Selective endodontic retreatment of mandibular molar with apical periodontitis - case report

Detalhes bibliográficos
Autor(a) principal: Apostolo, Juliana Sanches Guedes de Oliveira Claro
Data de Publicação: 2022
Outros Autores: Paiva, Hermano Camelo, Iglecias, Elaine Faga, Aun, Carmo Antonio, Nunes, Érica Mina Miyazima, Candeiro, George Táccio de Miranda, Gavini, Giulio
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/25211
Resumo: Objective: This paper aims to report a clinical case diagnosed with asymptomatic apical periodontitis at the clinic of the Specialization Course in Endodontics at Universidade São Paulo, addressing the indications and techniques performed, as well as clinical and radiographic aspects. Indications for selective retreatment include cases in which the treatment was carried out for more than 1 year, teeth with satisfactory coronal restorations and no direct exposure of the root canal filling to the oral cavity, absence of periodontal disease, multirooted teeth with bone rarefactions periapical lesions in only one root, being confirmed by Cone Beam Computed Tomography (CBCT) analysis. Case Report: The patient in question sought the Fundecto-USP (FFO) specialization clinic for endodontic retreatment of tooth 36. In the tomographic evaluation, the location of the DL canal was not located and not previously treated. Retreatment was performed only on the root whose canal had not been located, and which had periapical bone rarefaction. Final considerations: The selective retreatment of roots with apical periodontitis can be another viable form of conservative treatment in endodontics when well indicated in cases where there is no exposure of the filling material and the retreatment of all roots can cause the risk of weakening the tooth structure and tooth loss.
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spelling Selective endodontic retreatment of mandibular molar with apical periodontitis - case reportRetratamiento endodóntico selectivo de molar inferior con periodontitis apical - reporte de casoRetratamento endodôntico seletivo de molar inferior com periodontite apical – relato de casoEndodonticsRetreatmentApical Periodontitis.EndodonciaRetratamientoPeriodontitis apical.EndodontiaRetratamentoPeriodontite periapical.Objective: This paper aims to report a clinical case diagnosed with asymptomatic apical periodontitis at the clinic of the Specialization Course in Endodontics at Universidade São Paulo, addressing the indications and techniques performed, as well as clinical and radiographic aspects. Indications for selective retreatment include cases in which the treatment was carried out for more than 1 year, teeth with satisfactory coronal restorations and no direct exposure of the root canal filling to the oral cavity, absence of periodontal disease, multirooted teeth with bone rarefactions periapical lesions in only one root, being confirmed by Cone Beam Computed Tomography (CBCT) analysis. Case Report: The patient in question sought the Fundecto-USP (FFO) specialization clinic for endodontic retreatment of tooth 36. In the tomographic evaluation, the location of the DL canal was not located and not previously treated. Retreatment was performed only on the root whose canal had not been located, and which had periapical bone rarefaction. Final considerations: The selective retreatment of roots with apical periodontitis can be another viable form of conservative treatment in endodontics when well indicated in cases where there is no exposure of the filling material and the retreatment of all roots can cause the risk of weakening the tooth structure and tooth loss.Objetivo: Este artículo tiene como objetivo reportar un caso clínico diagnosticado con periodontitis apical asintomática en la clínica del Curso de Especialización en Endodoncia de la Universidade São Paulo, abordando las indicaciones y técnicas realizadas, así como aspectos clínicos y radiográficos. Las indicaciones para el retratamiento selectivo incluyen casos en los que el tratamiento se llevó a cabo durante más de 1 año, dientes con restauraciones coronales satisfactorias y sin exposición directa del obturador del conducto radicular a la cavidad oral, ausencia de enfermedad periodontal, dientes multirradiculares con rarefacciones óseas lesiones periapicales en una sola raíz, lo que fue confirmado por el análisis de tomografía computarizada de haz de cono (CBCT). Caso clínico: El paciente en cuestión acudió a la clínica de especialización Fundecto-USP (FFO) para retratamiento endodóntico del diente 36. En la evaluación tomográfica no se localizó ni se trató previamente la localización del canal DL. El retratamiento se realizó únicamente en la raíz cuyo conducto no se había localizado y que presentaba enrarecimiento óseo periapical. Consideraciones finales: El retratamiento selectivo de raíces con periodontitis apical puede ser otra forma viable de tratamiento conservador en endodoncia cuando está bien indicado en casos donde no hay exposición del material de obturación y el retratamiento de todas las raíces puede provocar el riesgo de debilitamiento de la estructura dental. y pérdida de dientes.Objetivo: Este trabalho tem por objetivo de relatar um caso clínico diagnosticado com periodontite apical assintomática na clínica do curso de Especialização em Endodontia na Universidade São Paulo abordando as indicações e técnicas realizadas, assim como os aspectos clínicos e radiográficos. As indicações para a realização de retratamento seletivo incluem casos em que o tratamento foi realizado há mais de 1 ano, dentes com restaurações coronais satisfatórias e nenhuma exposição direta da obturação do canal radicular à cavidade oral, ausência de doença periodontal, dentes multirradiculares com rarefações ósseas periapicais em apenas uma raiz, sendo confirmada pela análise de Tomografia Computadorizada de Feixe Cônico (TCFC). Relato de Caso: Paciente em questão procurou a clínica de especialização da Fundecto-USP (FFO) para retratamento endodôntico do dente 36. Na avaliação tomográfica, constatou-se a localização do canal DL não localizado e não tratado anteriormente. Foi realizado o retratamento apenas da raiz cujo canal não havia sido localizado, e que apresentava rarefação óssea periapical. Considerações finais: O retratamento seletivo de raízes com periodontite apical, pode ser mais uma forma de tratamento conservador viável em endodontia quando bem indicado em casos onde não há exposição do material obturador e o retratamento de todas as raízes, pode causar o risco de enfraquecimento da estrutura dental e perda do dente.Research, Society and Development2022-01-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2521110.33448/rsd-v11i1.25211Research, Society and Development; Vol. 11 No. 1; e46411125211Research, Society and Development; Vol. 11 Núm. 1; e46411125211Research, Society and Development; v. 11 n. 1; e464111252112525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/25211/22077Copyright (c) 2022 Juliana Sanches Guedes de Oliveira Claro Apostolo; Hermano Camelo Paiva; Elaine Faga Iglecias; Carmo Antonio Aun; Érica Mina Miyazima Nunes; George Táccio de Miranda Candeiro; Giulio Gavinihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessApostolo, Juliana Sanches Guedes de Oliveira ClaroPaiva, Hermano CameloIglecias, Elaine FagaAun, Carmo AntonioNunes, Érica Mina MiyazimaCandeiro, George Táccio de MirandaGavini, Giulio2022-01-16T18:08:18Zoai:ojs.pkp.sfu.ca:article/25211Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:43:33.028871Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Selective endodontic retreatment of mandibular molar with apical periodontitis - case report
Retratamiento endodóntico selectivo de molar inferior con periodontitis apical - reporte de caso
Retratamento endodôntico seletivo de molar inferior com periodontite apical – relato de caso
title Selective endodontic retreatment of mandibular molar with apical periodontitis - case report
spellingShingle Selective endodontic retreatment of mandibular molar with apical periodontitis - case report
Apostolo, Juliana Sanches Guedes de Oliveira Claro
Endodontics
Retreatment
Apical Periodontitis.
Endodoncia
Retratamiento
Periodontitis apical.
Endodontia
Retratamento
Periodontite periapical.
title_short Selective endodontic retreatment of mandibular molar with apical periodontitis - case report
title_full Selective endodontic retreatment of mandibular molar with apical periodontitis - case report
title_fullStr Selective endodontic retreatment of mandibular molar with apical periodontitis - case report
title_full_unstemmed Selective endodontic retreatment of mandibular molar with apical periodontitis - case report
title_sort Selective endodontic retreatment of mandibular molar with apical periodontitis - case report
author Apostolo, Juliana Sanches Guedes de Oliveira Claro
author_facet Apostolo, Juliana Sanches Guedes de Oliveira Claro
Paiva, Hermano Camelo
Iglecias, Elaine Faga
Aun, Carmo Antonio
Nunes, Érica Mina Miyazima
Candeiro, George Táccio de Miranda
Gavini, Giulio
author_role author
author2 Paiva, Hermano Camelo
Iglecias, Elaine Faga
Aun, Carmo Antonio
Nunes, Érica Mina Miyazima
Candeiro, George Táccio de Miranda
Gavini, Giulio
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Apostolo, Juliana Sanches Guedes de Oliveira Claro
Paiva, Hermano Camelo
Iglecias, Elaine Faga
Aun, Carmo Antonio
Nunes, Érica Mina Miyazima
Candeiro, George Táccio de Miranda
Gavini, Giulio
dc.subject.por.fl_str_mv Endodontics
Retreatment
Apical Periodontitis.
Endodoncia
Retratamiento
Periodontitis apical.
Endodontia
Retratamento
Periodontite periapical.
topic Endodontics
Retreatment
Apical Periodontitis.
Endodoncia
Retratamiento
Periodontitis apical.
Endodontia
Retratamento
Periodontite periapical.
description Objective: This paper aims to report a clinical case diagnosed with asymptomatic apical periodontitis at the clinic of the Specialization Course in Endodontics at Universidade São Paulo, addressing the indications and techniques performed, as well as clinical and radiographic aspects. Indications for selective retreatment include cases in which the treatment was carried out for more than 1 year, teeth with satisfactory coronal restorations and no direct exposure of the root canal filling to the oral cavity, absence of periodontal disease, multirooted teeth with bone rarefactions periapical lesions in only one root, being confirmed by Cone Beam Computed Tomography (CBCT) analysis. Case Report: The patient in question sought the Fundecto-USP (FFO) specialization clinic for endodontic retreatment of tooth 36. In the tomographic evaluation, the location of the DL canal was not located and not previously treated. Retreatment was performed only on the root whose canal had not been located, and which had periapical bone rarefaction. Final considerations: The selective retreatment of roots with apical periodontitis can be another viable form of conservative treatment in endodontics when well indicated in cases where there is no exposure of the filling material and the retreatment of all roots can cause the risk of weakening the tooth structure and tooth loss.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-12
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/25211
10.33448/rsd-v11i1.25211
url https://rsdjournal.org/index.php/rsd/article/view/25211
identifier_str_mv 10.33448/rsd-v11i1.25211
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/25211/22077
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 1; e46411125211
Research, Society and Development; Vol. 11 Núm. 1; e46411125211
Research, Society and Development; v. 11 n. 1; e46411125211
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
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instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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