1/13. Malformations in maxillary incisors: case report of radicular palatal groove.This report describes malformations of anterior teeth and a case of a palatal radicular groove in an upper lateral incisor with periodontal complications. The patient was first diagnosed with an endodontic problem. Endodontic treatment alone failed to resolve the pain. Therefore, after the palatal groove had been properly diagnosed, a palatal flap procedure was carried out including removal of the granulation tissue and careful scaling and root planing of the area with the groove. No odontoplasty was done. Endodontic therapy of the tooth was completed and periapical healing was evident. The treatment effectively reduced the gingival probing depth and led to an asymptomatic tooth.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
2/13. Garre's osteomyelitis associated with a fistula: a case report.A report of Garre's osteomyelitis of the mandible associated with a fistula is presented. Elimination of pulpal periapical infection through endodontic therapy was shown to be an effective treatment. The total bone healing was observed one year later.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
3/13. Non-Hodgkin's lymphoma disguised as odontogenic pain.A patient was treated for infraorbital swelling, nonvital teeth and a periapical lesion. Suspected malignancy, confirmed with an early biopsy, resulted in diagnosis of non-Hodgkin's lymphoma.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
4/13. Management of periodontitis associated with endodontically involved teeth: a case series.The pulp and the periodontal attachment are the two components that enable a tooth to function in the oral cavity. Lesions of the periodontal ligament and adjacent alveolar bone may originate from infections of the periodontium or tissues of the dental pulp. The simultaneous existence of pulpal problems and inflammatory periodontal disease can complicate diagnosis and treatment planning. The function of the tooth is severely compromised when either one of these is involved in the disease process. Treatment of disease conditions involving both of these structures can be challenging and frequently requires combining both endodontic and periodontal treatment procedures. This article presents cases of periodontitis associated with endodontic lesions managed by both endodontic and periodontal therapy.- - - - - - - - - - ranking = 2.2337933099678keywords = periodontitis (Clic here for more details about this article) |
5/13. Acute pulpal-alveolar cellulitis syndrome. V. Apical closure of immature teeth by infection control: the importance of an endodontic seal with therapeutic factors. Part 2.During orthodontic treatment to promote eruption of maxillary and mandibular second bicuspids, a young male patient had a severe endodontic cellulitis of a mandibular bicuspid. Apexogenesis and resolution of the periapical lesion was achieved by infection control with nonspecific intracanal medication without calcium hydroxide, as stated by Das. A mild periodontal cellulitis occurred shortly thereafter and rapidly resolved. A second endodontic cellulitis, after apexogenesis without an endodontic seal, occurred shortly after completion of orthodontic treatment. This also quickly resolved, and the canal was effectively sealed. This case indicates the importance of an effective endodontic seal shortly after apexogenesis is induced by infection control. This report and others on the subject indicate that apexogenesis of nonvital permanent immature teeth by infection control is a predictable endodontic treatment procedure.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
6/13. Polymer implantation in periodontic endodontic lesions. Two case reports.A polymethylmethacrylate polymer was used in an attempt to fill periodontal osseous defects. Healing was within normal limits, probing depth and mobility were decreased, and there were no adverse post-operative sequelae. Although there were periapical radio-lucencies that appeared to be endodontic in origin, endodontic therapy did not result in osseous defect fill. The non-resorbable, radiopaque polymer particles appeared to become incorporated within the radiodense tissue of the osseous defects. The alveolar bone within the defects was seen to increase in radiopacity, consistent with osteogenesis.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
7/13. Malignant fibrohistocytoma of the maxilla presenting with endodotically involved teeth.It is well established that a periapical lesion may be the first presenting form of more serious disease. A case of malignant fibrohistocytoma has been presented. It is of special interest because of the rarity of the disease, especially in the jaws, and because it presented as periapical disease associated with nonvital teeth. The case emphasizes the value of routine histopathologic examination of tissue and the need for maintaining a high "index of suspicion" when dealing with clinically atypical behavior. The value of consultation with an oral pathologist has also been stressed.- - - - - - - - - - ranking = 2keywords = periapical (Clic here for more details about this article) |
8/13. The use of bone imaging to detect a periapical lesion of endodontic origin.This article reports the detection of a lesion of dental origin in the mandible of a 41-yr-old male patient during a routine bone scan used as a follow-up to cancer therapy. Unfortunately, more than 1 yr passed before the patient's signs and symptoms became severe enough for a definitive diagnosis to be made. A comprehensive dental examination is indicated for patients with positive bone scans in the area of the oral cavity. The use of bone imaging can be recommended to complement the dental examination of high risk patients with suspected metastasis or when all routine dental diagnostic measures are inconclusive.- - - - - - - - - - ranking = 4keywords = periapical (Clic here for more details about this article) |
9/13. Case of mistaken identity: periapical cemental dysplasia in an endodontically treated tooth.A case of a patient with a history of root canal treatment and re-treatment and a persistent periapical radiolucency is reviewed. Following surgery, biopsy material was submitted and diagnosed as periapical cemental dysplasia (PCD). With careful diagnosis, PCD should be readily differentiated from endodontic pathosis, thus avoiding unnecessary root canal treatment. In this case, surgery was necessary to rule out other inflammatory disease or benign odontogenic entities.- - - - - - - - - - ranking = 6keywords = periapical (Clic here for more details about this article) |
10/13. Clinical considerations in the diagnosis and treatment of intra-alveolar root fractures.Clinical and radiographic data collected from the 14 cases of intra-alveolar root-fractures, with follow-ups of one to 25 years, complement the findings of other investigators in that the prognosis of the endodontium is extremely favorable. A survey of reports indicate that 75% to 80% of the pulps in intra-alveolar root fractures recover with no need of any endodontic therapy. Furthermore, pulpal pain is seldom encountered. Although the electric pulp tester is considered an important diagnostic tool, it does have limitations. The significance of the negative response is questionable, especially in young, undeveloped teeth with open apexes. The failure to respond to the tester may be attributed to a high electrical impedance. As nociceptor nerve fibers are last to develop, failure to respond to the tester in young teeth may give a false signal of pulp necrosis. Traumatized vital teeth often give an initial negative response, as does a tooth with rapid dentin deposition. Fracture detection can be increased by taking X rays from more than one angle. Radiolucent areas occur in the region of the root fracture more readily than in the periapical region, in a ratio of 7 to 1. Variations in angulations can give false impressions of complete dentinal union and complete or incomplete calcification of the pulpal space and an illusion of a comminuted fracture. The latter seldom occur in intra-alveolar root fractures. Furthermore, the apparent obliteration of the canal and pulp chamber, as seen on the radiograph, does not imply total obliteration with calcific tissue. The root canals are most often patent and negotiable.(ABSTRACT TRUNCATED AT 250 WORDS)- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
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