[Periapical surgery with histologic examination of the periapical lesion. A case report].
Periapical surgery is required when periradicular pathosis associated with endodontically treated teeth cannot be resolved by nonsurgical root canal therapy (retreatment), or when retreatment was unsuccessful, not feasible or contraindicated. Endodontic failures can occur when irritants remain within the confines of the root canal, or when an extraradicular infection cannot be eradicated by orthograde root canal treatment. Foreign-body reponses towards filling materials, towards cholesterol crystals or radicular cysts might prevent complete periapical healing. Following enhanced microsurgical techniques in the last years the success rates of apical surgery have improved considerably. The aim of the current case report is to describe the therapeutical approach to a persistent periapical lesion and its histologic examination.
Schulz
Malte
M
Klinik für Oralchirurgie und Stomatologie, Zahnmedizinische Kliniken der Universität Bern.
Bosshardt
Dieter
D
von Arx
Thomas
T
D000328:Adult; D001047:Apicoectomy; D019232:Dental Restoration Failure; D004724:Endoscopy; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications; D005260:Female; D005549:Foreign-Body Reaction / Q000150:complications / Q000209:etiology / Q000473:pathology; D006801:Humans; D007180:Incisor; D008437:Maxilla; D008866:Microsurgery; D011842:Radicular Cyst / Q000150:complications / Q000473:pathology / Q000601:surgery*; D019233:Retreatment; D012184:Retrograde Obturation; D012387:Root Canal Filling Materials / Q000009:adverse effects; D012389:Root Canal Obturation / Q000009:adverse effects*; D014081:Tooth Extraction; D014096:Tooth, Supernumerary / Q000150:complications / Q000601:surgery*; D017211:Treatment Failure
D012387:Root Canal Filling Materials