Rapid Bone Healing after Intentional Replantation of a Molar with Apical Actinomycosis

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ASGARY SAEED; Roghanizadeh Leyla

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Journal Paper

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Journal: Iranian Endodontic Journal Year:2018 | Volume:13 | Issue:1 Page(s): 135-138

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Title

Rapid Bone Healing after Intentional Replantation of a Molar with Apical Actinomycosis

Author(s)

ASGARY SAEED | Roghanizadeh Leyla | Issue Writer Certificate

Keywords

Actinomycosis

Calcium-enriched Mixture

CEM Cement

Endodontic

Tooth Replantation

Periapical Periodontitis

Abstract

Actinomycosis is a rare lesion of the jaws and may present as periapical pathosis; therefore, it is essential to be correctly diagnosed and managed. This case presentation describes management of a tooth with a symptomatic apical periodontitis caused by Actinomyces species supplemented with medicine prescription. A woman was referred for Endodontic management of tooth #19. The tooth had a history of previous nonsurgical Endodontic retreatment. Clinically, the tooth was very sensitive to percussion. Radiographic evaluation showed a large periapical lesion. Intentional replantation (IR) was planned. The tooth was atraumatically extracted. Without any curettage, through the blood flow coming out of the socket, a small yellowish granule was detected and sent for examination. After root-end preparations, the cavities were filled with Calcium-enriched Mixture cement and the tooth was carefully replanted. Histopathological assessment proved Actinomycosis sulfur granule. According to infectious disease specialist recommendation, low-dose and long-term penicillin V was prescribed. Interestingly, at 2-month follow-up, remarkable bone healing was observed. In the cases of apical Actinomycosis, IR in combination with antibiotic therapy, even without the curettage of the lesion, may be successfully employed.

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APA: Copy

ASGARY, SAEED, & Roghanizadeh, Leyla. (2018). Rapid Bone Healing after Intentional Replantation of a Molar with Apical Actinomycosis. IRANIAN ENDODONTIC JOURNAL (IEJ), 13(1), 135-138. SID. https://sid.ir/paper/303022/en

Vancouver: Copy

ASGARY SAEED, Roghanizadeh Leyla. Rapid Bone Healing after Intentional Replantation of a Molar with Apical Actinomycosis. IRANIAN ENDODONTIC JOURNAL (IEJ)[Internet]. 2018;13(1):135-138. Available from: https://sid.ir/paper/303022/en

IEEE: Copy

SAEED ASGARY, and Leyla Roghanizadeh, “Rapid Bone Healing after Intentional Replantation of a Molar with Apical Actinomycosis,” IRANIAN ENDODONTIC JOURNAL (IEJ), vol. 13, no. 1, pp. 135–138, 2018, [Online]. Available: https://sid.ir/paper/303022/en

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