Management of upper central incisor with large periapical inflammatory cyst and persistent fistula: Case report
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2021 |
| Outros Autores: | , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Research, Society and Development |
| Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/17332 |
Resumo: | The objective of this case report was to describe the retreatment of an immature upper right central incisor in a 20-year-old female patient after unsuccessful endodontic treatment, who had probable clinical-radiographic diagnosis of a large periapical inflammatory cyst and persistent fistula. After removing the root canal filling material, disinfection of the root canal system, and successive intracanal medication changes over 60 days, the fistula remained active. Therefore, parendodontic surgery was performed. The root canal system was obturated, the periapical cyst was surgically enucleated, and retro-obturation with mineral trioxide aggregate was performed. We used the guided tissue regeneration technique with a xenograft and resorbable membrane. On histopathological examination, we observed bacterial colonies present in the lumen of the cystic lesion. Clinical evaluation, periapical radiograph, and cone-beam tomography confirmed complete healing of the periapical area of the affected tooth. The treatment success was verified by periapical healing over a follow-up period of 21 months. |
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Management of upper central incisor with large periapical inflammatory cyst and persistent fistula: Case report Tratamiento de incisivo central superior con quiste periapical inflamatorio extenso y fístula persistente: Reporte de caso Tratamento de incisivo central superior com cisto periapical inflamatório extenso e fístula persistente: Relato de caso Traumatismos de los dientesControl de infección dentalRadicular quiste.Traumatismos dentáriosControle de Infecções DentáriasCisto radicular.Tooth injuriesInfection control, dentalRadicular cyst.The objective of this case report was to describe the retreatment of an immature upper right central incisor in a 20-year-old female patient after unsuccessful endodontic treatment, who had probable clinical-radiographic diagnosis of a large periapical inflammatory cyst and persistent fistula. After removing the root canal filling material, disinfection of the root canal system, and successive intracanal medication changes over 60 days, the fistula remained active. Therefore, parendodontic surgery was performed. The root canal system was obturated, the periapical cyst was surgically enucleated, and retro-obturation with mineral trioxide aggregate was performed. We used the guided tissue regeneration technique with a xenograft and resorbable membrane. On histopathological examination, we observed bacterial colonies present in the lumen of the cystic lesion. Clinical evaluation, periapical radiograph, and cone-beam tomography confirmed complete healing of the periapical area of the affected tooth. The treatment success was verified by periapical healing over a follow-up period of 21 months.El propósito de este caso clínico fue describir el retratamiento de un incisivo central superior derecho inmaduro en un paciente de 20 años, tras tratamiento endodóntico fallido, con probable diagnóstico clínico-radiográfico de quiste inflamatorio periapical extenso y fístula persistente. Después de retirar el material de obturación, desinfectar el sistema del conducto radicular y sucesivos cambios de medicación intracanal durante 60 días, la fístula permaneció activa. Por tanto, se realizó una cirugía de endodoncia. Se rellenó el sistema de conductos radiculares, se enucleó quirúrgicamente el quiste periapical y se rellenó de nuevo con agregado de trióxido mineral. Utilizamos la técnica de regeneración tisular guiada con xenoinjerto y membrana reabsorbible. En el examen histopatológico observamos la presencia de colonias bacterianas en la luz de la lesión quística. La evaluación clínica, la radiografía periapical y la tomografía computarizada de haz cónico confirmaron la curación completa del área periapical del diente afectado. El éxito del tratamiento se verificó mediante la curación periapical durante un período de seguimiento de 21 meses.O objetivo deste relato de caso foi descrever o retratamento de um incisivo central superior direito imaturo em uma paciente de 20 anos, após insucesso do tratamento endodôntico, com provável diagnóstico clínico-radiográfico de extenso cisto inflamatório periapical e fístula persistente. Após a remoção do material obturador do canal radicular, desinfecção do sistema de canal radicular e sucessivas trocas de medicação intracanal ao longo de 60 dias, a fístula permaneceu ativa. Portanto, a cirurgia parendodôntica foi realizada. O sistema de canais radiculares foi obturado, o cisto periapical foi enucleado cirurgicamente e realizada retro-obturação com agregado de trióxido mineral. Utilizamos a técnica de regeneração tecidual guiada com xenoenxerto e membrana reabsorvível. No exame histopatológico, observamos colônias bacterianas presentes na luz da lesão cística. Avaliação clínica, radiografia periapical e tomografia computadorizada de feixe cônico confirmaram a cicatrização completa da área periapical do dente afetado. O sucesso do tratamento foi verificado pela cicatrização periapical ao longo de um período de acompanhamento de 21 meses.Research, Society and Development2021-07-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1733210.33448/rsd-v10i8.17332Research, Society and Development; Vol. 10 No. 8; e19410817332Research, Society and Development; Vol. 10 Núm. 8; e19410817332Research, Society and Development; v. 10 n. 8; e194108173322525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/17332/15382Copyright (c) 2021 Soraia de Fátima Carvalho Souza; Susilena Arouche Costa; Arianna Helena Marques Cavalcante; Aretha Lorena Fonseca Cantanhede Carneiro; Tetis Serejo Sauáia; Sandra Augusta Moura Leite; Érika Martins Pereira; Paulo Maria Santos Rabelo-Juniorhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSouza, Soraia de Fátima CarvalhoCosta, Susilena AroucheCavalcante, Arianna Helena Marques Carneiro, Aretha Lorena Fonseca Cantanhede Sauáia, Tetis SerejoLeite, Sandra Augusta MouraPereira, Érika Martins Rabelo-Junior, Paulo Maria Santos2021-08-21T18:46:59Zoai:ojs.pkp.sfu.ca:article/17332Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:37:41.644219Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
| dc.title.none.fl_str_mv |
Management of upper central incisor with large periapical inflammatory cyst and persistent fistula: Case report Tratamiento de incisivo central superior con quiste periapical inflamatorio extenso y fístula persistente: Reporte de caso Tratamento de incisivo central superior com cisto periapical inflamatório extenso e fístula persistente: Relato de caso |
| title |
Management of upper central incisor with large periapical inflammatory cyst and persistent fistula: Case report |
| spellingShingle |
Management of upper central incisor with large periapical inflammatory cyst and persistent fistula: Case report Souza, Soraia de Fátima Carvalho Traumatismos de los dientes Control de infección dental Radicular quiste. Traumatismos dentários Controle de Infecções Dentárias Cisto radicular. Tooth injuries Infection control, dental Radicular cyst. |
| title_short |
Management of upper central incisor with large periapical inflammatory cyst and persistent fistula: Case report |
| title_full |
Management of upper central incisor with large periapical inflammatory cyst and persistent fistula: Case report |
| title_fullStr |
Management of upper central incisor with large periapical inflammatory cyst and persistent fistula: Case report |
| title_full_unstemmed |
Management of upper central incisor with large periapical inflammatory cyst and persistent fistula: Case report |
| title_sort |
Management of upper central incisor with large periapical inflammatory cyst and persistent fistula: Case report |
| author |
Souza, Soraia de Fátima Carvalho |
| author_facet |
Souza, Soraia de Fátima Carvalho Costa, Susilena Arouche Cavalcante, Arianna Helena Marques Carneiro, Aretha Lorena Fonseca Cantanhede Sauáia, Tetis Serejo Leite, Sandra Augusta Moura Pereira, Érika Martins Rabelo-Junior, Paulo Maria Santos |
| author_role |
author |
| author2 |
Costa, Susilena Arouche Cavalcante, Arianna Helena Marques Carneiro, Aretha Lorena Fonseca Cantanhede Sauáia, Tetis Serejo Leite, Sandra Augusta Moura Pereira, Érika Martins Rabelo-Junior, Paulo Maria Santos |
| author2_role |
author author author author author author author |
| dc.contributor.author.fl_str_mv |
Souza, Soraia de Fátima Carvalho Costa, Susilena Arouche Cavalcante, Arianna Helena Marques Carneiro, Aretha Lorena Fonseca Cantanhede Sauáia, Tetis Serejo Leite, Sandra Augusta Moura Pereira, Érika Martins Rabelo-Junior, Paulo Maria Santos |
| dc.subject.por.fl_str_mv |
Traumatismos de los dientes Control de infección dental Radicular quiste. Traumatismos dentários Controle de Infecções Dentárias Cisto radicular. Tooth injuries Infection control, dental Radicular cyst. |
| topic |
Traumatismos de los dientes Control de infección dental Radicular quiste. Traumatismos dentários Controle de Infecções Dentárias Cisto radicular. Tooth injuries Infection control, dental Radicular cyst. |
| description |
The objective of this case report was to describe the retreatment of an immature upper right central incisor in a 20-year-old female patient after unsuccessful endodontic treatment, who had probable clinical-radiographic diagnosis of a large periapical inflammatory cyst and persistent fistula. After removing the root canal filling material, disinfection of the root canal system, and successive intracanal medication changes over 60 days, the fistula remained active. Therefore, parendodontic surgery was performed. The root canal system was obturated, the periapical cyst was surgically enucleated, and retro-obturation with mineral trioxide aggregate was performed. We used the guided tissue regeneration technique with a xenograft and resorbable membrane. On histopathological examination, we observed bacterial colonies present in the lumen of the cystic lesion. Clinical evaluation, periapical radiograph, and cone-beam tomography confirmed complete healing of the periapical area of the affected tooth. The treatment success was verified by periapical healing over a follow-up period of 21 months. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021-07-10 |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/17332 10.33448/rsd-v10i8.17332 |
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https://rsdjournal.org/index.php/rsd/article/view/17332 |
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10.33448/rsd-v10i8.17332 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
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https://rsdjournal.org/index.php/rsd/article/view/17332/15382 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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application/pdf |
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Research, Society and Development |
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Research, Society and Development |
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Research, Society and Development; Vol. 10 No. 8; e19410817332 Research, Society and Development; Vol. 10 Núm. 8; e19410817332 Research, Society and Development; v. 10 n. 8; e19410817332 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
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Universidade Federal de Itajubá (UNIFEI) |
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UNIFEI |
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UNIFEI |
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Research, Society and Development |
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Research, Society and Development |
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Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
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rsd.articles@gmail.com |
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1797052681910484992 |