Resolution of furcation bone loss after non-surgical root canal treatment: application of a peptidase-detection kit for treatment of type I endoperiodontal lesion
| Autor: | Toru Naito, Katsumasa Maeda, Takao Hirofuji, Masahiro Yoneda, Noriko Motooka |
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| Rok vydání: | 2005 |
| Předmět: |
Gingival and periodontal pocket
Root canal Alveolar Bone Loss Dentistry Tooth mobility Lesion Bacterial Proteins stomatognathic system Bacteroidaceae Infections Dental Pulp Necrosis medicine Bacteroides Humans General Dentistry Periodontitis Treponemal Infections biology business.industry Furcation Defects Middle Aged Gutta-percha Bacteroides Infections medicine.disease biology.organism_classification Root Canal Therapy stomatognathic diseases medicine.anatomical_structure Pulp (tooth) Female Reagent Kits Diagnostic medicine.symptom business Porphyromonas gingivalis Treponema denticola Electric pulp test Periapical Periodontitis Follow-Up Studies Peptide Hydrolases |
| Zdroj: | Journal of Oral Science. 47:143-147 |
| ISSN: | 1880-4926 1343-4934 |
| DOI: | 10.2334/josnusd.47.143 |
| Popis: | Here, we report the management of a type I endoperiodontal lesion with furcation bone loss. A 59-year-old female attended our hospital with the chief complaint of mobility of tooth 46 and recurrent gingival swelling around the tooth. She previously received dental treatment from two dentists, but her condition did not improve. The tooth manifested the symptoms of typical periodontitis, such as gingival swelling, tooth mobility, pus discharge from the periodontal pocket and furcation bone loss. The tooth had no caries and the pulp reacted to an electric pulp test. Careful examination of the gingiva revealed traces of dental fistula. X-ray examination via a gutta percha inserted into the fistula revealed that furcation bone loss was associated with the periapical lesion. We diagnosed a type I endoperiodontal lesion, and applied Periocheck, a detection kit for peptidase-producing bacteria, to check for decreases in bacteria in the furcation and root canals. Soon after non-surgical root canal treatment, the condition of tooth 46 improved without periodontal treatment. After confirming a negative score with Periocheck, the root canal was filled. After 3 months, the furcation bone loss was on the way to recovery. These results indicate that proper diagnosis and confirmation of a decrease in root canal bacteria are important for treating endoperiodontal lesions. |
| Databáze: | OpenAIRE |
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