| Autor: |
Marion, Jefferson J. C., Prado, Maíra, Tomiazzi, Nicole A., Silva, Cleverson O., Silva, Emmanuel José, Duque, Thais M. |
| Předmět: |
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| Zdroj: |
International Journal of Clinical Dentistry; 2018, Vol. 11 Issue 1, p45-51, 7p |
| Abstrakt: |
Purpose: This case report aims at demonstrating the regenerative capacity of periodontal tissues after endodontic treatment of an endoperiodontal lesion associated with severe bone defect. Case report: A 68-year-old male patient, with no systemic impairment, sought endodontic treatment of tooth #21 due to the presence of a crown fracture. After the first interview, extra/intraoral clinical and radiographic examinations, the patient was diagnosed with pulp necrosis. In addition, the same tooth also had severe bone loss bucally and mesially, both 11-mm deep at probing. The patient was subjected to endodontic treatment, and soon after root canal filling, root canal preparation for intraradicular post placement and final radiograph were performed. Four years later, the patient returned for follow-up appointments and had new radiographic as well as tomographic examinations carried out. They revealed lateral canal filling with 6-mm neoformed bone bucally. Conclusion: Endodontic treatment was well indicated and successfully performed, as it allowed bone regeneration in the affected region. Clinical Significance: The presence of lateral canals might be directly related to endoperiodontal lesions and, as a result, bone loss. The correct diagnosis and treatment can lead to supporting bone tissue repair, thereby rendering the presence of the tooth in the oral cavity feasible. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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