evaluation after 6 months showed successful results. The outcomes of this case showed that chronic periapical lesions can respond favorably to nonsurgical endodontic treatment in adolescent patients and that, with proper indication, polyethylene fibers can provide an effective conservative and esthetic option for reinforcing endodontically treated teeth undergoing prosthetic rehabilitation.

Direct Resin Composite Restoration in Anterior Tooth: 10 Years of Clinical Follow-Up

“…For the esthetic and functional resolution of the case, a metal-free crown in the fractured of the upper left central incisor and indirect ceramic fragments to close the diastemas were considered. However, factors such as patient occlusion (Brambilla & Cavallè, 2007;Demarco et al, 2017), amount of dental remnant in the upper left central incisor (Brambilla & Cavallè, 2007;Skupien et al, 2016), possible need for endodontic treatment (Brambilla & Cavallè, 2007;Ayna et al, 2010), high cost (Batalocco et al, 2012;Skupien et al, 2016;Romero et al, 2017;Gresnigt et al, 2021). The clinical time required for prosthetic design and manufacturing (Pini et al, 2012;Skupien et al, 2016;Romero et al, 2017;Yanikian et al, 2019), biomechanical properties of materials to ensure functional and long-term outcomes (Crhistensen, 2004) were presented, discussed and considered by dental team and patient.…”

Tooth Loss Induces Memory Impairment and Glial Activation in Young Wild-Type Mice

“…Chronic periodontitis is the most prevalent cause of tooth loss in the elderly and is associated with a higher risk of impaired cognitive performance [ 12 ]. Other causes of tooth loss include planned orthodontic treatment, failure of endodontic treatment, fracture, and prosthetic treatment [ 13 ].…”

Analysis of endodontic success using a Periapical Index in teeth with different types of intraradicular posts

“…Intraradicular posts are required to promote retention of the coronal restorative material to the radicular portion in cases without preservation of the crown structure (Soares et al, 2012). The influence of the intraradicular post in the quality of the final restoration is also an important factor in the success of the endodontic therapy since the marginal coronal leakage can lead to reinfection of the apical region (Ayna et al, 2010).…”