Surgical management of a lateral lesion refractory to root canal retreatment caused by an extraradicular calculus. A case report.
Aust Endod J
; 49(1): 183-191, 2023 Apr.
Article
en En
| MEDLINE
| ID: mdl-35644940
ABSTRACT
This article describes the management of a root canal-treated maxillary central incisor displaying a radiographic lateral radiolucency and a sinus tract that persisted irrespective of root canal retreatment following high standards. Endodontic microsurgery was indicated and curettage of the pathologic tissue revealed a calculus-like material attached to the outer root surface around the exit of a large lateral canal. A non-conventional approach was chosen No root-end resection was conducted. Instead, the calculus was removed and the apical surface was scaled and smoothed, conserving the apical structure. Retrocavities were prepared in both lateral and apical foramens and filled with a bioceramic material. Follow-up examination showed optimal soft tissue healing. One-year follow-up of radiographs revealed healing of the lateral lesion. The lesion was diagnosed as a cyst, with an infected lumen. An exuberant calculus-like material attached to the external root surface was the most likely cause of the recalcitrant lateral periradicular lesion.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Periodontitis Periapical
/
Cálculos
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
En
Revista:
Aust Endod J
Asunto de la revista:
ODONTOLOGIA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Italia