ODONTOMA COMPLEXO COM ENVOLVIMENTO PERIAPICAL: INTERVENÇÃO ENDODÔNTICA E ABORDAGEM CIRÚRGICA
| Autor: | Marcia Carneiro Valera, Moacir TEOTôNIO Dos Santos Junior, Esteban Isai Flores Ozorco, Cassia Cestari Toia, Beatriz Serralheiro Da Cruz, Amjad Abu Hasna, Rayana Duarte Khoury |
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| Rok vydání: | 2020 |
| Předmět: |
Surgical approach
medicine.diagnostic_test business.industry Radiography Dentistry Computed tomography Root resorption medicine.disease Pathology and Forensic Medicine Bone rarefaction Medicine Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) Surgery Surgical excision Oral Surgery business Pulp necrosis Complex Odontoma |
| Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 130:e204 |
| ISSN: | 2212-4403 |
| DOI: | 10.1016/j.oooo.2020.04.447 |
| Popis: | This report describes the clinical and surgical approach of a complex odontoma with periapical involvement implementing a new bioceramic cement for retrobturation. The patient presented for routine consultation with slight dental mobility in the anterosuperior region. On clinical, radiographic and computed tomography examinations, bone rarefaction was observed in the apical region of the elements 11 and 12, with density higher than bone and similar to teeth, 2.5 cm in diameter, external root resorption of the elements involved, and pulp necrosis of the 12. Conventional endodontic treatment was performed. In a second intervention, a surgical excision of the lesion was performed, showing a mass with clinical characteristics of complex odontoma. Element 12 was retrobturated with Aggregate Pentaoxide Mineral Bioceramic Cement (5 MO). Histopathological examination confirmed the diagnosis of complex odontoma. On follow-up there were no reports of symptoms and the clinical signs were satisfactory, with bone neoformation in the region. APOIO: FAPESP. |
| Databáze: | OpenAIRE |
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