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Cites:

Information Journal Paper

Title

Surgical Endodontics vs Regenerative Periodontal Surgery for Management of a Large Periradicular Lesion

Pages

  271-276

Abstract

 Treatment success of periodontal-endodontic lesions is dependent on the elimination of both disease causative factors, whether they exist separately or concurrently. This report presents successful endodontic management of a misdiagnosed large periradicular pathology, which had not resolved after a previous periodontal regenerative surgery. A patient complaining of discomfort in the left maxillary region was referred. He had undergone regenerative surgery for treatment of a large periradicular defect; however, there was no further amelioration of the clinical signs/symptoms. Radiographically, a large periradicular lesion filled with bone substitute materials was detected around tooth #25. The endodontic treatment of the tooth was imperfect; therefore, surgical endodontic retreatment was planned. During root-end surgery, the biopsy containing bone substitute materials was obtained. Root-end filling/sealing using Calcium-Enriched Mixture cement was completed. The histopathological examination showed granulation tissues enclosing exogenous materials. In two-year radiographic evaluation, resolving lesion and complete bone healing was observed. The first fundamental step in the management of periradicular lesions is correct diagnosis of the lesion origin and set-by step of the treatment plan according to the main causative factor. Regenerative periodonttal surgery, without considering the defective Apical Seal, will only cause a painful procedure for the patient without any positive benefit. Following appropriate Apical Seal, the endodontic lesion healing can be anticipated.

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    • Cite

    APA: Copy

    ASGARY, SAEED, Roghanizadeh, Leyla, & HAERI, ALI. (2018). Surgical Endodontics vs Regenerative Periodontal Surgery for Management of a Large Periradicular Lesion. IRANIAN ENDODONTIC JOURNAL (IEJ), 13(2), 271-276. SID. https://sid.ir/paper/303056/en

    Vancouver: Copy

    ASGARY SAEED, Roghanizadeh Leyla, HAERI ALI. Surgical Endodontics vs Regenerative Periodontal Surgery for Management of a Large Periradicular Lesion. IRANIAN ENDODONTIC JOURNAL (IEJ)[Internet]. 2018;13(2):271-276. Available from: https://sid.ir/paper/303056/en

    IEEE: Copy

    SAEED ASGARY, Leyla Roghanizadeh, and ALI HAERI, “Surgical Endodontics vs Regenerative Periodontal Surgery for Management of a Large Periradicular Lesion,” IRANIAN ENDODONTIC JOURNAL (IEJ), vol. 13, no. 2, pp. 271–276, 2018, [Online]. Available: https://sid.ir/paper/303056/en

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