Progression of periapical cystic lesion after incomplete endodontic treatment
3
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
We report a case of large radicular cyst progression related to endodontic origin to emphasize proper intervention and follow-up for endodontic pathosis. A 25 yr old man presented with an endodontically treated molar with radiolucency. He denied any intervention because of a lack of discomfort. Five years later, the patient returned. The previous periapical lesion had drastically enlarged and involved two adjacent teeth. Cystic lesion removal and apicoectomy were performed on the tooth. Histopathological analysis revealed that the lesion was an inflammatory radicular cyst. The patient did not report any discomfort except for moderate swelling 3 days after the surgical procedure. Although the patient had been asymptomatic, close follow-ups are critical to determine if any periapical lesions persist after root canal treatment.
Abstract
We report a case of large radicular cyst progression related to endodontic origin to emphasize proper intervention and follow-up for endodontic pathosis. A 25 yr old man presented with an endodontically treated molar with radiolucency. He denied any intervention because of a lack of discomfort. Five years later, the patient returned. The previous periapical lesion had drastically enlarged and involved two adjacent teeth. Cystic lesion removal and apicoectomy were performed on the tooth. Histopathological analysis revealed that the lesion was an inflammatory radicular cyst. The patient did not report any discomfort except for moderate swelling 3 days after the surgical procedure. Although the patient had been asymptomatic, close follow-ups are critical to determine if any periapical lesions persist after root canal treatment.
참고문헌 (9)
- Allard U, "A radiographic survey of periapical conditions in elderly people in a Swedish county population", Endod Dent Traumatol, 2, pp.103~108 (1986)
- Eriksen HM, "Prevalence of apical periodontitis and results of endodontic treatment in middle-aged adults in Norway", Endod Dent Traumatol, 7, pp.1~4 (1991)
- Boucher Y, "Radiographic evaluation of the prevalence and technical quality of root canal treatment in a French subpopulation", Int Endod J, 35, pp.229~238 (2002)
- von Arx T, "Treatment decisions in 330cases referred for apical surgery", J Endod, 40, pp.187~191 (2014)
- Yu VS, "Incidence and impact of painful exacerbations in a cohort with posttreatment persistent endodontic lesions", J Endod, 38, pp.41~46 (2012)
- Yu VS, "Lesion progression in post-treatment persistent endodontic lesions", J Endod, 38, pp.1316~1321 (2012)
- Santos SM, "Radiographic parameters of quality of root canal fillings and periapical status:a retrospective cohort study", J Endod, 36, pp.1932~1937 (2010)
- Madras J, "Keratocystic odontogenic tumour:reclassification of the odontogenic keratocyst from cyst to tumour", J Can Dent Assoc, 74, pp.165h~165h (2008)
- Estrela C, "Persistent apical periodontitis associated with a calcifying odontogenic cyst", Int Endod J, 42, pp.539~545 (2009)