Combined therapy with mineral trioxide aggregate, and guided tissue regeneration for a large radicular cyst: A 13-year follow-up

Detalhes bibliográficos
Autor(a) principal: Bernabé, Pedro Felício Estrada [UNESP]
Data de Publicação: 2013
Outros Autores: Gomes-Filho, João Eduardo [UNESP], Dezan Júnior, Eloi [UNESP], Prieto, Annelise Katrine Carrara [UNESP], Samuel, Renata Oliveira [UNESP], Cintra, Luciano Tavares Angelo [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1590/S1677-32252013000100014
http://hdl.handle.net/11449/74269
Resumo: Biomaterials such as membrane barriers and/or bone grafts are often used to enhance periapical new bone formation. A combination of apical surgery and these biomaterials is one of the latest treatment options for avoiding tooth extraction. In case of periapical lesions, guided tissue regeneration (GTR) is attempted to improve the self-regenerative healing process by excluding undesired proliferation of the gingival connective tissue or migration of the oral epithelial cells into osseous defects. In many cases, GTR is necessary for achieving periodontal tissue healing. This report describes the healing process after surgery in a challenging case with a long-term followup. In this case report, endodontic surgery was followed by retrograde sealing with mineral trioxide aggregate (MTA) in the maxillary right central incisor and left lateral incisor. Apicectomy was performed in the maxillary left central incisor and a 1-mm filling was removed. The bone defect was filled with an anorganic bone graft and covered with a decalcified cortical osseous membrane. No intraoperative or postoperative complications were observed. After 13 years of follow-up, the patient showed no clinical signs or symptoms associated with the lesion and radiographic examination showed progressive resolution of radiolucency. In conclusion, the combination of apical surgery and regenerative techniques can successfully help the treatment of periapical lesions of endodontic origin and is suitable for the management of challenging cases.
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spelling Combined therapy with mineral trioxide aggregate, and guided tissue regeneration for a large radicular cyst: A 13-year follow-upApical surgeryGuided tissue regenerationMTABiomaterials such as membrane barriers and/or bone grafts are often used to enhance periapical new bone formation. A combination of apical surgery and these biomaterials is one of the latest treatment options for avoiding tooth extraction. In case of periapical lesions, guided tissue regeneration (GTR) is attempted to improve the self-regenerative healing process by excluding undesired proliferation of the gingival connective tissue or migration of the oral epithelial cells into osseous defects. In many cases, GTR is necessary for achieving periodontal tissue healing. This report describes the healing process after surgery in a challenging case with a long-term followup. In this case report, endodontic surgery was followed by retrograde sealing with mineral trioxide aggregate (MTA) in the maxillary right central incisor and left lateral incisor. Apicectomy was performed in the maxillary left central incisor and a 1-mm filling was removed. The bone defect was filled with an anorganic bone graft and covered with a decalcified cortical osseous membrane. No intraoperative or postoperative complications were observed. After 13 years of follow-up, the patient showed no clinical signs or symptoms associated with the lesion and radiographic examination showed progressive resolution of radiolucency. In conclusion, the combination of apical surgery and regenerative techniques can successfully help the treatment of periapical lesions of endodontic origin and is suitable for the management of challenging cases.Department of Endodontics Araçatuba School of Dentistry Universidade Estadual Paulista (UNESP), Araçatuba, SPDepartment of Endodontics Araçatuba School of Dentistry Universidade Estadual Paulista (UNESP), Araçatuba, SPUniversidade Estadual Paulista (Unesp)Bernabé, Pedro Felício Estrada [UNESP]Gomes-Filho, João Eduardo [UNESP]Dezan Júnior, Eloi [UNESP]Prieto, Annelise Katrine Carrara [UNESP]Samuel, Renata Oliveira [UNESP]Cintra, Luciano Tavares Angelo [UNESP]2014-05-27T11:27:31Z2014-05-27T11:27:31Z2013-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article66-70application/pdfhttp://dx.doi.org/10.1590/S1677-32252013000100014Brazilian Journal of Oral Sciences, v. 12, n. 1, p. 66-70, 2013.1677-32171677-3225http://hdl.handle.net/11449/7426910.1590/S1677-32252013000100014S1677-322520130001000142-s2.0-848760216402-s2.0-84876021640.pdf88137772725819729235743081667362Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBrazilian Journal of Oral Sciences0,131info:eu-repo/semantics/openAccess2024-09-19T18:31:35Zoai:repositorio.unesp.br:11449/74269Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-09-19T18:31:35Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Combined therapy with mineral trioxide aggregate, and guided tissue regeneration for a large radicular cyst: A 13-year follow-up
title Combined therapy with mineral trioxide aggregate, and guided tissue regeneration for a large radicular cyst: A 13-year follow-up
spellingShingle Combined therapy with mineral trioxide aggregate, and guided tissue regeneration for a large radicular cyst: A 13-year follow-up
Bernabé, Pedro Felício Estrada [UNESP]
Apical surgery
Guided tissue regeneration
MTA
title_short Combined therapy with mineral trioxide aggregate, and guided tissue regeneration for a large radicular cyst: A 13-year follow-up
title_full Combined therapy with mineral trioxide aggregate, and guided tissue regeneration for a large radicular cyst: A 13-year follow-up
title_fullStr Combined therapy with mineral trioxide aggregate, and guided tissue regeneration for a large radicular cyst: A 13-year follow-up
title_full_unstemmed Combined therapy with mineral trioxide aggregate, and guided tissue regeneration for a large radicular cyst: A 13-year follow-up
title_sort Combined therapy with mineral trioxide aggregate, and guided tissue regeneration for a large radicular cyst: A 13-year follow-up
author Bernabé, Pedro Felício Estrada [UNESP]
author_facet Bernabé, Pedro Felício Estrada [UNESP]
Gomes-Filho, João Eduardo [UNESP]
Dezan Júnior, Eloi [UNESP]
Prieto, Annelise Katrine Carrara [UNESP]
Samuel, Renata Oliveira [UNESP]
Cintra, Luciano Tavares Angelo [UNESP]
author_role author
author2 Gomes-Filho, João Eduardo [UNESP]
Dezan Júnior, Eloi [UNESP]
Prieto, Annelise Katrine Carrara [UNESP]
Samuel, Renata Oliveira [UNESP]
Cintra, Luciano Tavares Angelo [UNESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Bernabé, Pedro Felício Estrada [UNESP]
Gomes-Filho, João Eduardo [UNESP]
Dezan Júnior, Eloi [UNESP]
Prieto, Annelise Katrine Carrara [UNESP]
Samuel, Renata Oliveira [UNESP]
Cintra, Luciano Tavares Angelo [UNESP]
dc.subject.por.fl_str_mv Apical surgery
Guided tissue regeneration
MTA
topic Apical surgery
Guided tissue regeneration
MTA
description Biomaterials such as membrane barriers and/or bone grafts are often used to enhance periapical new bone formation. A combination of apical surgery and these biomaterials is one of the latest treatment options for avoiding tooth extraction. In case of periapical lesions, guided tissue regeneration (GTR) is attempted to improve the self-regenerative healing process by excluding undesired proliferation of the gingival connective tissue or migration of the oral epithelial cells into osseous defects. In many cases, GTR is necessary for achieving periodontal tissue healing. This report describes the healing process after surgery in a challenging case with a long-term followup. In this case report, endodontic surgery was followed by retrograde sealing with mineral trioxide aggregate (MTA) in the maxillary right central incisor and left lateral incisor. Apicectomy was performed in the maxillary left central incisor and a 1-mm filling was removed. The bone defect was filled with an anorganic bone graft and covered with a decalcified cortical osseous membrane. No intraoperative or postoperative complications were observed. After 13 years of follow-up, the patient showed no clinical signs or symptoms associated with the lesion and radiographic examination showed progressive resolution of radiolucency. In conclusion, the combination of apical surgery and regenerative techniques can successfully help the treatment of periapical lesions of endodontic origin and is suitable for the management of challenging cases.
publishDate 2013
dc.date.none.fl_str_mv 2013-01-01
2014-05-27T11:27:31Z
2014-05-27T11:27:31Z
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 http://dx.doi.org/10.1590/S1677-32252013000100014
Brazilian Journal of Oral Sciences, v. 12, n. 1, p. 66-70, 2013.
1677-3217
1677-3225
http://hdl.handle.net/11449/74269
10.1590/S1677-32252013000100014
S1677-32252013000100014
2-s2.0-84876021640
2-s2.0-84876021640.pdf
8813777272581972
9235743081667362
url http://dx.doi.org/10.1590/S1677-32252013000100014
http://hdl.handle.net/11449/74269
identifier_str_mv Brazilian Journal of Oral Sciences, v. 12, n. 1, p. 66-70, 2013.
1677-3217
1677-3225
10.1590/S1677-32252013000100014
S1677-32252013000100014
2-s2.0-84876021640
2-s2.0-84876021640.pdf
8813777272581972
9235743081667362
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Brazilian Journal of Oral Sciences
0,131
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 66-70
application/pdf
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 repositoriounesp@unesp.br
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