Apicoectomy and retrograde filling as periapical granuloma treatment: a case report
DOI:
https://doi.org/10.17533/udea.rfo.v28n1a11Keywords:
Periapical granuloma, Retrograde filling, ApicectomyAbstract
Periapical granulomas are chronic inflammatory processes appearing as a lesion around the apex of the tooth, which increase in size due to a proliferation of granulomatous tissue formed by lymphocytes, plasmocytes, some polymorphonuclears, macrophages, eosinophils, multinucleated giant cells, fibroblasts, and neoformation of capillaries. Etiologically, they occur due to deep caries affecting the pulp, infected root canals or endodontic failures. The objective of the present article is to report the finding of a periapical granuloma in a previously treated tooth, by means of excisional biopsy, curettage, and apical surgery with retrograde filling using mineral trioxide aggregate (MTA) as filling material on tooth # 11 in a 65-year old male patient, with subsequent histopathological study of the lesion. The clinical and radiographic follow-up showed the effectiveness of MTA as a retrograde filling material and apicoectomy as surgical procedure for the treatment of periapical granuloma.
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References
López Marcos JF. Etiología, clasificación y patogenia de la patología pulpar y periapical. Med Oral Patol Oral Cir Bucal 2004; 9 (Suppl): 52-62.
Harris NP, Guzman FJ, Díaz AJ. Granuloma periapical: tratamiento convencional. Reporte de un caso. Duazary 2013; 10(2): 141-144.
Pires D, Alves P, Gordón-Núñez M, Andrade-de-Carvalho R, Lopes A. Formación de los granulomas y quistes radiculares: una revisión de los aspectos inmunopatológicos. Rev ADM. 2007; 64(3): 91-96.
Sánchez Riofrío DA. Estudio de la prevalencia de enfermedades odontológicas registradas en el Servicio de Odontología, II Zona Naval, San Cristóbal, Galápagos. Gaceta dental: Industria y profesiones. 2010; 21(215): 140-151.
Rodríguez P, Calero JA. Microbiología pulpar de dientes íntegros con lesiones apicales de origen idiopático. Colomb Med 2008; 39 (Supl 1): 5-10.
Peters LB, Lindeboom JA, Elst ME, Wesselink PR. Prevalence of apical periodontitis relative to endodontic treatment in an adult Dutch population: a repeated cross-sectional study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 111(4): 523-528.
Gaviria AS, Quintero M, Zúñiga AP, Rodríguez P, Jaramillo A. Prevalencia de lesiones pulpares en pacientes tratados con endodoncia Escuela de Odontología Universidad del Valle. Rev Colomb Invest Odontol 2012; 3(7): 48-54.
Gómez-Carrillo V, Díaz JG, Maniegas L, Gaite JJ, Castro A, Ruiz JA et al. Apicectomía quirúrgica: propuesta de un protocolo basado en la evidencia. Rev Esp Cir Oral Maxilofac 2011; 33(2): 61-66.
Torabinejad M, Corr R, Handysides R, Shabahang S. Outcomes of nonsurgical retreatment and endodontic surgery: a systematic review. J Endod 2009; 35(7): 930-937.
Yu VS, Messer HH, Shen L, Yee R, Hsu CY. Lesion progression in post-treatment persistent endodontic lesions. J Endod 2012; 38(10): 1316-1321.
Romero Romero GE, Ramos Manotas J, Díaz Caballero A. Comparación in vitro de la microfiltración apical del MTA ProRoot y Angelus en dientes monorradiculares. Av Odontoestomatol 2012; 28(3): 125-131.
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