Combined therapy with mineral trioxide aggregate, and guided tissue regeneration for a large radicular cyst: A 13-year follow-up
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , |
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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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 |
_version_ |
1813546431125913600 |