Home Print this page Email this page Users Online: 417
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
CASE REPORT
Year : 2021  |  Volume : 11  |  Issue : 2  |  Page : 271-276

Surgical management of a persistent periapical lesion using cone-beam computed tomography


Department of Restorative Dental Sciences, Division of Endodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Dr. Ziyad Allahem
Department of Restorative Dental Sciences, Division of Endodontics, College of Dentistry, King Saud University, Riyadh 11545
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sej.sej_260_20

Rights and Permissions

Endodontic therapy has a high success rate. However, failed endodontic therapy with persistent periapical lesions may indicate the presence of an apical cyst that requires surgical apical intervention. The present case involved a 70-year-old woman who was referred after initiation of nonsurgical root canal treatment (NSRCT) in the upper left lateral incisor (tooth #22); due to recurrent swelling and sinus tract. Periapical radiographs showed an apical radiolucency on tooth #22. In a clinical examination, tooth #22 showed a normal response to cold and the electric pulp tester (EPT), while the upper left canine (tooth #23) showed a negative response to cold and the EPT. NSRCT was performed for tooth #23. Eighteen months later, the patient presented with the same chief complaint of recurrent swelling, and cone-beam computed tomography was performed to examine the extent of the apical lesion and plan for surgical intervention. Apical surgery was performed using a dental operating microscope. At the 18-month follow-up assessment, the patient's radiographs showed good bone healing and symptom resolution. This case report indicates that some cases with large persistent periapical lesions may require surgical intervention.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed116    
    Printed0    
    Emailed0    
    PDF Downloaded42    
    Comments [Add]    

Recommend this journal