Selective endodontic retreatment of mandibular molar with apical periodontitis - case report
DOI:
https://doi.org/10.33448/rsd-v11i1.25211Keywords:
Endodontics; Retreatment; Apical Periodontitis.Abstract
Objective: This paper aims to report a clinical case diagnosed with asymptomatic apical periodontitis at the clinic of the Specialization Course in Endodontics at Universidade São Paulo, addressing the indications and techniques performed, as well as clinical and radiographic aspects. Indications for selective retreatment include cases in which the treatment was carried out for more than 1 year, teeth with satisfactory coronal restorations and no direct exposure of the root canal filling to the oral cavity, absence of periodontal disease, multirooted teeth with bone rarefactions periapical lesions in only one root, being confirmed by Cone Beam Computed Tomography (CBCT) analysis. Case Report: The patient in question sought the Fundecto-USP (FFO) specialization clinic for endodontic retreatment of tooth 36. In the tomographic evaluation, the location of the DL canal was not located and not previously treated. Retreatment was performed only on the root whose canal had not been located, and which had periapical bone rarefaction. Final considerations: The selective retreatment of roots with apical periodontitis can be another viable form of conservative treatment in endodontics when well indicated in cases where there is no exposure of the filling material and the retreatment of all roots can cause the risk of weakening the tooth structure and tooth loss.
References
Azim A. A., Wang H. H., Serebro M. (2021). Selective Retreatment and Sinus Lift: An Alternative Approach to Surgically Manage the Palatal Roots of Maxillary Molars. Journal of Endodontics. 47 (4):648-657.
Baruwa A. O., Martins J. N. R., Meirinhos J., Gouveia P. B. J., Quaresma S. A., Monroe A., Ginjeira A. (2020). The Influence of Missed Canals on the Prevalence of Periapical Lesions in Endodontically Treated Teeth: A Cross-sectional Study. Journal of Endodontics. 46 (1):34-39.
Estrela C., Holland R., Estrela C. R. A., Alencar A. H. G., Sousa-Neto M. D., Pécora J. D. (2014). Characterization of Successful Root Canal Treatment. Brazilian Dental Journal. 25 (1):3-11.
Farias, A. L. V., Limoeiro, A. G. da S.., Ferraz, A. M., Nascimento, W. M., Fernandes, V., Bueno, C. E. da S., Martin, A. S. D., & Miller, P. (2021). Efficacy of Reciproc Blue and ProDesign R reciprocating files in the removal of filling material: An integrative literature review. Research, Society and Development, 10(6), e4010615443. https://doi.org/10.33448/rsd-v10i6.15443
Fonseca, L. de A., Cangussu, R. A., Oliveira, A. S. de, Pinheiro, S. L., Shitsuka, C., & Duarte, D. A. (2020). Comparison of endodontic disinfection of primary teeth root canals using rotary and reciprocating system: An in vitro study. Research, Society and Development, 9(8), e457985882. https://doi.org/10.33448/rsd-v9i8.5882
Gomes B. P. F. A., Francisco P. A., Godoi Jr E.P., Endo M.S., Barbosa-Ribeiro M., Delboni M.G., Pecorari V.G.A. (2021). Identification of Culturable and Nonculturable Microorganisms, Lipopolysaccharides, and Lipoteichoic Acids From Root Canals of Teeth With Endodontic Failure. Journal of Endodontics. 47 (7):1075-1086.
Jakovljevic I., Nikolic N., Jacimovic, Pavlovic J.O., Milicic B., Beljic-Ivanovic K., Miletic M., Andric M., Milasin J. (2020). Prevalence of Apical Periodontitis and Conventional Nonsurgical Root Canal Treatment in General Adult Population: An Updated Systematic Review and Meta-analysis of Cross-sectional Studies Published between 2012 and 2020. Journal of Endodontics. 46 (10):1371-1386.
Loureiro, C., Seron, M. A., Braga, G. P. de A., Silva, C. C. da, Jacinto, R. C., Sivieri-Araujo, G., Duque, C., Cintra, L. T. A., & Gomes-Filho, J. E. (2021). Influence of viral infection in the healing process of periapical lesions: a narrative review. Research, Society and Development, 10(3), e14210313134. https://doi.org/10.33448/rsd-v10i3.13134
Nudera W.J. (2015). Selective Root Retreatment: A Novel Approach. Journal of Endodontics. 41 (8):1382-1388.
Olcay K., Ataoglu H., Belli S. (2018). Evaluation of Related Factors in the Failure of Endodontically Treated Teeth: A Cross-sectional Study. Journal of Endodontics. 44 (1):38-45.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologi da pesquisa científica.[e-book]. Santa Maria. Ed. UAB/NTE/UFSM. https://repositorio. ufsm. br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf
Setzer F. C., Shah S. B., Kohli M. R., Karabucak B., Kim S. (2010). Outcome of Endodontic Surgery: A Meta-analysis of the Literature—Part 1: Comparison of Traditional Root-end Surgery and Endodontic Microsurgery. Journal of Endodontics. 36 (11):1757-1765.
Silva, M. R. R. R. da., Andrade, K. da S., Silva, F. V. D., Silva, L. P. de L., Romão, T. C. M., Santos, M. G. C. dos, & Arnaud, R. R. (2020). Operating microscope in Endodontics. Research, Society and Development, 9(8), e981986858. https://doi.org/10.33448/rsd-v9i8.6858
Silva, R. de C. P., Bezerra, M. dos S., Gonzaga, G. L. P., Fonseca, A. B. M., Silva, M. K. A. da, Santos, I. de A.., & Lessa, S. V. (2022). Clinical applications of cone beam computed tomography in endodontics: literature review. Research, Society and Development, 11(1), e21211124895. https://doi.org/10.33448/rsd-v11i1.24895
Siqueira J. S., Rôças I. N. (2008). Clinical Implications and Microbiology of Bacterial Persistence after Treatment Procedures. Journal of Endodontics. 34 (11):1291-1301.
Siqueira J. F., Antunes H. S., Pérez A. R., Alves F. R. F., Mdala I., Silva E. J. N. L., Belladonna F. G., Rôças I. N. (2020). The Apical Root Canal System of Teeth with Posttreatment Apical Periodontitis: Correlating Microbiologic, Tomographic, and Histopathologic Findings. Journal of Endodontics. 46 (9):1195-1203.
Souza Júnior, Z. S. de, Araújo, F. M. L. C. de, & Lima, S. N. (2021). Use of cone beam computed tomography in the study of radicular morphology of maxillary premolars. Research, Society and Development, 10(7), e58510716950. https://doi.org/10.33448/rsd-v10i7.16950
Torabinejad M., Corr R., Handysides R., Shabahang S. (2009). Outcomes of Nonsurgical Retreatment and Endodontic Surgery: A Systematic Review. Journal of Endodontics. 35 (7):930-937.
Travassos, R. M. C., Negreiros, J. H. C. N., Farias, W. D. da S., Soares, T. B. P., Barbosa, L. M., Souza, T. G. dos S. ., & da Silva, H. J. . (2020). Apicectomy and retrograde tooth filling with internal root calcification: case report. Research, Society and Development, 9(9), e327997390. https://doi.org/10.33448/rsd-v9i9.7390
Villa-Machado P. A., Restrepo-Patiño D. M., Calvo-Trejos J. P., Restrepo-Restrepo F. A., Tobón-Arroyave S. I., Provenzano J. C., Siqueira J. F., Alves F. R. F. (2020). Cone-beam Computed Tomographic and Micro–computed Tomographic Evaluations of the Root Apexes of Teeth with Posttreatment Apical Periodontitis. Journal of Endodontics. 46 (11):1695-1701.
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Copyright (c) 2022 Juliana Sanches Guedes de Oliveira Claro Apostolo; Hermano Camelo Paiva; Elaine Faga Iglecias; Carmo Antonio Aun; Érica Mina Miyazima Nunes; George Táccio de Miranda Candeiro; Giulio Gavini
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