Cases reported "dental pulp necrosis"

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1/149. guided tissue regeneration in the management of severe periodontal-endodontic lesions.

    diagnosis of combined periodontal-endodontic lesions can prove difficult and frustrating. They are often characterised by extensive loss of periodontal attachment and alveolar bone, and their successful management depends on careful clinical evaluation, accurate diagnosis, and a structured approach to treatment planning for both the periodontic and endodontic components. Recent advances in regenerative periodontics have led to improved management of periodontal-endodontic lesions. This paper reviews the management of such lesions in light of these recent advances and illustrates this through reports of two patients who had severe periodontal involvement. ( info)

2/149. diagnosis and treatment of cutaneous facial sinus tracts of dental origin.

    BACKGROUND: Cutaneous draining sinus tracts of dental origin often are a diagnostic challenge. A delay in correctly diagnosing these types of lesions can result in ineffective and inappropriate treatment. CASE DESCRIPTION: The authors present five cases of facial lesions that were initially misdiagnosed as lesions of nonodontogenic origin. The correct diagnosis in each case was cutaneous sinus tract secondary to pulpal necrosis and suppurative apical periodontitis. All facial sinus tracts resolved after the patients received nonsurgical root canal therapy. CLINICAL IMPLICATIONS: As patients with cutaneous facial sinus tracts of dental origin often do not have obvious dental symptoms, possible dental etiology may be overlooked. Early correct diagnosis and treatment of these lesions can help prevent unnecessary and ineffective antibiotic therapy or surgical treatment. ( info)

3/149. Severe lateral luxation and root fracture: report of a case with 5-year follow-up.

    A case of severe lateral luxation and root fracture in upper incisors is reported. Treatment involved the repositioning and fixation of the injured teeth and endodontic treatment with calcium hydroxide. The importance of long-term follow-up is emphasized. ( info)

4/149. Focal cemento-osseous dysplasia in the maxilla mimicking periapical granuloma.

    A case of focal cemento-osseous dysplasia of the maxilla in a 19-year-old man is reported. Clinically, the lesion resembled periapical pathosis of odontogenic origin. The clinical and histopathologic features of cemento-osseous dysplasia are reviewed. ( info)

5/149. Apex formation during orthodontic treatment in an adult patient: report of a case.

    This clinical report describes an apexification procedure on a maxillary left central incisor in a 34-year-old male who was also receiving active orthodontic treatment. The pulp of the tooth had become necrotic following a traumatic injury when the patient was 8 years of age. Despite the tooth undergoing active orthodontic repositioning with fixed appliances, root-end closure occurred uneventfully and within 3 years. ( info)

6/149. Successful treatment of pulpal-periodontal combined lesion in a birooted maxillary lateral incisor with concomitant palato-radicular groove. A case report.

    Palato-radicular groove (PRG) is a common developmental anomaly of maxillary incisors, whereas PRG associated with a birooted maxillary incisor is relatively infrequent. The clinical significance of PRG is related to the incidence of localized periodontitis with or without pulpal pathosis, depending on the depth, extent, and complexity of the groove. Successful treatments of PRG in single-rooted incisors have been reported in the literature. However, treatment of PRG in birooted incisors has often been ineffective. This case report describes a pulpal-periodontal combined lesion occurring on a birooted maxillary left lateral incisor with concomitant PRG in a 13-year-old boy which was successfully treated by conventional endodontic therapy in combination with periodontal treatment including accessory root resection, radiculoplasty and bone grafting. Seven-year follow-up is included in this report. The basis of a successful result is accurate diagnosis and elimination of inflammatory irritants and contributory factors. awareness of the existence of this abnormality by the clinician is important. ( info)

7/149. Apical bridging in association with regular root formation following single-visit apexification: a case report.

    A case report is presented in which continuing root formation occurred in a carious nonvital and immature mandibular second premolar after single-visit calcium hydroxide apexification treatment. An apical hard tissue barrier was formed, accompanied by a separate, mesioapically growing root, 7 months posttreatment. Treatment was concluded with gutta-percha root canal restoration. The success of this single-visit apexification treatment supports the contention that frequent changing of the calcium hydroxide dressing is not always required to induce apical closure. ( info)

8/149. Root canal treatment of an invaginated maxillary lateral incisor with a C-shaped canal.

    The endodontic treatment of an atypical maxillary lateral incisor that contained a C-shaped root canal is described. The unusual anatomic configuration of this particular tooth and the advantage of using image magnification to facilitate endodontic treatment are discussed. ( info)

9/149. Delayed apical healing after apexification treatment of non-vital immature tooth: a case report.

    We report the endodontic treatment of a non-vital permanent immature tooth in which unexpected complications such as exacerbation of apical periodontitis followed by external root resorption occurred after that the initial stages of the healing process were clinically and radiographically evident. After continued treatment stable repair was obtained. ( info)

10/149. Periapical cemental dysplasia: case report.

    The authors present a case of periapical cemental dysplasia affecting the mandibular left canine, with vital pulp, in a 43-year-old black female patient, an occurrence that follows the classical cases found in the literature. The need of a careful history, clinical and radiographic exams and vitality tests are emphasized in order to reach the correct diagnosis of this disease. ( info)
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