PERIAPICAL SURGERY WITH TRANSSURGICAL FILLING OF A TOOTH WITH EXTENSIVE PERIAPICAL LESION: CASE REPORT
DOI:
https://doi.org/10.25110/arqsaude.v27i5.2023-027Palavras-chave:
Apicectomy, Calcium Hydroxide, Curettage, Endodontics, SurgeryResumo
This paper aims to describe a case of endodontic treatment associated with surgical treatment with apical curettage, apicectomy and transsurgical filling of a right upper lateral incisor with extensive periapical lesion. The patient attended the dental office reporting pain, facial swelling and fever. On clinical examination, an increase in extra and intra-oral volume was observed, affecting the bottom of the right upper sulcus; there was a negative response to the sensitivity test on tooth 12. The periapical radiograph showed the presence of an extensive periapical lesion involving the apices of teeth 11 and 12. In light of these findings, conventional endodontic treatment was chosen. The chemical-mechanical preparation was performed with X1-Blue mechanized files associated with 2.5% sodium hypochlorite and, after three changes of intracanal medication with calcium hydroxide, exudation through the canal persisted. Therefore, a periapical surgery was performed with curettage of the lesion, apicectomy and transsurgical obturation associated with AH Plus sealer. After 7 months of follow-up, complete regression of the periapical lesion was observed. In view of the limitations, the success of this case can be attributed to the association of endodontic treatment with the chosen surgical technique, since a repair of the periapical bone radiolucency was observed.
Referências
ABUSREWIL, S et al. Filling the void: an optimized polymicrobial inter-kingdom biofilm model for assessing novel antimicrobial agents in endodontic infec-tion. Microorganisms, v. 8, n. 12, p. 1988, 2020.
ALGHAMDI, F; SHAKIR, M. The influence of Enterococcus faecalis as a den-tal root canal pathogen on endodontic treatment: A systematic review. Cureus, v. 12, n. 3, 2020.
ALMEIDA-FILHO, J. et al. Cirurgia paraendodôntica: relato de caso. Oral Sci-ences, p. 21-25, 2011.
AL KHASAWNAH, Q. et al. Nonsurgical clinical management of periapical lesions using calcium hydroxide-iodoform-silicon-oil paste. BioMed research internati-onal, v. 2018, 2018.
AKCAY, H. et al. Evaluation of the bond strength of root-end placed mineral trioxide aggregate and Biodentine in the absence/presence of blood contamina-tion. European journal of dentistry, v. 10, n. 03, p. 370-375, 2016.
BARALDI, C. E.; PURICELLI, E. In vitro study of morphological changes on the surface of roots submitted to apicectomy and irradiated with Nd:YAG laser. Maga-zine of the Faculty of Dentistry of Porto Alegre, v. 40 n. 2, p. 29-35, 2021.
BERNABÉ, P. F. E. et al. Comparative study of MTA and other materials in retrofilling of pulpless dogs' teeth. Brazilian dental journal, v. 16, p. 149-155, 2005.
BIOČANIN, V. et al. Marginal gaps between 2 calcium silicate and glass iono-mer cements and apical root dentin. Journal of Endodontics, v. 44, n. 5, p. 816-821, 2018.
BRAZ-SILVA, P. H. et al. Inflammatory profile of chronic apical periodontitis: a literature review. Acta Odontologica Scandinavica, v. 77, n. 3, p. 173-180, 2019.
CESTARI, T. N.; VIEIRA, K. S.; PFAU, V. J. M. de; PFAU, E. A. Atividade antimicrobiana de agentes fitoterápicos e químicos utilizados em odontologia. Arq. Ci-ênc. Saúde Unipar, Umuarama, v. 17, n. 1, p. 19-22, jan./abr. 2013.
DE ANDRADE FERREIRA, F. B. et al. Antimicrobial effect of propolis and other substances against selected endodontic pathogens. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, v. 104, n. 5, p. 709-716, 2007.
DEL FABBRO, M. et al. Endodontic procedures for retreatment of periapical lesions. Cochrane Database of Systematic Reviews, n. 10, 2016.
ESTRELA, C. et al. Monitoring nonsurgical and surgical root canal treatment of teeth with primary and secondary infections. Brazilian Dental Journal, v. 25, p. 494-501, 2014.
GALLER, K. M. et al. Inflammatory response mechanisms of the dentine–pulp complex and the periapical tissues. International journal of molecular sciences, v. 22, n. 3, p. 1480, 2021.
GLICKMAN, G. N., AAE Consensus Conference on Diagnostic Terminology: background and perspectives. Journal of endodontics, v. 35, n. 12, p. 1619-1620, 2009.
GUERREIRO-TANOMARU, J. M. et al. Comparative analysis of Enterococcus faecalis biofilm formation on different substrates. Journal of endodontics, v. 39, n. 3, p. 346-350, 2013.
GUIMARÃES, K. B. et al. Cirurgia parendodôntica com obturação simultânea dos canais radiculares: relato de caso clínico. 2006.
JADUN, S.; MONAGHAN, L.; DARCEY, J. Endodontic microsurgery. Part two: armamentarium and technique. British dental journal, v. 227, n. 2, p. 101-111, 2019.
KADIĆ, S. et al. Push-out bond strength of three different calcium silicate-based root-end filling materials after ultrasonic retrograde cavity preparation. Clinical oral investigations, v. 22, p. 1559-1565, 2018.
LACERDA, M. F. L. S. et al. The relationship between secondary and persistent infections and failure of endodontic treatments. 2016.
LEONARDO, M. R.; LEAL, J. M. Endodontics: Root canal trea-tment. Technical and Biological Principles, 1998.
MAZZI-CHAVES, J. F. et al. Influence of anatomical features in the endodon-tic treatment planning of maxillary anterior teeth. Brazilian Oral Research, v. 36, 2022.
MAZZI-CHAVES, J. F. et al. Micro-computed tomographic assessment of the variability and morphological features of root canal system and their ramifica-tions. Journal of Applied Oral Science, v. 28, 2020.
PEREIRA, A. S. et al. Metodologia da pesquisa científica. 2018.
POP, I., Oral surgery: part 2. Endodontic surgery. British dental journal, v. 215, n. 6, p. 279-286, 2013.
RÔÇAS, I. N.; SIQUEIRA JR, J. F.; DEBELIAN, G. J. Analysis of symptoma-tic and asymptomatic primary root canal infections in adult Norwegian patients. Journal of endodontics, v. 37, n. 9, p. 1206-1212, 2011.
SIQUEIRA JR, J. F.; ROˆCAS, I. N. Distinctive features of the microbiota as-sociated with different forms of apical periodontitis. Journal of oral microbiology, v. 1, n. 1, p. 2009, 2009.
SIQUEIRA JR, J. F.; RÔÇAS, I. N. Present status and future directions in en-dodontic microbiology. Endodontic topics, v. 30, n. 1, p. 3-22, 2014.
TIBÚRCIO‐MACHADO, C. S. et al. The global prevalence of apical periodonti-tis: a systematic review and meta‐analysis. International endodontic journal, v. 54, n. 5, p. 712-735, 2021.
VIANA, F. L. P. et al. Análise do pH e da atividade antimicrobiana de um novo medicamento intracanal biocerâmico Bio-C Temp. Research, Society and Deve-lopment, v. 10, n. 7, p. e33310716550-e33310716550, 2021.
ZAKARIA, M. N. et al. Microbial community in persistent apical periodontitis: a 16S r RNA gene clone library analysis. International endodontic journal, v. 48, n. 8, p. 717-728, 2015.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Os Direitos Autorais para artigos publicados são de direito da revista. Em virtude da aparecerem nesta revista de acesso público, os artigos são de uso gratuito, com Creative Commons Attribution 4.0 International License.
A revista se reserva o direito de efetuar, nos originais, alterações de ordem normativa, ortográfica e gramatical, com vistas a manter o padrão culto da língua e a credibilidade do veículo. Respeitará, no entanto, o estilo de escrever dos autores.
Alterações, correções ou sugestões de ordem conceitual serão encaminhadas aos autores, quando necessário. Nesses casos, os artigos, depois de adequados, deverão ser submetidos a nova apreciação.
As opiniões emitidas pelos autores dos artigos são de sua exclusiva responsabilidade.
