Periapical lesion regression analysis: clinical case report
DOI:
https://doi.org/10.33448/rsd-v10i12.20267Keywords:
Endodontics, Periapical Diseases, Root canal.Abstract
This study aims to describe the repair through a clinical case of a diffuse and extensive periapical lesion with suggestive diagnosis of chronic periapical abscess. Anamnesis and clinical examination were performed. Based on the correct indication for endodontic treatment, coronary opening and subsequent cervical preparation were performed with GattesGlidden drills, and K-Files type manual instruments were performed in the cervico-medial preparation. Subsequently, intracanal medication based on calcium hydroxide was introduced. After preparing the root canal, the patient underwent intracanal medication consisting of calcium hydroxide. After 15 days, the absence of the sensitivity referred to at the beginning of therapy was verified and, therefore, the canal system was filled with the active lateral condensation technique together with AH-Plus cement. It was verified by radiographic images during the treatment performed, that during the consultations there was a reduction in the diameter of the periapical lesion. This reduction was caused by the intracanal medication, which was renewed every month for a period of six months in order to disinfect the root canal and repair the periapical bone destruction. Therefore, the clinical and radiographic follow-up, after a period of six months of intracanal medication, found the repair of the periapical lesion.
References
Almeida, A. G., Veloso, P. H., Sampaio, C. F., Oliveira, F. H., & Freire, M. A. (2011). Qualidade das restaurações e o insucesso endodôntico. Rev Odontol Bras Central. v. 20, n. 52, p. 74-78.
Anusha, B., Madhusudhana, K., Chinni, S. K., & Paramesh, Y. (2017). Assessment of Pulp Oxygen Saturation Levels by Pulse Oximetry for Pulpal Diseases -A Diagnostic Study. J Clin Diagn Res. (9):ZC36-ZC39.
Barthel, C. R., Levin, L. G., Reisner, H. M., & Trope, M. (1997). TNF-alpha release in monocytes after exposure to calcium hydroxide treated Escherichia coli LPS. Int Endod J. Oxford. 30(3), 155-9.
Carvalho, M. C. et al. (2019). Effectiveness of XP-Endo Finisher in the reduction of bacterial load in oval-shaped root canals. Brazilian Oral Research , v. 33, e021.
Dandotikar D, Peddi R, Lakhani B, Lata K, Mathur A, Chowdary UK. (2013). Nonsurgical management of a periapical cyst: a case report. J Int Oral Health.; 5(3):79-84.
Fouad, A. (2019). Microbiological aspects of traumatic injuries. Dental Traumatology, 35(6), 324-332.
Fritz, A. L.C. (2017). Avaliação da qualidade dos tratamentos endodônticos, na etapa da obturação, realizados por alunos de graduação. 67 f. Dissertação (Mestrado) - Curso de Odontologia, Universidade Federal do Espírito Santo, Vitória.
Galvão, T. P. (2012). Eficácia de três métodos para inserção de medicação intracanal a base de hidróxido de cálcio em canais radiculares. 67 f. Mestrado em Endodontia - Faculdade de Odontologia da Universidade Estácio de Sá, Rio de Janeiro.
Gomes, B. P., Lilley, J. D., & Drucker, D. B. (1996). Variations in the susceptibilities of components of the endodontic microflora to biomechanical procedures. Int Endod J. 29(4):235-41.
Kirchhoff, A. L., Viapiana, R., & Ribeiro, R. G. (2013). Repercussões periapicais em dentes com necrose pulpar. RGO - Rev Gaúcha Odontol, Porto Alegre, v. 61, p. 469-475.
Mitra, A., & Adhikari, C. (2017). Management of large periapical lesions by non surgical endodontic approach-two case reports. IJIRDS, 2(5), 97–104.
Lopes, H. P., Siqueira, J.F. (2010) Endodontia Biologia e Técnica.3ª ed. Rio de Janeiro: Guanabara Koogan.
Neville, B.W. (2016). Patologia oral e maxilofacial.4. ed. Rio de Janeiro: Guanabara Koogan.
Ricucci, D., Siqueira J., Loghin S., & Berman L. (2015). The cracked tooth: histopathologic and histobacteriologic aspects. J Endod, 41, 343–52.
Silva, L.A.B. et al. (2002). Effect of calcium hydroxide on bacterial endotoxin in vivo. J, Endod., New York, v, 28, p.94-98.
Siqueira. J.F., Araújo, M. C., Garcia, P. F., Fraga, R. C., & Dantas, C. J. (1997). Histological evaluation of the effectiveness of five instrumentation techniques for cleaning the apical third of root canals. J Endod. 23:499–502
Siqueira, J. F., Alves, F. R., Versiani, M. A., et al. (2013) Correlative bacteriologic and microcomputed tomographic analysis of mandibular molar mesial canals prepared by selfadjusting file, reciproc, and twisted file systems. Journal of Endodontics 39, 1044–50
Siqueira, J. F., José, F. et al. (2012). Princípios biológicos do tratamento endodôntico de dentes com polpa necrosada e lesão perirradicular. Rev. Bras. Odontol. vol.69, n.1, pp. 8-14.
Siqueira. J. F. (2003) Microbial causes of endodontic flareups. International Endodontic Journal 36, 453–63
Zoti, M., & Hartmann, M. S. M. (2016). Avaliação de tratamentos endodônticos realizados por alunos de graduação da escola de odontologia da IMED. J Oral Invest, Passo Fundo, v. 5, n. 1, p. 4-12.
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Rosana Maria Coelho Travassos; Ana Caroline Chalegre de Oliveira; Charley Henrique dos Passos Gomes Filho; Ismael Sebastião da Silva Sousa; José Mateus da Silva Alves; Kataryne Maria dos Santos; Matheus Eduardo da Silva Paz; Victor Felipe Farias do Prado
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
