ENDODONTIC AND RESTORATIVE TREATMENT OF APICAL LESION OCCURRING DURING ORTHODONTIC TREATMENT: A CASE REPORT

Year 2019, Volume: 5 Issue: 2, 63 - 67, 01.10.2019

Esra Büyükçavuş

Abstract

There are options with and without surgery for the
treatment of teeth with large periapical lesions. In
this case report, only the endodontic and restorative
treatments and the healing process of the tooth with
a periapical lesion occurring during orthodontic
treatment are shown. A 25-year-old male patient
has a periapical lesion on tooth 47. Drainage was
provided from the root canals of the teeth associated
with the lesion and root canal preparations were
completed and calcium hydroxide was applied as
an intra-canal medicament. After the intra-canal
medication was applied for 3 weeks, the root canals
were obturated and the patient was followed up (1
year). The clinical and radiographic examination
showed a complete healing of the lesions. This case
report shows that teeth with large periapical lesions
can be healed with endodontic treatments without
the need for a surgical procedure with a correct and
effective treatment approach.

Keywords

Endodontic Treatment, Periapical Healing, Orthodontic Treatment

ORTODONTİK TEDAVİ ESNASINDA GELİŞEN APİKAL LEZYONUN ENDODONTİK VE RESTORATİF TEDAVİSİ: OLGU SUNUMU

Abstract

Periapikal lezyonlu dişlerin tedavilerinde cerrahili ve cerrahisiz seçenekler bulunmaktadır. Bu vaka raporunda ortodontik tedavi sırasında meydana gelen periapikal lezyonlu dişin yalnızca endodontik ve restoratif tedavileri ve iyileşme süreci gösterilmektedir. 25 yaşındaki erkek hastada 47 numaralı dişinde izlenen periapikal lezyon mevcuttur. Lezyonla ilişkili dişlerin kök kanallarından drenaj sağlanmış ve kök kanal preparasyonları tamamlanarak kanal içi medikament olarak kalsiyum hidroksit uygulanmıştır. Kanal içi ilaç 3 hafta uygulandıktan sonra kök kanalları doldurulmuş ve hasta 1 yıl sonra kontrole çağrılmıştır. Klinik ve radyografik muayenede lezyonlarda tamamen iyileşme gözlenmiştir. Bu olgu sunumu, doğru ve etkili tedavi yaklaşımı ile periapikal lezyona sahip dişlerin cerrahi bir işleme gerek kalmadan endodontik tedaviler ile iyileşebileceğini göstermektedir.

Keywords

Endodontik Tedavi, Periapikal İyileşme, Ortodontik tedavi

References

• [1] Celenk S, Ayna BE, Bolgül BS, ,Atakul F. The Treatment of Large Periapical Lesions (Three Years Clinical Evaluation): A Case Report Turkiye Klinikleri J Dental Sci 2005, 11:69-72. [2] Bayırlı G: Periapikal dokuların patolojisi ve tedavileri. İstanbul, İ.Ü. Basımevi, 1996, s.125-81. [3] Hovland EJ: Medications and temporaries in endodontic treatment. Dent Clin North Am. 1992;36: 343 Fernandes M, de Ataide I. Nonsurgical management of periapical lesions. Journal of conservative dentistry: JCD. 2010;13(4), 240. [5] Owtad P, Shastry S, Papademetriou M, Park JH. Management Guidelines for Traumatically Injured Teeth during Orthodontic Treatment. J Clin Pediatr Dent 2015; 39: 292-6. [6] Bauss O, Röhling J, Meyer K, Kiliaridis S. Pulp vitality in teeth suffering trauma during orthodontic therapy. Angle Orthod 2009; 79: 166-71. [7] Nattrass C, Sandy JR. Adult orthodontics—a review. British journal of orthodontics. 1995;22(4), 331-337. [8] Melsen B (Ed.). Adult orthodontics. John Wiley & Sons 2012. [9] Lin LM, Ricucci D, Lin J, Rosenberg PA. Nonsurgical root canal therapy of large cyst-like inflammatory periapical lesions and inflammatory apical cysts. J Endod 2009;35:607-15. [10] Nair P. New perspectives on radicular cysts: do they heal? Int Endod J 1998;31:155- 60. [11] Coolidge ED, Kesel RG: A textbook of endodontology. Philadephia, Lea-Febiger, 1956, p.289