Recurrent Apical Periodontitis and Late Endodontic Treatment Failure Related to Coronal Leakage: A Case Report

2011 ◽  
Vol 37 (8) ◽  
pp. 1171-1175 ◽  
Author(s):  
Domenico Ricucci ◽  
José F. Siqueira
2012 ◽  
Vol 38 (2) ◽  
pp. 250-254 ◽  
Author(s):  
Adalberto R. Vieira ◽  
José F. Siqueira ◽  
Domenico Ricucci ◽  
Weber S.P. Lopes

2017 ◽  
Vol 05 (01) ◽  
pp. 047-050 ◽  
Author(s):  
Savita Thakur ◽  
Anuradha Rani ◽  
Nisha Garg ◽  

AbstractSuccessful management of furcation perforations poses a challenge for a clinician. The perforation can result from iatrogenic causes, caries or resorption. It is advisable to repair the perforation as soon as it is identified, since any delay allows the bacterial ingress leading to a complicated endodontic–periodontal lesion and ultimately in the treatment failure. This case report describes successful management of a furcal perforation in a mandibular first molar, which was repaired using Biodentine. The endodontic treatment was completed and the tooth was coronally restored with composite followed by full coverage restoration. Two years follow up of the case showing absence of pain; periradicular healing of the lesion, along with functional tooth stability indicated a successful outcome of endodontic treatment and sealing the perforation using Biodentine.


2018 ◽  
Vol 9 (4) ◽  
pp. 288-290 ◽  
Author(s):  
Bruna Paloma de Oliveira ◽  
Andréa Cruz Câmara ◽  
Glauco dos Santos Ferreira ◽  
Sebastião Pedro Santos Neto ◽  
Patrícia Fernandes Cassimiro da Silva ◽  
...  

Introduction: Photodynamic therapy (PDT) has emerged as a powerful tool for conventional endodontic treatment, capable of eradicating microorganisms present in endodontic infections. Despite this, the use of PDT in the surgical endodontic treatment is not well-known. Case Report: This paper describes the case of a patient with asymptomatic apical periodontitis in a mandibular incisor submitted to surgical endodontic treatment associated with PDT. After conventional procedures, photosensitizer methylene blue (0.01%) was applied to the retrograde cavity for 3 minutes, followed by irradiation with diode laser (100 mW and 660 nm) for 3 minutes. Six months after the procedure, the patient was asymptomatic, and the radiographic examination showed healthy periradicular tissues. Conclusion: The association of PDT with surgical endodontic treatment was effective, suggesting that this therapy may provide additional benefits to patients when compared to the conventional surgical technique.


2020 ◽  
Vol 32 (3) ◽  
pp. 232
Author(s):  
Prima Dianiawati Nur Anisa ◽  
Diani Prisinda

Pendahuluan: Kegagalan perawatan endodontik umumnya terjadi akibat obturasi yang tidak adekuat dan kebocoran pada restorasi akhir. Kegagalan tersebut dapat diatasi dengan perawatan saluran akar ulang. Perawatan tersebut pada pasien geriatri memerlukan berbagai pertimbangan penatalaksanaan sesuai dengan kondisi fisiologis dan sistemik pasien. Tujuan laporan kasus ini untuk menjelaskan perawatan saluran akar ulang non-bedah gigi insisif lateral kanan atas pada pasien geriatri. Laporan kasus: Perempuan berusia 69 tahun datang ke Instalasi Rawat Jalan Spesialistik Konservasi Gigi Rumah Sakit Gigi dan Mulut Universitas Padjadjaran (RSGM Unpad) untuk memperbaiki tambalan gigi atas depan kanan yang pecah dan untuk merawat gigi tersebut karena terasa tidak nyaman saat digunakan untuk mengunyah. Gigi pernah dilakukan perawatan saluran akar dan penambalan sewarna gigi sekitar empat tahun yang lalu. Pemeriksaan intraoral menunjukan perkusi positif pada gigi insisif lateral kanan rahang atas. Pemeriksaan radiografis periapikal memperlihatkan bahan pengisi saluran akar tidak adekuat, pelebaran membran periodontal di sepertiga apikal, serta terputusnya lamina dura di sepertiga apikal. Rencana perawatan adalah perawatan saluran akar ulang non bedah. Perawatan berlangsung dalam enam kali pertemuan singkat, dengan tahapan pengambilan gutta-percha menggunakan file hedstrom, preparasi saluran akar dengan instrumen rotary, obturasi saluran akar dengan gutta-percha serta sealer resin plus dan restorasi akhir veneer direk berbahan komposit. Simpulan: Perawatan saluran akar ulang non-bedah pada gigi insisif lateral kanan atas berhasil dilakukan dengan ditandai hilangnya keluhan pasien, perbaikan pada gambaran radiografis serta gigi dapat berfungsi secara normal. Keberhasilan perawatan dipengaruhi oleh rencana perawatan yang tepat dengan mempertimbangkan faktor etiologi kegagalan perawatan endodontik serta perubahan fisiologis dan kondisi patologis yang terdapat pada pasien.Kata kunci: Perawatan saluran akar ulang, insisif lateral, pasien geriatri. ABSTRACT Introduction: Endodontic treatment failure generally results from inadequate obturation and leakage at the final restoration. This failure can be relieved by re-root canal treatment. Such treatment in geriatric patients requires various management considerations according to the patient’s physiological and systemic conditions. This case report was aimed to describe the non-surgical root canal re-treatment of maxillary right lateral incisor in a geriatric patient. Case report: A 69-years-old woman came to the Conservative Dentistry Specialist Outpatient Unit of the Universitas Padjadjaran Dental Hospital (RSGM Unpad) to repair a broken maxillary right front tooth fill and to treat the tooth due to the uncomfortable feeling each time the mastication was performed. The tooth was treated with root canals and tooth-coloured fillings about four years ago. Intraoral examination revealed positive percussion of the maxillary right lateral incisor. The periapical radiograph showed inadequate root canal filling, dilation of the periodontal membrane in the third apical, and severed lamina dura in the third apical. The treatment plan was non-surgical root canal re-treatment. The treatment took place in six short sessions, with the steps of gutta-percha collection using a Hedstrom file, the root canal preparation with a rotary instrument, and the root canal’s obturation with gutta-percha plus resin sealer and final restoration of a composite direct veneer. Conclusion: Non-surgical root canal treatment of the upper right lateral incisor was successfully performed as indicated by the absence of the patient’s complaints, improvement in the radiographic image, and the teeth’ normal function. The treatment's success is influenced by a proper treatment plan considering the aetiological factors of endodontic treatment failure, the physiological changes, and pathological conditions present in the patient.Keywords: Root canal re-treatment, lateral incisor, geriatric patient.


2021 ◽  
pp. 119-121
Author(s):  
Juan G. Robledo ◽  
Pablo A. Rodriguez

The high success of endodontic therapy for apical periodontitis treatment is well known. However, studies showed that between 20% to 60% of treated teeth in the population present with apical periodontitis after root canal therapy. When viable, non-surgical retreatment is the rst option while endodontic surgery should be the last resource for elimination of the disease. The aim of this case report is emphasize the potentiality of the successful outcome of surgical endodontic treatment following failed non-surgical treatment of a second maxillary premolar and rst maxillary molar


2016 ◽  
Vol 3 (1) ◽  
pp. 1-4
Author(s):  
Malaz Mohamed EL-Rafie Mustafa ◽  
Asmaa Awad Mosfer Almosa ◽  
Amira Mosfer Saad Alshahrani ◽  
Sana Mofleh Alshahrani

2018 ◽  
Author(s):  
Ingrid Różyło-Kalinowskav ◽  
Karolina Sidor

The purpose of this article was to present a case report of 11–year old female patient with a large osteolytic mandibular lesion which healed after endodontic treatment. The patient was referred for radio diagnostics due to an incidental finding of a large osteolytic lesion of the area of the left lower first and second premolars in the panoramic radiograph taken before orthodontic treatment. CBCT was performed and the patient asked to have teeth 33-35 treated by endodontics before surgery. The patient missed the surgical appointment and when she reappeared several months later, the lesion showed signs of healing thus surgery were aborted. The presented case testifies to the observation that even large osteolytic lesions can heal after endodontic treatment without surgical approach.


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