Paraendodontic surgery associate with photodynamic therapy: case report with 4 years follow-up
DOI:
https://doi.org/10.33448/rsd-v10i2.12868Keywords:
Endodontic; Apicoetomy; Retrograde obturation.Abstract
Parendodontic surgery is a set of procedures that aim to repair complications that could not be solved by conventional endodontics, or when it is not amenable to execution. This study aimed to describe the clinical case of a parendodontic surgery associated with photodynamic therapy on the upper right central incisor. The case was conducted with access to the root canal system in a retrograde way. Were performed: intra/extra buccal antisepsis, infiltrative anesthesia, surgical flap for access, the surgical cavity, apicectomy, retroinstrumentation, photodynamic therapy, retrofilling, filling the surgical cavity, flap repositioning, suture and a 4-year cone beam follow-up. We conclude that the association of the surgical procedure with the application of low-level laser through photodynamic therapy has enhanced the disinfection and elimination of persistent bacteria to the failure of the previous endodontic treatment, providing additional benefits to the patient when compared to conventional surgical techniques.
References
Baia, D., Marques, A., Sponchiado-Júnior, E., Garcia, L., Pandolfo, M. Bortoluzzi, E. & De Carvalho, F. (2019). Endodontic surgery associated with guided tissue regeneration technique: Case report. Journal of Health Sciences, 21(4), 336-41, doi: https://doi.org/10.17921/2447-8938.2019v21n4p336-41
Bernstein, S., Horowitz, A., Man, M., Wu, H., Foran, D., Vena, D., Collie, D., Matthews, A., Curro, F., Thompson, V. & Criag, R. (2012) Outcomes of endodontic therapy in general practice: A study by the practitioners engaged in applied research and learning network. JADA. 143(5):478-487. doi: 10.14219/jada.archive.2012.0208
Cunha, F. & Júlio, J. (2003). Estudo Comparativo in vitro da morfologia das raízes dentárias submetidas a apicectomia com fresas cirúrgicas e diferentes tipos de lasers. Doctoral thesis.
Deleme, Z. & Aldabagh, A. (2020). The effects of bio adhesive chlorhexidine gel, nsaids on post-operative sequelae after periapical surgery of upper anterior teeth. International Journal, 8.1: 27-30. doi: 10.12691/ijdsr-8-1-5
Gilbert, G., Tilashalski, K., Litaker, M., McNeal, S., Boykin, M. & Kessler, A. (2010). Outcomes of root canal treatment in dental practice-based research network practices. Gen Dent. 58(1): 28-36. Recuperado de: https://pubmed.ncbi.nlm.nih.gov/20129890/
Jr., W., Rodrigues, R. & Silva, T. (2006). Sulfato de cálcio como barreira e material de preenchimento associado ao osso autógeno no tratamento de defeito ósseo periodontal- Proposta de tratamento e relato clínico. Innovations dental jornal. Recuperado de: https://silo.tips/download/wilson-trevisan-jr-marcia-regina-rodrigues-thiago-bezerra-da-silva-e-janice-de-c
Kohli, M., Berenji, H., Setzer, F., Lee, S. & Karabucak, B. (2018). Outcome of endodontic surgery: A meta-analysis of the literature- Part 3: Comparision of endodontic microsurgical techniques with 2 different root-end filling materials. Journal of Endodontics. 44(6), 923-931. doi: 10.1016/j.joen.2018.02.021
Kastrev, B. & Filipov, I. (2019). Periapical surgery. Review. Classic VS modern concepts. International Journal of Medical Reviews and Case Reports. 3(12). Doi: 10.5455/IJMRCR.periapical-surgery
Lemos, S. (2009) Cirurgia Parendodontica: Como realiza-la com embasamento científico-Técnicas e materiais. Course conclusion work. Recuperado de: http://www.iesposgraduacao.com.br/assets/downloads/40ac0651a7b1fd2dd072f3bb0595c498.pdf
Lodi, L., Poleto, S., Soares, R., Irala, L.,Salles, A. & Limongi, O. (2008). Cirurgia parendodôntica: relato de caso clínico. RSBO. 2(5). Recuperado de: http://univille.edu.br/community/depto_odontologia/VirtualDisk.html?action=downloadFile&file=11_Cirurgia%20paraendodontica%20relato%20de%20caso%20clinico.pdf¤t=%2FODONTOLOGIA%2FRSBO%2FRSBO_v5_n2_agosto2008
Lopes, H. & Siqueira, Jr. (2020). Endodontia: Biologia e técnica. 5ª edição. Guanabara Koogan.
Masuda, Y., Sakagami, H., Horike, M., Kadokura, H., Yamasaki, T., Klokkevold, P. & Yokose, S. (2018). Photodynamic therapy with pyoktanin blue and diode laser for elimination of enterococcus faecalis. In Vivo. Doi: 10.21873/invivo.11298
Monteiro, J., Dal Piva, A., Tribst, J., Borges, A. & Tango, R. (2018). The effect of resection angle on stress distribution after root-end surgery. Iranian Endodontic Journal. 13(2), 188. Doi: 10.22037/iej.v13i2.19089
Prati, C., Pirani, C., Zamparini, F., Gatto, M. & Gandolf, M. (2018). A 20-years historical prospecrive cohort study of root canal treatments. A multilevel analysis. International Endodontic Journal. 51(9), 955-968. Doi: 10.1111/iej.12908
Ribeiro, M. (2015). Estudo clínico do conteúdo inflamatório e infeccioso de dentes com insucesso do tratamento endodôntico. Doctoral thesis.
Safi, C. (2019). Outcome of endodontic microsurgery using mineral trioxide aggregate or Root repair material as root-endo filling material: a randomized controlled trial with cone-bean computed tomographic evaluation. Journal of Endodontics. 45(7). Doi: 10.1016/j.joen.2019.03.014
Seedat, H., Van Der Vyver, P. & De Wet, F. (2018). Micro-endodontic surgery part 1:Surgical rationale and modern techniques. South African Dental Journal. Recuperado de: www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162018000300007&lng=en&nrm=iso
Seedat, H., Van Der Vyver, P. & De Wet, F. (2018). Micro-endodontic surgery part 2: Root-end filling materials- A literature review. South African Dental Journal. 73(5), 336-342. Doi: http://dx.doi.org/10.17159/2519-0105/2018/v73no5a2
Souza, M., Rauber, M., Zuchi, N., Bonacina, L., Ricci, R., Dias, C., Bischoff, K., Engelmann, J. & Palhano, H. (2019). Influence of final irrigation protocols and endodontic sealer on bond strength of root filling material with root dentin previously treated with photodynamic therapy. Photodiagnosis and Photodynamic Therapy. Doi: 10.1016/j.pdpdt.2019.03.013
Sutter, E., Valdec, S., Bichsel, D., Wiedemeier, D., Rucker, M. & Stadlinger. B. (2020). Success rate 1 year after apical surgery: A retrospective analysis. Oral and Maxillofacial surgery. 24(1), 45-49. Doi: 10.1007/s10006-019-00815-9
Tang, J., Shen, Z., Qin, W. & Lin, Z. (2019) A comparision of the sealing abilities btween biodentine and MTA as root-end filling materials and their effects on bone healing in dogs after periradicular surgery. Journal of Applied Oral Science. doi: https://doi.org/10.1590/1678-7757-2018-0693
Torabinejad, M. & White, S. (2016). Endodontic treatment options after unsuccessful initial root canal treatment: Alternatives to single tooth implantes. The Journal of The American Dental Association. 147(3). Doi: 10.1016/j.adaj.2015.11.017
Travassos, R., Negreiros, J., Farias, W., Soares, T., Barbosa, L., Souza, T. & Silva, H. (2020). Apicectomia e obturação retrógrada de dente com calcificação radicular interna: Relato de caso. Research, Society and Development. 9(9). e327997390, doi: http://dx.doi.org/10.33448/rsd-v9i9.7390
Trindade, A., De Figueiredo, J., De Oliveira, S., Barth Juinor, V., Gallo, S., Follmann, C. & Weber, J. (2017). Histopathological, microbiological and radiographic analysis of antimicrobial photodynamic therapy for the treatment of teeth with apical periodontitis: A study in rats’molars. Photomedicine and Laser Surgery. 35(7), 364-371. Doi: 10.1089/pho.2016.4102
Vieira, G., Antunes, H., Pérez, A., Gonçalves, L., Antunes, F., Siqueira Jr, J. & Rôças, I. (2018). Molecular analysis of the antibacterial effects of photodynamic therapy in endodontic surgery: A case report. Journal of Endodontics. 44(10), 1593-1597. Doi: 10.1016/j.joen.2018.06.012
Werlang, A., Baldissarelli, F., Werlang, F., Vanni, J. & Hartmann, M. (2016). Insucesso no tratamento endodontico: uma revisão de literatura. Revista Tecnológica. 5(2), 31-47. Recuperado de: https://uceff.edu.br/revista/index.php/revista/article/view/146/137
Xavier, C. & Zambrano, C. (2001) Avaliação da ressecção apical e indicação de materiais obturadores em cirurgias parendodôntica no Brasil. Estudo de Campo. Recuperado de: https://pesquisa.bvsalud.org/portal/resource/pt/lil-313008
Yahav, A., Kurtzman, G., Katzap, M., Dudek, D. & Baranes, D. (2020). Bone regeneration: properties and clinical application of biphasic calcium sulfate. Dental clinics. 64(2):453-472. doi: 10.1016/j.cden.2019.12.006.
Zandi, H., Petronijevic, N., Mdala, I., Kristoffersen, A., Enersen, M., Rôças, I., Siqueira Jr, J. & Orstavik, D. (2019) Outcome of endodontic retreatment using 2 root canal irrigants and influence of injefction on healing as determined by a molecular method: A randomized Clinical Trial. Journal of endodontics. 45.9: 1089-1098. Doi: 10.1016/j.joen.2019.05.021
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Copyright (c) 2021 Arthur Camillo de Souza Laranjeira; Silmara de Andrade Silva; Thalita Miranda Vieira; Wesley Viana de Sousa; Glauco dos Santos Ferreira; Renata Dália Torres; Diana Santana de Albuquerque
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