SUCCESSFUL NON SURGICAL MANAGEMENT OF A LARGE PERIAPICAL LESION – TWO CASE REPORTS

2021 ◽  
pp. 11-12
Author(s):  
Kavimalar Kavimalar ◽  
Sonia Khatri ◽  
Sylvia Mathew ◽  
Nithin Shetty
Keyword(s):  
Imaging Techniques ◽  
Case Reports ◽  
Primary Objective ◽  
Endodontic Treatment ◽  
Periapical Lesion ◽  
Therapy Assessment ◽  
Periapical Lesions ◽  
Rotary Instruments ◽  
Long Term Follow Up ◽  
Natural Teeth

Aim: The aim of these case reports is to emphasize the successful healing of large periapical lesions using non surgical endodontic treatment with advanced techniques Background: Periapical lesions of endodontic origin are common pathological conditions affecting the periradicular tissues. The primary objective of root canal treatment is to cure or prevent periradicular periodontitis and to retain natural teeth in function and aesthetics Case description: Two case reports of large periapical lesions are described here which have shown favourable clinical and radiographic outcome following non surgical endodontic therapy Conclusion: Size of a periapical lesion does not necessarily mandate surgical intervention always and has shown the potential to heal following conservative endodontic therapy. Assessment of healing of a large periapical lesion necessitates a long term follow up and has to be done periodically. Clinical significance: The article highlights that present day endodontic treatment has become predictable and highly successful due to the advancements in diagnostic imaging techniques, rotary instruments, irrigants , intracanal medicaments and obturation systems which has in turn led to the fall in root end surgeries

scholarly journals Non-surgical management of periapical lesions with triple antibiotic paste: A case reports

2020 ◽  
Vol 2 ◽  
pp. 120-123
Author(s):  
Munish Singla ◽  
Iyana Garg ◽  
Vandana Goyal ◽  
Harleen Kaur ◽  
Litik Mittal
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Root Canal ◽  
Case Reports ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Periapical Lesion ◽  
Present Case Report ◽  
Periapical Lesions ◽  
Triple Antibiotic Paste

Sterilization of root canal space is foremost for the success of the endodontic treatment which is usually carried out with intracanal irrigants and medicaments. Triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) is used to achieve sterilization and healing of periradicular area. In the present case report, the triple antibiotic paste was used for non-surgical management of periapical lesion for 3 weeks. After 3 weeks, the tooth became asymptomatic that was then obturated. Hence, it is confirmed that conventional root canal treatment, along with intracanal medicaments (triple antibiotic paste), can non-surgically manage the periapical lesions and further promotes healing.

Active Implant Periapical Lesions Leading to Implant Failure: Two Case Reports

2014 ◽  
Vol 40 (3) ◽  
pp. 325-329 ◽  
Author(s):  
Oğuz Buhara ◽  
Lokman Onur Uyanık ◽  
Aysa Ayalı ◽  
Melek Aydın
Keyword(s):  
Dental Implant ◽  
Case Reports ◽  
Clinical Signs ◽  
Inflammatory Lesion ◽  
Implant Removal ◽  
Implant Failure ◽  
Periapical Lesion ◽  
Periapical Lesions ◽  
Radiologic Findings ◽  
Possible Cause

Implant periapical lesion (IPL), an inflammatory lesion surrounding the apex of a dental implant, has been previously reported as a possible cause for implant failure. This article describes 2 successive cases of active IPL that were diagnosed early by clinical signs and radiologic findings. Lesions were treated surgically with implant removal and debridement. The etiology, findings, and treatment approaches for IPL are discussed in comparison with other reports.

scholarly journals Acute odontogenic maxillary sinusitis treated endodontically – two case reports and 15-day CBCT outcome

2018 ◽  
Vol 17 ◽  
pp. e181197
Author(s):  
Lauter Eston Pelepenko Teixeira ◽  
Marina Canali Lângaro ◽  
Mateus Silveira Martins Hartmann
Keyword(s):  
Soft Tissues ◽  
Maxillary Sinusitis ◽  
Case Reports ◽  
Medical Intervention ◽  
Endodontic Treatment ◽  
Retreatment Case ◽  
Maxillary Molar ◽  
Long Term Follow Up ◽  
Sinus Membrane

Patients presented acute recurrences from Otorhinolaryngology treatments with unilateral symptoms compatible with maxillary sinusitis with a dental origin (MSDO). Cone beam computed tomography (CBCT) showed sinus extensive membrane thickening that was not visible at periapical exam associated to the maxillary molar infection in both cases. Respiratory structures assessment was possible using a 6-inches field of view CBCT. Non-surgical endodontic treatment (case 1) performed and retreatment (case 2) showed a fast symptoms relief. Recall examination after 15 days revealed healthy soft tissues with normal periodontal probing and no dental mobility. In addition, 15-day CBCTs revealed initial maxillary sinus membrane recovery after the endodontic approaches in the reported cases. No additional medical intervention nor antibiotics administration were necessary in these MSDO cases management. Long-term follow-up in such cases is advisable to exclude other potential dental or respiratory issues. Diagnose and follow-up using CBCT presented significant sinus membrane thick reduction with no symptom’s recurrence after the endodontic treatment. 

scholarly journals Influence of apical foramen cleaning in the repair of periapical lesions

2011 ◽  
Vol 52 (1/3) ◽  
pp. 45-47
Author(s):  
Carolina Dos Santos Guimarães ◽  
Gerhilde Callou Sampaio ◽  
Élvia Barros de Almeida ◽  
Luciano Barreto Silva ◽  
Ana Paula Mourato ◽  
...  
Keyword(s):  
Root Canal ◽  
Endodontic Treatment ◽  
Periapical Lesion ◽  
Chi Square ◽  
Periapical Lesions ◽  
Group I ◽  
Significant Difference ◽  
Chi Square Test ◽  
Group Ii ◽  
One Year

Introduction: The present study sought to assess the effect of apical foramen cleaning in the repair of periapical lesions detected by radiography. Methods: The sample comprised 980 teeth collected from 25 February 1997 to 15 March 2005 which had been subjected to endodontic treatment and exhibited radiographically visible periapical lesions. The sample was then divided into two groups: Group I, 402 root canal treatments in which cleaning of the apical foramen had not been performed, and Group II, composed of the remaining 578 root canal treatments where the procedure had been performed. After one year, the teeth were clinically and radiographically evaluated. Results: In Group I, 360 canals (89.55%) had no evidence of periapical lesions, versus 521 (90.13%) in Group II. Partial presence of these lesions was observed in 23 canals (5.72%) in Group I versus 27 (4.67%) in Group II. No changes in images were observed in 19 (4.72%) canals in Group I and 30 in Group II. Pearson’s chi-square test showed no statistically significant difference between the Groups I and II (p = 0.732). Conclusions: These findings suggest that foramen cleaning is not a determinant of periapical lesion repair.

scholarly journals Unicystic Ameloblastoma Masquerading as Huge Periapical Lesion, both Clinically and Histopathologically: Two Case Reports with Review of Literature

2013 ◽  
Vol 3 ◽  
pp. 9 ◽  
Author(s):  
N. V. V. Satyabhusan ◽  
Samapika Routray ◽  
Lavanya Bendi ◽  
B Venkat Suresh ◽  
Sumit Majumdar ◽  
...  
Keyword(s):  
Case Reports ◽  
Periapical Lesion ◽  
Review Of Literature ◽  
X Ray ◽  
Periapical Lesions ◽  
Unicystic Ameloblastoma

Unicystic ameloblastoma (UA) is one of the variants of ameloblastoma. It manifests as unilocular radiolucency in the mandible or maxilla on X-ray scans. In very rare cases, it can appear as a localized periradicular radiolucent area, imitating a periapical lesion. In this article, we present two cases of UA that were initially misdiagnosed as periapical lesions. Subsequently, surgical enucleation was performed and the diagnosis of UA was confirmed histopathologically.

scholarly journals Diagnostic accuracy of panoramic radiography and ultrasonography in detecting periapical lesions using periapical radiography as a gold standard

2020 ◽  
Vol 49 (6) ◽  
pp. 20190290
Author(s):  
Zeynep Betül Arslan ◽  
Hilal Demir ◽  
Dila Berker Yıldız ◽  
Füsun Yaşar
Keyword(s):  
Diagnostic Accuracy ◽  
Predictive Value ◽  
Gold Standard ◽  
Panoramic Radiography ◽  
Imaging Techniques ◽  
Panoramic Radiograph ◽  
Periapical Lesion ◽  
Panoramic Radiographs ◽  
Periapical Lesions ◽  
Anterior Teeth

Objectives: The purpose of this study was to compare the accuracy of imaging techniques in diagnosing periapical lesions. Methods: Imaging records of 80 patients (51 females, 29 males, aged between 14 and 75 years) including periapical and panoramic radiographs and ultrasonographic images were selected from databases of Selcuk University Dentistry Faculty. Periapical radiographs were accepted as gold-standard and 160 anterior maxillary and mandibular teeth with or without periapical lesion were included to the study. Three specialist observers (dental radiologists) evaluated the presence and appearance of periapical lesions on panoramic radiograph and ultrasonographic images. Sensitivity, specificity, positive predictive value, negative predictive value and diagnostic value of panoramic radiographs and ultrasonography were determined. Results: Sensitivity was 0.80 and 0.77 for ultrasonographic images and panoramic radiographs, respectively which shows that periapical lesion was correctly detected in 80% of the cases with ultrasound and in 77% of the cases with panoramic radiography. Specificity values were determined as 0.97 for ultrasound and 0.95 for panoramic radiography. Overall diagnostic accuracy was 0.86 and 0.84 for ultrasound and panoramic radiography, respectively. Conclusions: Periapical and panoramic radiographs are commonly used to visualize periapical lesions. Besides, ultrasonography is an alternative method to digital radiographic techniques in the diagnosis of anterior teeth with periapical lesions.

scholarly journals Radiographic Evaluation of the Periapical Status and Technical Quality of Root Canal Fillings Performed by Endodontic Resident of UEM

2021 ◽  
Vol 23 (2) ◽  
pp. 126-130
Author(s):  
Isabela Inoue Kussaba ◽  
Marcelo Capitanio ◽  
Esthela Maria Pereira Castanheiro ◽  
Nair Narumi Orita Pavan ◽  
Marcos Sergio Endo
Keyword(s):  
Root Canal ◽  
Endodontic Treatment ◽  
Radiographic Evaluation ◽  
Technical Quality ◽  
Periapical Lesion ◽  
Chi Square ◽  
Periapical Lesions ◽  
Chi Square Test ◽  
Periapical Periodontitis

AbstractTechnical quality of endodontic treatment can influence dental prognosis. The aim of the present study was to evaluate radiographically the initial periapical condition and the technical quality of root canal fillings performed by endodontic residents at UEM in 2015 and 2016. After data collection and descriptive statistics, performed by two independent examiners, the Kappa coefficient was used to assess the agreement between them. The chi-square test was used to verify a possible association of sex, tooth and quality of the restoration, with the presence of a periapical lesion. Most referrals for endodontic treatment were molars (50.5%) and female patients (63.2%), with a mean age of 39.3 (± 13.3) years. Most teeth were diagnosed with pulp necrosis (44.1%), and this condition held 74% of the teeth with chronic periapical lesions. Bone rarefaction was seen mainly in molars (20%) and teeth without restorative treatments (43.5%). Chi-square test evidenced that sex (p=0.303), tooth (p=0.349) and quality of restoration (p=0.070) were not associated with the presence of periapical bone rarefaction. After finishing the 233 root canal fillings, the apical limit and condensation were satisfactory in 91% and 100% of cases, respectively. In conclusion, the presence of chronic periapical lesion was not associated with sex, tooth or quality of the restoration. The root canal fillings performed by endodontic residents was satisfactory. Keywords: Endodontics. Root Canal Therapy. Periapical Periodontitis. ResumoA qualidade técnica do tratamento endodôntico pode influenciar no prognóstico dentário. Este estudo teve como objetivo avaliar radiograficamente a condição periapical inicial e a qualidade técnica das obturações dos canais radiculares realizadas pelos residentes em Endodontia da UEM nos anos de 2015 e 2016. Após a coleta de dados e estatística descritiva, realizada por duas examinadoras independentes, empregou-se o coeficiente Kappa para avaliar a concordância entre as mesmas. O teste de qui-quadrado foi utilizado para verificar uma possível associação entre as variáveis sexo, tipo dentário e qualidade da restauração, com a presença de lesão. A maioria dos encaminhamentos para atendimento foram molares (50,5%) e pacientes do sexo feminino (63,2%), com idade média de 39,3 (± 13,3) anos. Uma grande parcela dos dentes foi diagnosticada com necrose pulpar (44,1%), sendo que esta condição abrangeu 74% dos dentes com lesão periapical crônica. A rarefação óssea foi visualizada sobretudo em molares (20%) e dentes sem tratamentos restauradores (43,5%). Por meio do teste de qui-quadrado, houve evidências amostrais de que o sexo (p=0,303), o tipo dentário (p=0,349) e a qualidade da restauração (p=0,070) não estiveram associados à presença da rarefação óssea periapical. Após a finalização dos tratamentos e um total de 233 canais obturados, o limite apical e a condensação da obturação se mostraram satisfatórios em 91% e 100% dos casos, respectivamente. Conclui-se que a presença da lesão periapical crônica não esteve associada ao sexo, tipo dentário ou qualidade da restauração. A obturação dos canais radiculares realizada pelos residentes em Endodontia se mostrou satisfatória. Palavras-chave: Endodontia. Tratamento do Canal Radicular. Periodontite Periapical.

Endodontic instruments fracture in root canal: Integrative review

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Pâmela de Medeiros Dantas ◽  
◽  
Renata Correia Sotero Dália Torres ◽  
Robeci Alves Macedo Filho ◽  
Sandra Aparecida Marinho ◽  
...  
Keyword(s):  
Literature Review ◽  
Root Canal ◽  
Case Reports ◽  
Treatment Success ◽  
Endodontic Treatment ◽  
Root Canals ◽  
Dental Instruments ◽  
Specific Protocol ◽  
Rotary Instruments ◽  
Dental Anatomy

Introduction: Endodontic instruments fracture is related to several factors from internal dental anatomy and type, to operator inability and inexperience. Objective: To review case reports related to fracture of endodontic instruments inside the root canal. Methodology: A literature review was carried out using papers available in the PubMed and Lilacs databases. Only case reports were included, with no restriction on language and publication year Results: It was analyzed eight papers with 11 instrument fracture cases, with the highest prevalence (45.5%) of rotary instruments fracture, occurring mainly in middle-cervical and middle-apical root canals thirds. In 90.9% of cases, techniques used for removal showed successful results and in only one case (9.1%), the technique was unsuccessful and the instrument was kept inside the root canal. Final considerations: Endodontic instruments fracture is a complication can directly affect prognosis and endodontic treatment success. Several techniques and devices can be used to remove fractured fragments inside root canals, however, there is no specific protocol for their removal. Keywords: accidents; endodontics; fracture; dental instruments; prognosis.

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