Decompression of a Large Periapical Lesion: A Case Report of 4-Year Follow-Up
This case report described the endodontic treatment and decompression of an extensive lesion in the anterior region of the mandible, detected during clinical and radiographic examination, in a patient with a complaint of slight tenderness to palpation in the area of mandibular right lateral incisor...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/3830987 |
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| author | Claudio Maniglia-Ferreira Fabio de Almeida Gomes Marcelo de Morais Vitoriano Francisco de Assis Silva Lima |
| author_facet | Claudio Maniglia-Ferreira Fabio de Almeida Gomes Marcelo de Morais Vitoriano Francisco de Assis Silva Lima |
| author_sort | Claudio Maniglia-Ferreira |
| collection | DOAJ |
| description | This case report described the endodontic treatment and decompression of an extensive lesion in the anterior region of the mandible, detected during clinical and radiographic examination, in a patient with a complaint of slight tenderness to palpation in the area of mandibular right lateral incisor and canine. These teeth had been accessed without proper clinical evaluation, and their pulp tissues were exposed. The periodontal tissues were healthy, with no signs of inflammation or fistula. On radiographic examination, a radiolucent lesion with well-defined borders was seen extending from the distal root of mandibular left second premolar to the mesial root of mandibular right second premolar. Central and lateral mandibular left incisors were unresponsive to thermal pulp testing and exhibited coronal discoloration, consistent with a diagnosis of pulp necrosis. Due to persistent discharge from the root canal system during endodontic procedures despite application of intracanal medicament (calcium hydroxide paste), the decision was made to biopsy and decompress the lesion and conclude endodontic treatment. Histopathologic examination revealed a periapical granuloma. After endodontic treatment of the involved teeth, at 4-year clinical and radiographic follow-up, the affected region was almost completely repaired. |
| format | Article |
| id | doaj-art-a49246663f4540e0bf420c140e207c8c |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-a49246663f4540e0bf420c140e207c8c2025-02-03T05:47:30ZengWileyCase Reports in Medicine1687-96271687-96352016-01-01201610.1155/2016/38309873830987Decompression of a Large Periapical Lesion: A Case Report of 4-Year Follow-UpClaudio Maniglia-Ferreira0Fabio de Almeida Gomes1Marcelo de Morais Vitoriano2Francisco de Assis Silva Lima3Department of Endodontics, Course of Dentistry, University of Fortaleza, Fortaleza, CE, BrazilDepartment of Endodontics, Course of Dentistry, University of Fortaleza, Fortaleza, CE, BrazilDepartment of Endodontics, Course of Dentistry, University of Fortaleza, Fortaleza, CE, BrazilDepartment of Bucco-Maxillofacial Surgery, Course of Dentistry, University of Fortaleza, Fortaleza, CE, BrazilThis case report described the endodontic treatment and decompression of an extensive lesion in the anterior region of the mandible, detected during clinical and radiographic examination, in a patient with a complaint of slight tenderness to palpation in the area of mandibular right lateral incisor and canine. These teeth had been accessed without proper clinical evaluation, and their pulp tissues were exposed. The periodontal tissues were healthy, with no signs of inflammation or fistula. On radiographic examination, a radiolucent lesion with well-defined borders was seen extending from the distal root of mandibular left second premolar to the mesial root of mandibular right second premolar. Central and lateral mandibular left incisors were unresponsive to thermal pulp testing and exhibited coronal discoloration, consistent with a diagnosis of pulp necrosis. Due to persistent discharge from the root canal system during endodontic procedures despite application of intracanal medicament (calcium hydroxide paste), the decision was made to biopsy and decompress the lesion and conclude endodontic treatment. Histopathologic examination revealed a periapical granuloma. After endodontic treatment of the involved teeth, at 4-year clinical and radiographic follow-up, the affected region was almost completely repaired.http://dx.doi.org/10.1155/2016/3830987 |
| spellingShingle | Claudio Maniglia-Ferreira Fabio de Almeida Gomes Marcelo de Morais Vitoriano Francisco de Assis Silva Lima Decompression of a Large Periapical Lesion: A Case Report of 4-Year Follow-Up Case Reports in Medicine |
| title | Decompression of a Large Periapical Lesion: A Case Report of 4-Year Follow-Up |
| title_full | Decompression of a Large Periapical Lesion: A Case Report of 4-Year Follow-Up |
| title_fullStr | Decompression of a Large Periapical Lesion: A Case Report of 4-Year Follow-Up |
| title_full_unstemmed | Decompression of a Large Periapical Lesion: A Case Report of 4-Year Follow-Up |
| title_short | Decompression of a Large Periapical Lesion: A Case Report of 4-Year Follow-Up |
| title_sort | decompression of a large periapical lesion a case report of 4 year follow up |
| url | http://dx.doi.org/10.1155/2016/3830987 |
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