Long-term observation of endodontic surgical intervention to treat root perforation and apical periodontitis: a case report of an amalgam-restored tooth.
A case of crestal root perforation and periapical lesion in a maxillary left lateral incisor is reported. Teeth with root perforation present technical difficulties in their clinical management because of their complex defects. In the present case, surgical endodontic treatment was chosen. The apical and lateral pathology was curetted, the tooth root was resected, and a retrograde root restoration of amalgam was placed in a root-end cavity and perforation site. A 10-year follow-up clinical and radiographic examination showed an asymptomatic tooth with osseous healing proceeding.
Tsurumachi
Tamotsu
T
Department of Endodontics, Division of Advanced Dental Treatment, Nihon University School of Dentistry, Tokyo, Japan. tsurumachi@dent.nihon-u.ac.jp
Hayashi
Makoto
M
D000328:Adult; D001047:Apicoectomy; D003723:Dental Amalgam; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000293:injuries; D008437:Maxilla; D010485:Periapical Periodontitis / Q000150:complications / Q000601:surgery*; D019233:Retreatment; D012184:Retrograde Obturation / Q000379:methods*; D012387:Root Canal Filling Materials; D012390:Root Canal Therapy / Q000009:adverse effects; D018677:Tooth Injuries / Q000150:complications / Q000209:etiology / Q000601:surgery*; D014092:Tooth Root / Q000293:injuries*
D012387:Root Canal Filling Materials; D003723:Dental Amalgam