Clinical and histological findings duringthe diagnosis in endodontics. case report

Authors

DOI:

https://doi.org/10.29166/odontologia.vol26.n2.2023-e4319

Keywords:

chronic apical abscess, apical lesion, periapical disease, retreatment

Abstract

Endodontic treatment can be a great challenge, because it tries to eliminate vital or necrotic pulp tissue, disinfect the root canal system as much as possible. Aim. Written report of a clinical case of two infected and necrotic teeth. Materials and methods. Periapical diagnoses are related to an inflammatory defense response to different types of irritants and mechanical, thermal, or chemical stimuli that can lead to pulpal necrosis and subsequent periapical injury if prompt treatment is not received. Results. Once the treatment has been carried out, the resolution of the periapical lesion depends on various factors that will make it possible to determine the evolution and effectiveness of the treatment carried out. Conclusion. The adequate treatment and cleaning of the infected ducts allows to resolve and heal the infected areas and thus preserve the teeth for longer.

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Author Biographies

Jessica Viviana Castillo Cárdenas, Universidad Estatal de Cuenca

Facultad de Odontología; Universidad Estatal de Cuenca; Cuenca, Ecuador

Kenia Kun Astudillo, Universidad Estatal de Cuenca

Facultad de Odontología; Universidad Estatal de Cuenca; Cuenca, Ecuador

References

Plotino G, Colangeli M, Özyürek T, DeDeus G, Panzetta C, Castagnola R, et al. Evaluation of smear layer and debris removal by stepwise intraoperative activation (SIA) of sodium hypochlorite. Clin Oral Investig [Internet]. 2020; Disponible en: https://doi.org/10.1007/s00784-020-03358-6

Justo AM, Da Rosa RA, Santini MF, Ferreira MBC, Pereira JR, Duarte MAH, et al. Effectiveness of final irrigant protocols for debris removal from simulated canal irregularities. J Endod [Internet]. 2014;40(12):2009–14. Disponible en: http://dx.doi.org/10.1016/j.joen.2014.08.006

Munoz HR, Camacho-Cuadra K. In vivo efficacy of three different endodontic irrigation systems for irrigant delivery to working length of mesial canals of mandibular molars. J Endod [Internet]. 2012;38(4):445–8. Disponible en: http://dx.doi.org/10.1016/j.joen.2011.12.007

Moreira RN, Pinto EB, Galo R, Falci SGM, Mesquita AT. Passive ultrasonic irrigation in root canal: systematic review and meta-analysis. Acta Odontol Scand [Internet]. 2019;77(1):55–60. Disponible en: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-021-01427-0

Cohen S, Hargreaves KM, Louis HB. Vìas de la Pulpa [Internet]. 10a ed. Elsevier, editor. España; 2016. Disponible en: https://www.berri.es/pdf/COHEN. VÍAS DE LA PULPA/9788491139683

AAE Consensus Conference Recommended Diagnostic Terminology. Vol. 35, Journal of Endodontics. 2009. 1634 p.

Ricucci D, Loghin S, Gonçalves LS, Rôças IN, Siqueira JF. Histobacteriologic Conditions of the Apical Root Canal System and Periapical Tissues in Teeth Associated with Sinus Tracts. J Endod [Internet]. 2018;44(3):405–13. Disponible en: http://10.0.3.248/j.joen.2017.12.005

Karamifar K, Tondari A, Saghiri MA. Endodontic periapical lesion: an overview on the etiology, diagnosis and current treatment modalities. Eur Endod J [Internet]. 2020;5(2):54–67. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7398993/

Ricucci D, Siqueira JF, Loghin S, Lin LM. Repair of extensive apical root resorption associated with apical periodontitis: Radiographic and histologic observations after 25 years. J Endod [Internet]. 2014;40(8):1268–74. Disponible en: http://10.0.3.248/j.joen.2014.01.008

Jara Chalco LB, Zubiate Meza JA. Retratamiento endodóntico no quirúrgico. Rev Estomatológica Hered [Internet]. 2014;21(4):231. Disponible en: https://www.redalyc.org/pdf/4215/421539366009

Hidalgo LM, PeñaHerrera M M, Martinez M AC. Retratamiento de dientes unirradiculares obturados con gutapercha; acción de solvente y efecto en paredes dentinarias. Dominio la ciencias [Internet]. 2017;3(1):109–31. Disponible en: http://dx.doi.org/10.23857/dom.cien.pocaipURL:http://dominiodelasciencias.com/ojs/index.php/es/indexCorreo:soporte@dominiodelasciencias.com

Arslan H. Efficiency of Endosonic Blue , Eddy , Ultra X and Endoactivator in the removal of calcium hydroxide paste from root canals. Aust Endod J [Internet]. 2022;48(5):32–6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34939722/

Ricucci D, Pascon EA, Pitt Ford TR, Langeland K. Epithelium and bacteria in periapical lesions. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology [Internet]. 2006;101(2):239–49. Disponible en: http://10.0.3.248/j.tripleo.2005.03.038

Vieira AR, Siqueira F, Ricucci D. Dentinal Tubule Infection as the Cause of Recurrent Disease and Late Endodontic Treatment Failure : A Case Report. J Endod [Internet]. 2012;38(2). Disponible en: http://10.0.3.248/j.joen.2011.10.019

Published

2023-08-19

How to Cite

Castillo Cárdenas, J. V., & Kun Astudillo, K. (2023). Clinical and histological findings duringthe diagnosis in endodontics. case report. Odontología, 25(2), 87–94. https://doi.org/10.29166/odontologia.vol26.n2.2023-e4319

Issue

Section

Reporte de casos