RESUMO
A patient with a renal transplant was referred for endodontic treatment due to a large radiolucent area surrounding three mandibular anterior teeth. Nonsurgical endodontic treatment was unsuccessful but subsequent periradicular curettage resulted in complete radiographic healing.
Assuntos
Doenças da Polpa Dentária/terapia , Transplante de Rim , Periodontite Periapical/terapia , Tratamento do Canal Radicular , Adulto , Humanos , Masculino , Encaminhamento e ConsultaRESUMO
Retrospective study was done on 118 patients who underwent nonsurgical endodontics and then surgical endodontics. Seventy-nine patients had pain before nonsurgical endodontics, and an additional 39 were pain free. After the open surgical procedure, six patients (5%) had continual pain and were considered failures. Three patients (2.5%) were thought to have had posttraumatic dysesthesia, and the other three (2.5%) were considered to have phantom tooth pain. Possible mechanisms for each chronic pain type are discussed.
Assuntos
Apicectomia/efeitos adversos , Dor Facial/etiologia , Dor Pós-Operatória/etiologia , Tratamento do Canal Radicular/efeitos adversos , Agnosia/etiologia , Doença Crônica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Parestesia/etiologia , Estudos Retrospectivos , Inquéritos e Questionários , Odontalgia/etiologiaRESUMO
Eighty-nine periapical radiolucencies treated by nonsurgical endodontic therapy were evaluated to better understand the healing rates of these lesions. After at least 3 months after treatment, radiographs revealed that 46.1% of the lesions had resolved, 48.3% had undergone partial resolution, 2.2% were unchanged, and 3.4% were larger. The average radiographic rate of repair was 3.2 mm2/mo. Less than 6 months after treatment, 17.6% of lesions demonstrated complete radiographic resolution, whereas 70.6% showed radiographic resolution at 12 months or longer.