title: Endoscopic management of a lateral root lesion. A case report.
abstract: The aim of this study was to obtain periradicular tissue healing of a lateral root lesion using a microsurgical technique. The case report concerns a 52-year-old female patient, in general good health (ASA1), presented with the left maxillary canine (2.3) exhibiting acute, specific symptoms. A radiographic examination revealed the presence of a circumscribed radiolucent lesion associated with the mesial mid-root area of the 2.3 and the distal mid-root area of 2.2, both endodontically treated. Using an endoscope as a magnification device a surgical inspection of the middle-third of the root of 2.2 and 2.3 was made. A pathway between the periodontium and root-canal system was detected with an endodontic file on the middle-third of 2.3 root wall. A root-lateral cavity was prepared using retro-tips. An EBA cement was used as the root-end filling material. Following clinical and radiographic assessment at 36 months post-surgery, the case was classified as successful. This case report showed the utility of using an endoscope and micro-surgical instruments for diagnosis and surgical treatment of micro-anatomical root structures.
authors.affiliation: Department of Health Technologies, Galeazzi Orthopedic Institute, University of Milan, Milan, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Taschieri
authors.forename: G
authors.initials: G
authors.lastname: Rosano
authors.forename: T
authors.initials: T
authors.lastname: Weinstein
authors.forename: M
authors.initials: M
authors.lastname: Del Fabbro
mesh_terms: D016301:Alveolar Bone Loss / Q000209:etiology / Q000601:surgery; D003751:Dental Fistula / Q000209:etiology / Q000601:surgery; D003786:Dental Pulp Cavity / Q000601:surgery*; D019723:Endoscopes; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008866:Microsurgery / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D011176:Post and Core Technique / Q000009:adverse effects; D018915:Root Canal Preparation / Q000379:methods*; D012390:Root Canal Therapy / Q000379:methods*; D013524:Surgical Flaps; D014092:Tooth Root / Q000293:injuries / Q000601:surgery*