Apicectomy and retrograde tooth filling with internal root calcification: case report

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.7390

Keywords:

Apicoectomy; Dental pulp calcification; Retrograde obturation; Endodontics.

Abstract

Parendodontic surgery presents itself as a therapeutic alternative that can be performed when conventional endodontic retreatment is not possible, with the purpose of solving problems involved in apical injuries, aiming to combat pathogenic agents, as in cases of calcified teeth. In this context, the objective of this work is to describe a clinical case of parendodontic surgery of tooth 13 with calcified root and a periradicular lesion. This is a descriptive study based on a case report of a 43-year-old female patient, who sought the service of the Primary Care Clinic III at the Pernambuco Dental School of the University of Pernambuco, for endodontic treatment of the element 13. After the diagnosis of periradicular injury and internal calcification of tooth 13, it was decided to perform parendodontic surgery. Antibiotic prophylaxis was performed 1 hour before the procedure, antisepsis of the region and local anesthesia. The surgical flap of choice was Neumann. The lesion was located using an endodontic file, access to the lesion, curettage, apicectomy and retrograde filling with MTA and local suture. After the surgery, a periapical radiography was performed and it was possible to verify the success of the procedure. Thus, parendodontic surgery is an indication for teeth with completely calcified roots and without the possibility of conventional endodontic treatment.

Author Biography

Jhony Herick Cavalcanti Nunes Negreiros, Federal University of Pernambuco | Centro Universitário FACOL - UNIFACOL

Dental Surgeon, Faculty of Dentistry of Pernambuco, University of Pernambuco - FOP / UPE.

Specialist in implantology by the Union of Dentists of the State of Pernambuco - SOEPE.

Master and PhD in Dentistry from the Federal University of Pernambuco - UFPE.

Substitute professor at the Department of Clinic and Preventive Dentistry at UFPE.

Professor of the Dentistry course at Centro Universitário FACOL - UNIFACOL.

References

Almeida-Filho, J., de Almeida, G. M., Marques, E. F., & Bramante, C. M. (2016). Cirurgia paraendodôntica: relato de caso. Oral Sciences., 3 (1), 21-25. Recuperado de: https://portalrevistas.ucb.br/index.php/oralsciences/article/view/7553/4660

Andreasen, F. M., & Kahler, B. (2015). Pulpal response after acute dental injury in the permanent dentition: clinical implications-a review. Journal of Endodontics, 41 (3), 299-308. doi: 10.1016/j.joen.2014.11.015

Bastos, J. V., & Côrtes, M. I. D. S. (2018). Pulp canal obliteration after traumatic injuries in permanent teeth–scientific fact or fiction?. Brazilian Oral Research, 32 (Suppl. 1), e75. doi: 10.1590/1807-3107bor-2018.vol32.0075

Bernabé, P. F. E., & Holland, R. (2004). Cirurgia parendodôntica: como praticá-la com embasamento científico. São Paulo, Brasil: Artes Médicas.

Bernardes, R. A., Hungaro Duarte, M. A., Vivan, R. R., Baldi, J. V., Vasconcelos, B. C., & Bramante, C. M. (2015). Scanning electronic microscopy analysis of the apical surface after of root-end resection with different methods. Scanning, 37 (2), 126-130. doi: 10.1002/sca.21188

Çalışkan, M. K., Tekin, U., Kaval, M. E., & Solmaz, M. C. (2016). The outcome of apical microsurgery using MTA as the root-end filling material: 2-to 6-year follow-up study. International Endodontic Journal, 49 (3), 245-254. doi: 10.1111/iej.12451

Chong, B. S., & Rhodes, J. S. (2014). Endodontic surgery. Brazilian Dental Journal, 216 (6), 281-290. doi: 10.1038/sj.bdj.2014.220

Connert, T., Krug, R., Eggmann, F., Emsermann, I., El Ayouti, A., Weiger, R., ... & Krastl, G. (2019). Guided endodontics versus conventional access cavity preparation: a comparative study on substance loss using 3-dimensional–printed teeth. Journal of Endodontics, 45 (3), 327-331. doi: 10.1016/j.joen.2018.11.006

Deng, Y., Zhu, X., Yang, J., Jiang, H., & Yan, P. (2016). The effect of regeneration techniques on periapical surgery with different protocols for different lesion types: a meta-analysis. Journal of Oral and Maxillofacial Surgery, 74 (2), 239-246. doi: 10.1016/j. joms.2015.10.007

Kan, E., Coelho, M. S., Reside, J., Card, S. J., & Tawil, P. Z. (2016). Periapical microsurgery: the effects of locally injected dexamethasone on pain, swelling, bruising, and wound healing. Journal of Endodontics, 42 (11), 1608-1612. doi: 10.1016/j.joen.2016.07.021

Kim, S., & Kratchman, S. (2006). Modern endodontic surgery concepts and practice: a review. Journal of Endodontics, 32 (7), 601-623. doi: 10.1016/j.joen.2005.12.010

Krastl, G., Zehnder, M. S., Connert, T., Weiger, R., & Kühl, S. (2016). Guided endodontics: a novel treatment approach for teeth with pulp canal calcification and apical pathology. Dental Traumatology, 32 (3), 240-246. doi: 10.1111/edt.12235

Kruse, C., Spin-Neto, R., Christiansen, R., Wenzel, A., & Kirkevang, L. L. (2016). Periapical bone healing after apicectomy with and without retrograde root filling with mineral trioxide aggregate: a 6-year follow-up of a randomized controlled trial. Journal of Endodontics, 42 (4), 533-537. doi: 10.1016/j.joen.2016.01.011

Küçükkaya Eren, S., & Parashos, P. (2019). Adaptation of mineral trioxide aggregate to dentine walls compared with other root-end filling materials: A systematic review. Australian Endodontic Journal, 45 (1), 111-121. doi: 10.1111/aej.12259

Leonardo, M. R., & Leal, J. M. (1998). Endodontia: tratamento de canais radiculares. In Endodontia: tratamento de canais radiculares. São Paulo, Brasil: Panamericana. Recuperado de: https://pesquisa.bvsalud.org/portal/resource/pt/lil-211177

Lieblich S. E. (2012). Endodontic surgery. Dental Clinics North America, 56 (1), 121–ix. doi: 10.1016/j.cden.2011.08.005

Marques, I. V., Pavan, N. N. O., Queiroz, A. F., de Morais, C. A. H., Barbosa, J. A. P., Ishida, A. L., & Endo, M. S. (2018). Perfuração radicular lateral em um dente com calcificação pulpar: um relato de caso. Archives of Health Investigation, 7 (4). doi: 10.21270/archi.v7i4.2984

McCabe, P. S., & Dummer, P. M. H. (2012). Pulp canal obliteration: an endodontic diagnosis and treatment challenge. International Endodontic Journal, 45 (2), 177-197. doi: 10.1111/j.1365-2591.2011.01963.x

Moreti, L. C. T., Nunes, L. R., Fernandes, K. G. C., Ogata, M., Boer, N. C. P., Cruz, M. C. C., & Simonato, L. E. (2019). Cirurgia parendodôntica como opção para casos especiais: relato de caso. Archives of Health Investigation, 8 (3). doi: 10.21270/archi.v8i3.3192

Oginni, A. O., Adekoya-Sofowora, C. A., & Kolawole, K. A. (2009). Evaluation of radiographs, clinical signs and symptoms associated with pulp canal obliteration: an aid to treatment decision. Dental Traumatology, 25 (6), 620-625. doi: 10.1111/j.1600-9657.2009.00819.x

Pavelski, M. D., Portinho, D., Casagrande-Neto, A., Griza, G. L., & Ribeiro, R. G. (2016). Paraendodontic surgery: case report. Revista Gaúcha de Odontologia, 64 (4), 460-466. doi: 10.1590/1981-8637201600030000153161

Pinto, M. S. C., Ferraz, M. A. A. L., Falcão, C. A. M., Matos, F. T. C., & Pinto, A. S. B. (2011). Cirurgia parendodôntica: revisão da literatura. Revista Interdisciplinar - UNINOVAFAPI, 4 (4), 55-60. Recuperado de: https://revistainterdisciplinar.uninovafapi.edu.br/revistainterdisciplinar/v4n4/revisao/rev1_v4n4.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. doi: 10.1016/j.jon.2010.08.007

Siddiqui, S. H., & Mohamed, A. N. (2016). Calcific metamorphosis: a review. International Journal of Health Sciences, 10 (3), 437. Recuperado de: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5003587/

Stefopoulos, S., Tzanetakis, G. N., & Kontakiotis, E. G. (2012). Non-surgical retreatment of a failed apicoectomy without retrofilling using white mineral trioxide aggregate as an apical barrier. Brazilian Dental Journal, 23 (2), 167-171. doi: 10.1590/S0103-64402012000200013

Tabassum, S., & Khan, F. R. (2016). Failure of endodontic treatment: The usual suspects. European Journal of Dentistry, 10 (1), 144-147. doi: 10.4103/1305-7456.175682

Tavares, W. L. F., Viana, A. C. D., de Carvalho Machado, V., Henriques, L. C. F., & Sobrinho, A. P. R. (2018). Guided endodontic access of calcified anterior teeth. Journal of Endodontics, 44 (7), 1195-1199. doi: 10.1016/j.joen.2018.04.014

Vieira, G. C., Antunes, H. S., Pérez, A. R., Gonçalves, L. S., Antunes, F. E., Siqueira Jr, J. F., & Rôças, I. N. (2018). Molecular analysis of the antibacterial effects of photodynamic therapy in endodontic surgery: A case series. Journal of Endodontics, 44 (10), 1593-1597. doi: 10.1016/j.joen.2018.06.012

von Arx, T., Penarrocha, M., & Jensen, S. (2010). Prognostic factors in apical surgery with root-end filling: a meta-analysis. Journal of Endodontics, 36 (6), 957-973. doi: 10.1016/j.joen.2010.02.026

von Arx, T., Jensen, S. S., Janner, S. F., Hänni, S., & Bornstein, M. M. (2019). A 10-year follow-up study of 119 teeth treated with apical surgery and root-end filling with mineral trioxide aggregate. Journal of Endodontics, 5 (4), 394-401. doi: 10.1016/j.joen.2018.12.015

von Arx, T. (2011). Apical surgery: A review of current techniques and outcome. Saudi Dental Journal, 23 (1), 9-15. doi: 10.1016/j.sdentj.2010.10.004

von Arx, T., & AlSaeed, M. (2011). The use of regenerative techniques in apical surgery: A literature review Saudi Dental Journal, 23 (3), 113-127. doi: 10.1016/j.sdentj.2011.02.004

von Arx, T., Penarrocha, M., & Jensen, S. (2010). Prognostic factors in apical surgery with root-end filling: a meta-analysis. Journal of Endodontics, 36 (6), 957-973. doi: 10.1016/j.joen.2010.02026

Published

20/08/2020

How to Cite

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

Issue

Section

Health Sciences