A Clinical Case of Endodontic Microsurgery with a Histological Diagnosis of an Apical Scar-Reference-Cited by-同舟云学术

A Clinical Case of Endodontic Microsurgery with a Histological Diagnosis of an Apical Scar

Published:2022-10-16 Issue: Volume:2 Page:2-23
ISSN:
Container-title:Journal of Endodontic Microsurgery
language:en
Short-container-title:J. Endod. Microsurg.

Author:

Tkachenko Oleksandr¹^ORCID,Volokitin Alexey²^ORCID

Affiliation:

1. Doctor-Stomatologist-Surgeon, “Elite” Center of Aesthetic Dentistry LLC, Bila Tserkva, Ukraine.

2. Doctor-Stomatologist-Therapist, Private Practice, Dnipro, Ukraine.

Abstract

An apical scar is a rare healing reaction that sometimes occurs when periapical pathology destroys the vestibular and oral cortical plates. Radiographically, this appears as a periapical radiolucency/rarefaction and can be mistaken for endodontic pathology or other lesions. The presented clinical case in a 31-year-old female patient shows this well. Based on clinical and imaging (radiography and cone-beam computed tomography [CBCT]) assessment with biopsy, the diagnosis was confirmed. X-ray and CBCT before and 1 year and 6 months after the microsurgery are compared. The multiple detailed intraoperative endodontic microsurgery and histopathology photographs are presented and described; the literature data are analyzed. In this report, the root canal transportation with perforation of the vestibular wall of the root in the area of the tooth 12 is also presented and its management highlighted.

Publisher

OMF Publishing

Subject

History,Anthropology,Cultural Studies,History,Philosophy,Linguistics and Language,Communication,Language and Linguistics,Philosophy,Communication,History,Classics,Literature and Literary Theory,Cardiology and Cardiovascular Medicine,General Medicine,Geography, Planning and Development

Reference22 articles.

1. 1. Penick EC. Periapical repair by dense fibrous connective tissue following conservative endodontic therapy. Oral Surg Oral Med Oral Pathol. 1961;14(2):239-242. https://doi.org/10.1016/0030-4220(61)90369-3

2. 2. Seltzer S, Bender IB, Smith J, Freedman I, Nazimov H. Endodontic failures--an analysis based on clinical, roentgenographic, and histologic findings. I. Oral Surg Oral Med Oral Pathol. 1967;23(4):500-516. https://doi.org/10.1016/0030-4220(67)90547-6

3. 3. Nair PN, Sjögren U, Figdor D, Sundqvist G. Persistent periapical radiolucencies of root-filled human teeth, failed endodontic treatments, and periapical scars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;87(5):617-627. https://doi.org/10.1016/s1079-2104(99)70145-9

4. 4. Bhaskar SN. Periapical lesion: types, incidence, and clinical features. Oral Surg Oral Med Oral Pathol. 1966;21(5):657-671. https://doi.org/10.1016/0030-4220(66)90044-2

5. 5. Nair PNR. On the causes of persistent apical periodontitis: a review. Int Endod J. 2006;39(4):249-281. https://doi.org/10.1111/j.1365-2591.2006.01099.x

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1. Review of “Outcome of Endodontic Surgery: A Meta- Analysis of the Literature—Part 1: Comparison of Traditional Root-End Surgery and Endodontic Microsurgery” by Setzer and Colleagues in J Endod 36(11):1757-1765, 2010;Journal of Endodontic Microsurgery;2023-09-30