Clinical and histological findings duringthe diagnosis in endodontics. case report
DOI:
https://doi.org/10.29166/odontologia.vol26.n2.2023-e4319Keywords:
chronic apical abscess, apical lesion, periapical disease, retreatmentAbstract
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.
Downloads
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
How to Cite
Issue
Section
License
Copyright (c) 2023 Jessica Viviana Castillo Cárdenas, Kenia Kun Astudillo
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.