Apicoectomy and retrograde filling as periapical granuloma treatment: a case report

Authors

  • Daniela Villarreal-Arango Univeridad de Cartagena
  • Jacobo Ramos-Manotas Universidad de Cartagena
  • Antonio José Díaz-Caballero Universidad de Cartagena

DOI:

https://doi.org/10.17533/udea.rfo.v28n1a11

Keywords:

Periapical granuloma, Retrograde filling, Apicectomy

Abstract


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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Author Biographies

Daniela Villarreal-Arango, Univeridad de Cartagena

Young researcher, GITOUC Group. Universidad de Cartagena

Jacobo Ramos-Manotas, Universidad de Cartagena

DMD, Universidad de Cartagena. Master’s Degree in Endodontics, Universidad Autónoma de San Luis Potosí, México. Associate Professor, School of Dentistry, Universidad de Cartagena

Antonio José Díaz-Caballero, Universidad de Cartagena

DMD, Universidad de Cartagena. Periodontist, Pontificia Universidad Javeriana. PhD in Biomedical Sciences, Universidad de Cartagena. Professor at the School of Dentistry, Universidad de Cartagena. Head of the GITOUC Group

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Published

2016-12-16

How to Cite

Villarreal-Arango, D., Ramos-Manotas, J., & Díaz-Caballero, A. J. (2016). Apicoectomy and retrograde filling as periapical granuloma treatment: a case report. Revista Facultad De Odontología Universidad De Antioquia, 28(1), 203–209. https://doi.org/10.17533/udea.rfo.v28n1a11