Öz
The aim of this paper is to present an interesting case of a periapical healing of mandibular posteriors having calcific-like deposits with radiolucent lesion. A 35-year-old healthy female patient was referred to our clinic by a general dentist. A diagnosis of calcific-like deposits with apical periodontitis lesion on the root surfaces with pulp necrosis was made. The root canal was prepared using the sequential hand files and rotary files. In the first session, calcium hydroxide was applied to the root canals to treat the radiolucent lesion. A one-week break was taken between the first and second session, and finally, the canals were filled with standard cold lateral gutta-percha condensation. No clinical signs were detected in the clinical examination of the controls, and the calcific-like deposits on the root surfaces and radiolucent lesion were healed in follow-up x-rays. The cases presented showed acceptable functional and/or successful recovery without recurrence at follow-up examination.
Anahtar Kelimeler
Apical periodontitis Calcific-like deposits Pulp necrosis Radiolucent lesion
Kaynakça
- Byström A, Claesson R, Sundqvist G. 1985. The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Dental Traumatol, 1(5): 170-175.
- Carranza F. 1990. The role of calculus in the etiology of periodontal disease. Clickman’s Clinical Periodontology. WB Saunders, Philadelphia, US, pp: 394-395.
- Consolaro A, Consolaro RB, Francischone LA. 2012. Cementum, apical morphology and hypercementosis: a probable adaptive response of the periodontal support tissues and potential orthodontic implications. Dental Press J Orthodont, 17(1): 21-30.
- Grahnen H. 1961. The prognosis of pulp and root canal therapy a clinical and radiograhic follow-up examination. Odontol Rev, 12: 146-165.
- Harn WM, Chen YHM, Yuan K, Chung CH, Huang PH. 1998. Calculus‐like deposit at apex of tooth with refractory apical periodontitis. Dental Traumatol, 14(5): 237-240.
- Hinrichs J. 2006. The role of dental calculus and other predisposing factors. URL: https://pocketdentistry.com/7-the-role-of-dental-calculus-and-other-local-predisposing-factors/ (access date: December 12, 2022).
- Horner K, Rout J, Rushton VE. Interpreting dental radiographs. Quintessence Publishing Company Limited, London, UK, pp: 156.
- Kumar SG. 2015. Orban's Oral Histology & Embryology. Elsevier, New Delhi, India, pp: 458.
- Langlais RP, Langland OE, Nortjé CJ. 1995. Diagnostic imaging of the jaws. Williams & Wilkinsons, Baltimore, MD, US.
- Lomçali G, Şen B, Cankaya H. 1996. Scanning electron microscopic observations of apical root surfaces of teeth with apical periodontitis. Dental Traumatol, 12(2): 70-76.
- Lorello O, Foster DL, Levine DG, Boyle A, Engiles J, Orsini JA. 2016. Clinical treatment and prognosis of equine odontoclastic tooth resorption and hypercementosis. Equine Vet J, 48(2): 188-194.
- Nair P. 2006. On the causes of persistent apical periodontitis: a review. Int Endodont J, 39(4): 249-281.
- Nair PR, Sjögren U, Krey G, Kahnberg KE, Sundqvist G. 1990. Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapical lesions: a long-term light and electron microscopic follow-up study. J Endodont, 16(12): 580-588.
- Noiri Y, Ehara A, Kawahara T, Takemura N, Ebisu S. 2002. Participation of bacterial biofilms in refractory and chronic periapical periodontitis. J Endodont, 28(10): 679-683.
- Pappen FG, Cecilia DF, Josué M, Silveira M, Fernando L. 2011. Hypercementosis: a challenge for endodontic therapy. Revista Sul-Brasileira de Odontologia, 8(3): 321-328.
- Park E, Shen Y, Haapasalo M. 2012. Irrigation of the apical root canal. Endodon Topics, 27(1): 54-73.
- Prabhakar A, Reddy SVV, Bassappa N. 1998. Duplication and dilaceration of a crown with hypercementosis of the root following trauma: A case report. Pediatric Dent, 29(10): 655-657.
- Raghavan V, Singh C. 2015. Hypercementosis: review of literature and report of a case of mammoth, dumbbell-shaped hypercementosis. J Indian Acad Oral Medic Radiol, 27(1): 160.
- Ricucci D, Candeiro GTM, Bugea C, Siqueira JF. 2016. Complex apical intraradicular infection and extraradicular mineralized biofilms as the cause of wet canals and treatment failure: report of 2 cases. J Endodont, 42(3): 509-515.
- Ricucci D, Martorano M, Bate AL, Pascon EA. 2005. Calculus‐like deposit on the apical external root surface of teeth with post‐treatment apical periodontitis: report of two cases. Int Endodont J, 38(4): 262-271.
- Ricucci D, Siqueira JF. 2010. Biofilms and apical periodontitis: study of prevalence and association with clinical and histopathologic findings. J Endodont, 36(8): 1277-1288.
- Rud J, Andreasen J. 1972. A study of failures after endodontic surgery by radiographic, histologic and stereomicroscopic methods. Int J Oral Surg, 1(6): 311-328.
- Song M, Kim HC, Lee W, Kim E. 2011. Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery. J Endodont, 37(11): 1516-1519.
- Spoque J. 1973. Oral pathology. CV Mosby, St. Louis, US, pp: 134.
- Streckfuss JL, Smith WN, Brown LR, Campbell MM. 1974. Calcification of selected strains of Streptococcus mutans and Streptococcus sanguis. J Bacteriol, 20(1): 502-506.
- Sundqvist G, Figdor D, person S. 1998. Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg Oral Medic Oral Pathol Oral Radiol Endodontol, 85(1): 86-93.
- Sundqvist G. 1976. Bacteriological studies of necrotic dental pulps. Umeå University, Odontological Dissertations, Umea, Sweden, pp: 101.
- Yang CM, Hsieh YD, Yang SF. 2010. Refractory apical periodontitis associated with a calculus-like deposit at the root apex. J Dental Sci, 5(2): 109-113.
Öz
The aim of this paper is to present an interesting case of a periapical healing of mandibular posteriors having calcific-like deposits with radiolucent lesion. A 35-year-old healthy female patient was referred to our clinic by a general dentist. A diagnosis of calcific-like deposits with apical periodontitis lesion on the root surfaces with pulp necrosis was made. The root canal was prepared using the sequential hand files and rotary files. In the first session, calcium hydroxide was applied to the root canals to treat the radiolucent lesion. A one-week break was taken between the first and second session, and finally, the canals were filled with standard cold lateral gutta-percha condensation. No clinical signs were detected in the clinical examination of the controls, and the calcific-like deposits on the root surfaces and radiolucent lesion were healed in follow-up x-rays. The cases presented showed acceptable functional and/or successful recovery without recurrence at follow-up examination.
Anahtar Kelimeler
Apical periodontitis Calcific-like deposits Pulp necrosis Radiolucent lesion
Kaynakça
- Byström A, Claesson R, Sundqvist G. 1985. The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Dental Traumatol, 1(5): 170-175.
- Carranza F. 1990. The role of calculus in the etiology of periodontal disease. Clickman’s Clinical Periodontology. WB Saunders, Philadelphia, US, pp: 394-395.
- Consolaro A, Consolaro RB, Francischone LA. 2012. Cementum, apical morphology and hypercementosis: a probable adaptive response of the periodontal support tissues and potential orthodontic implications. Dental Press J Orthodont, 17(1): 21-30.
- Grahnen H. 1961. The prognosis of pulp and root canal therapy a clinical and radiograhic follow-up examination. Odontol Rev, 12: 146-165.
- Harn WM, Chen YHM, Yuan K, Chung CH, Huang PH. 1998. Calculus‐like deposit at apex of tooth with refractory apical periodontitis. Dental Traumatol, 14(5): 237-240.
- Hinrichs J. 2006. The role of dental calculus and other predisposing factors. URL: https://pocketdentistry.com/7-the-role-of-dental-calculus-and-other-local-predisposing-factors/ (access date: December 12, 2022).
- Horner K, Rout J, Rushton VE. Interpreting dental radiographs. Quintessence Publishing Company Limited, London, UK, pp: 156.
- Kumar SG. 2015. Orban's Oral Histology & Embryology. Elsevier, New Delhi, India, pp: 458.
- Langlais RP, Langland OE, Nortjé CJ. 1995. Diagnostic imaging of the jaws. Williams & Wilkinsons, Baltimore, MD, US.
- Lomçali G, Şen B, Cankaya H. 1996. Scanning electron microscopic observations of apical root surfaces of teeth with apical periodontitis. Dental Traumatol, 12(2): 70-76.
- Lorello O, Foster DL, Levine DG, Boyle A, Engiles J, Orsini JA. 2016. Clinical treatment and prognosis of equine odontoclastic tooth resorption and hypercementosis. Equine Vet J, 48(2): 188-194.
- Nair P. 2006. On the causes of persistent apical periodontitis: a review. Int Endodont J, 39(4): 249-281.
- Nair PR, Sjögren U, Krey G, Kahnberg KE, Sundqvist G. 1990. Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapical lesions: a long-term light and electron microscopic follow-up study. J Endodont, 16(12): 580-588.
- Noiri Y, Ehara A, Kawahara T, Takemura N, Ebisu S. 2002. Participation of bacterial biofilms in refractory and chronic periapical periodontitis. J Endodont, 28(10): 679-683.
- Pappen FG, Cecilia DF, Josué M, Silveira M, Fernando L. 2011. Hypercementosis: a challenge for endodontic therapy. Revista Sul-Brasileira de Odontologia, 8(3): 321-328.
- Park E, Shen Y, Haapasalo M. 2012. Irrigation of the apical root canal. Endodon Topics, 27(1): 54-73.
- Prabhakar A, Reddy SVV, Bassappa N. 1998. Duplication and dilaceration of a crown with hypercementosis of the root following trauma: A case report. Pediatric Dent, 29(10): 655-657.
- Raghavan V, Singh C. 2015. Hypercementosis: review of literature and report of a case of mammoth, dumbbell-shaped hypercementosis. J Indian Acad Oral Medic Radiol, 27(1): 160.
- Ricucci D, Candeiro GTM, Bugea C, Siqueira JF. 2016. Complex apical intraradicular infection and extraradicular mineralized biofilms as the cause of wet canals and treatment failure: report of 2 cases. J Endodont, 42(3): 509-515.
- Ricucci D, Martorano M, Bate AL, Pascon EA. 2005. Calculus‐like deposit on the apical external root surface of teeth with post‐treatment apical periodontitis: report of two cases. Int Endodont J, 38(4): 262-271.
- Ricucci D, Siqueira JF. 2010. Biofilms and apical periodontitis: study of prevalence and association with clinical and histopathologic findings. J Endodont, 36(8): 1277-1288.
- Rud J, Andreasen J. 1972. A study of failures after endodontic surgery by radiographic, histologic and stereomicroscopic methods. Int J Oral Surg, 1(6): 311-328.
- Song M, Kim HC, Lee W, Kim E. 2011. Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery. J Endodont, 37(11): 1516-1519.
- Spoque J. 1973. Oral pathology. CV Mosby, St. Louis, US, pp: 134.
- Streckfuss JL, Smith WN, Brown LR, Campbell MM. 1974. Calcification of selected strains of Streptococcus mutans and Streptococcus sanguis. J Bacteriol, 20(1): 502-506.
- Sundqvist G, Figdor D, person S. 1998. Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg Oral Medic Oral Pathol Oral Radiol Endodontol, 85(1): 86-93.
- Sundqvist G. 1976. Bacteriological studies of necrotic dental pulps. Umeå University, Odontological Dissertations, Umea, Sweden, pp: 101.
- Yang CM, Hsieh YD, Yang SF. 2010. Refractory apical periodontitis associated with a calculus-like deposit at the root apex. J Dental Sci, 5(2): 109-113.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Diş Hekimliği |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Nisan 2023 |
| Gönderilme Tarihi | 2 Ocak 2023 |
| Kabul Tarihi | 21 Mart 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 6 Sayı: 2 |
