Traumatic periapical lesion only identified through cone beam computed tomography: A case report
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://hdl.handle.net/11449/231400 |
Resumo: | This case report describes the diagnosis of a traumatic periapical lesion, caused by parafunctional habits (bruxism) and associated with bone rarefaction, that had not been identified by periapical radiography. Slight edema was observed clinically at the apical region of the maxillary left canine; however, the tooth demonstrated only physiologic mobility, and the results of a pulpal sensitivity test were inconclusive. A cone beam computed tomogram (CBCT) showed the presence of a periapical lesion. After preparation of the root canal, intracanal medication (calcium hydroxide and paramonochlorophenol) was placed and changed once a month for 2 months. After 60 days (at the time of the second medication change), the edema at the apical region was no longer visible. The root canal was filled, and CBCTs obtained 30 days and 24 months after completion of treatment showed that the lesion had regressed with bone repair. Although it is an expensive procedure, CBCT is important in the examination and diagnosis of periapical lesions that may not be seen in periapical radiographs. |
id |
UNSP_be1860c73f57345c4f29b1983c737ba2 |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/231400 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Traumatic periapical lesion only identified through cone beam computed tomography: A case reportComputed tomographyDiagnosisEndodonticsRoot canal therapyTooth injuriesThis case report describes the diagnosis of a traumatic periapical lesion, caused by parafunctional habits (bruxism) and associated with bone rarefaction, that had not been identified by periapical radiography. Slight edema was observed clinically at the apical region of the maxillary left canine; however, the tooth demonstrated only physiologic mobility, and the results of a pulpal sensitivity test were inconclusive. A cone beam computed tomogram (CBCT) showed the presence of a periapical lesion. After preparation of the root canal, intracanal medication (calcium hydroxide and paramonochlorophenol) was placed and changed once a month for 2 months. After 60 days (at the time of the second medication change), the edema at the apical region was no longer visible. The root canal was filled, and CBCTs obtained 30 days and 24 months after completion of treatment showed that the lesion had regressed with bone repair. Although it is an expensive procedure, CBCT is important in the examination and diagnosis of periapical lesions that may not be seen in periapical radiographs.Postgraduate Program in Dental Sciences School of Dentistry Federal University of AlfenasDepartment of Clinics and SurgeryDepartment of Endodontics Aracatuba School of Dentistry State University of Sao PauloFederal University of AlfenasUniversidade de São Paulo (USP)Cosme-Silva, LeopoldoMarcos, Ana Flavia OliveiraFerreira, Julia FernandesGomes Filho, Joao EduardoViola, Naiana Viana2022-04-29T08:45:06Z2022-04-29T08:45:06Z2017-05-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlee9-e12General Dentistry, v. 65, n. 3, p. e9-e12, 2017.0363-6771http://hdl.handle.net/11449/2314002-s2.0-85020016027Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengGeneral Dentistryinfo:eu-repo/semantics/openAccess2022-04-29T08:45:06Zoai:repositorio.unesp.br:11449/231400Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462022-04-29T08:45:06Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Traumatic periapical lesion only identified through cone beam computed tomography: A case report |
title |
Traumatic periapical lesion only identified through cone beam computed tomography: A case report |
spellingShingle |
Traumatic periapical lesion only identified through cone beam computed tomography: A case report Cosme-Silva, Leopoldo Computed tomography Diagnosis Endodontics Root canal therapy Tooth injuries |
title_short |
Traumatic periapical lesion only identified through cone beam computed tomography: A case report |
title_full |
Traumatic periapical lesion only identified through cone beam computed tomography: A case report |
title_fullStr |
Traumatic periapical lesion only identified through cone beam computed tomography: A case report |
title_full_unstemmed |
Traumatic periapical lesion only identified through cone beam computed tomography: A case report |
title_sort |
Traumatic periapical lesion only identified through cone beam computed tomography: A case report |
author |
Cosme-Silva, Leopoldo |
author_facet |
Cosme-Silva, Leopoldo Marcos, Ana Flavia Oliveira Ferreira, Julia Fernandes Gomes Filho, Joao Eduardo Viola, Naiana Viana |
author_role |
author |
author2 |
Marcos, Ana Flavia Oliveira Ferreira, Julia Fernandes Gomes Filho, Joao Eduardo Viola, Naiana Viana |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Federal University of Alfenas Universidade de São Paulo (USP) |
dc.contributor.author.fl_str_mv |
Cosme-Silva, Leopoldo Marcos, Ana Flavia Oliveira Ferreira, Julia Fernandes Gomes Filho, Joao Eduardo Viola, Naiana Viana |
dc.subject.por.fl_str_mv |
Computed tomography Diagnosis Endodontics Root canal therapy Tooth injuries |
topic |
Computed tomography Diagnosis Endodontics Root canal therapy Tooth injuries |
description |
This case report describes the diagnosis of a traumatic periapical lesion, caused by parafunctional habits (bruxism) and associated with bone rarefaction, that had not been identified by periapical radiography. Slight edema was observed clinically at the apical region of the maxillary left canine; however, the tooth demonstrated only physiologic mobility, and the results of a pulpal sensitivity test were inconclusive. A cone beam computed tomogram (CBCT) showed the presence of a periapical lesion. After preparation of the root canal, intracanal medication (calcium hydroxide and paramonochlorophenol) was placed and changed once a month for 2 months. After 60 days (at the time of the second medication change), the edema at the apical region was no longer visible. The root canal was filled, and CBCTs obtained 30 days and 24 months after completion of treatment showed that the lesion had regressed with bone repair. Although it is an expensive procedure, CBCT is important in the examination and diagnosis of periapical lesions that may not be seen in periapical radiographs. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-05-01 2022-04-29T08:45:06Z 2022-04-29T08:45:06Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
General Dentistry, v. 65, n. 3, p. e9-e12, 2017. 0363-6771 http://hdl.handle.net/11449/231400 2-s2.0-85020016027 |
identifier_str_mv |
General Dentistry, v. 65, n. 3, p. e9-e12, 2017. 0363-6771 2-s2.0-85020016027 |
url |
http://hdl.handle.net/11449/231400 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
General Dentistry |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
e9-e12 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799965568013434880 |