Abstract
ABSTRACT Paraendodontic surgeries have been increasingly used to solve problems related to failures in conventional endodontic treatment. Better anatomical knowledge of the structures as well as the development of techniques and materials involved has resulted in substantial paraendodontic surgery increase and success. In some cases, teeth endodontic treatment highly benefits treatment accomplishment. This report describes a case of an endodontic treatment complemented by paraendodontic surgery in periapical region of 21, 22 and 23 of a female patient who had been treated at the clinic of the Brazilian Dental Association Dentistry - in the city of Cascavel, State of Parana, Brazil. The case presents a 12-month follow-up for the resolution of painful symptoms, lesion reduction, and bone formation. Literature review was performed regarding paraendodontic surgery in order to assess the determining factors, failure causes and procedure indications/contraindications, as well.
Highlights
Endodontic pathology has inflammatory origin and it is closely related to microbial contamination of root canals
Paraendodontic surgery as well as new supporting materials applied in the apical surgical treatments[2]
PAVELSKI MD was responsible for surgery, literature review, idea and write of the article and clinical follow-up
Summary
Endodontic pathology has inflammatory origin and it is closely related to microbial contamination of root canals. Paraendodontic surgery as well as new supporting materials applied in the apical surgical treatments[2]. Despite improvement of root canal restoration and materials used, the conventional endodontic treatment is subject to failure due to the various steps required to perform the procedure, and success has been around 65% to 90%4. The endodontic procedure prognosis depends on facts based on the patient’s health history, the tooth itself and the treatment used, as well. Traditional practices generally do not ensure success predictability due to the inaccessibility of all apical ramifications, as well as their cleaning and sealing This problem was solved through microscope-assisted new techniques which allowed better lighting and visualization of the region to be treated and smaller and more conservative apical resections and more accurate preparation and restorations[3]. The radiographic observations showed previous endodontic treatment of tooth #21 and wide periapical lesion in the anterior region, with possible disruption of the cortical bone. Treatment follow-up was conducted with radiographs taken immediately after surgery (02/2015) and monitoring after 5 and 12 months (Figure 3)
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