Unusual resolution of a periapical radiolucent area without endodontic therapy

Stolman, Joseph M.; Block, Robert M.

doi:10.1016/s0099-2399(77)80220-3

Cited by 3 publications

(3 citation statements)

References 33 publications

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“…Occasionally, periapical lesions have been observed around vital teeth subjected to orthodontic treatment (Stolman & Block 1977, Bender et al . 1997.…”

Section: Discussionmentioning

confidence: 99%

“…However, bony lesions have also been observed adjacent to vital teeth subjected to luxation injuries (Andreasen 1986, Boyds 1995 and orthodontic forces (Stolman & Block 1977, Bender et al . Normally the reasons behind symptoms and observations are readily understood.…”

Section: Introductionmentioning

confidence: 99%

“…Periapical and lateral radiolucencies in the middle or apical third of the root, often combined with fistulous tracts, usually indicate pulp pathology and the need for root canal treatment. However, bony lesions have also been observed adjacent to vital teeth subjected to luxation injuries (Andreasen 1986, Boyds 1995 and orthodontic forces (Stolman & Block 1977, Bender et al . 1997.…”

Section: Introductionmentioning

confidence: 99%

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Lateral breakdown of nonendodontic origin adjacent to maxillary left incisors

Fristad

Hagen²,

Bårdsen

et al. 2000

Int Endodontic J

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A 16-year-old female presented with a labial fistula located between the central and lateral left maxillary incisors. The teeth had normal colour, responded positively to pulp testing, demonstrated negative percussion tests and had no evidence of periodontal pockets. The patient reported no history of trauma, but mentioned that she had received orthodontic treatment. Radiographic examination showed bone loss between these two teeth. Explorative surgery followed by antibiotic treatment was performed, but a fistula reappeared after 22 months. Surgical retreatment combined with antibiotic treatment resulted in gradual healing over a three-year period. No root canal treatment was performed. Aetiological considerations connected to tissue injury and inflammation are discussed. Inflammation induced disturbances in local homeostasis may possibly explain the lateral breakdown of bone. Such areas of reduced resistance may, under unfavourable conditions, be infected by blood-born pathogens. Information about such aberrant cases is important in endodontic decision making.

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“…Occasionally, periapical lesions have been observed around vital teeth subjected to orthodontic treatment (Stolman & Block 1977, Bender et al . 1997.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Lateral breakdown of nonendodontic origin adjacent to maxillary left incisors

Fristad

Hagen²,

Bårdsen

et al. 2000

Int Endodontic J

View full text Add to dashboard Cite

show abstract

An unusual periodontal abscess

Fuss¹,

Bender²,

Rickoff³

1986

Journal of Endodontics

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Root resorption and apical breakdown during orthodontic treatment of a maxillary lateral incisor with dens invaginatus

Fristad

Molven

1998

Dental Traumatology

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A 13-year-old girl was referred for endodontic treatment of a maxillary right lateral incisor with root resorption and apical radiolucency after orthodontic treatment. Radiographically the tooth had an invagination canal (Oehlers' Type III) and responded positively to pulp testing. The invagination canal extending to the lateral resorption was opened. Vital bleeding tissue was found, and the canal was cleaned and obturated. The pulp in the main root canal remained vital. The radiolucent lesion gradually decreased during the 3-year follow-up. The bone resorption seen here, despite vital tissue in the invagination canal, was probably due to osteoclastic activity caused by a low grade chronic infection, influenced by an injury-induced inflammation in the periodontium during orthodontic treatment.

show abstract

Unusual resolution of a periapical radiolucent area without endodontic therapy

Cited by 3 publications

References 33 publications

Lateral breakdown of nonendodontic origin adjacent to maxillary left incisors

Lateral breakdown of nonendodontic origin adjacent to maxillary left incisors

An unusual periodontal abscess

Root resorption and apical breakdown during orthodontic treatment of a maxillary lateral incisor with dens invaginatus

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