Periapical lesion treatment with retrograde filling and bone graft. A case report

Authors

  • María José Jarrín Peñafiel Universidad Tecnológica Equinoccial, Facultad de Odontología, Quito, Ecuador
  • Jaime Arturo Castro Pallaroso Universidad Tecnológica Equinoccial, Facultad de Odontología, Quito, Ecuador
  • Vicente Mauricio Toscano Viteri Universidad Tecnológica Equinoccial, Facultad de Odontología, Quito, Ecuador

DOI:

https://doi.org/10.15381/os.v22i3.16711

Keywords:

Apicoectomy; Bone graft, Endodontics; Radicular cyst; Retrograde obturation (source: MeSH NLM)

Abstract

The aim of this study is to present a case in which after the endodontic treatment failed, a cystic lesion was observed in periapical area. The present case concerns a 39 years old female patient without relevant medical history, attended SERODU dental clinic, on clinical examination during the palpation the presence of a soft consistency tumefaction that would be affecting the integrity bone tissue, without symptomatology. The pulp vitality tests turned out to be negative. A radiolucidal shadow compatible with chronic periapical lesion affecting 11 and 12 teeth was observed during the radiographic examination. So it was decided to perform periapical surgery with apicectomy, apical retrograde filling and cystic injury enucleation, followed by guided bone regeneration. At three months of control, radiographically a radiopaque area compatible with bone regeneration was found with a radiolucid halo separating with the original basal bone, and at six months, complete bone regeneration was observed. The retrograde filling and bone grafting technique is an effective treatment technique for apical canal sealing and regeneration of large periapical defects.

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Author Biographies

  • María José Jarrín Peñafiel, Universidad Tecnológica Equinoccial, Facultad de Odontología, Quito, Ecuador

    Odontóloga.

  • Jaime Arturo Castro Pallaroso, Universidad Tecnológica Equinoccial, Facultad de Odontología, Quito, Ecuador

    Especialista en Cirugía Maxilofacial.

  • Vicente Mauricio Toscano Viteri, Universidad Tecnológica Equinoccial, Facultad de Odontología, Quito, Ecuador

    Especialista en Cirugía Maxilofacial.

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Published

2019-09-12

Issue

Vol. 22 No. 3 (2019)

Section

Clinical Cases

License

Copyright (c) 2019 María José Jarrín Peñafiel, Jaime Arturo Castro Pallaroso, Vicente Mauricio Toscano Viteri

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

AUTHORS RETAIN THEIR RIGHTS:

a. Authors retain their trade mark rights and patent, and also on any process or procedure described in the article.

b. Authors retain their right to share, copy, distribute, perform and publicly communicate their article (eg, to place their article in an institutional repository or publish it in a book), with an acknowledgment of its initial publication in the Odontología Sanmarquina.

c. Authors retain theirs right to make a subsequent publication of their work, to use the article or any part thereof (eg a compilation of his papers, lecture notes, thesis, or a book), always indicating the source of publication (the originator of the work, journal, volume, number and date).

How to Cite

1.
Jarrín Peñafiel MJ, Castro Pallaroso JA, Toscano Viteri VM. Periapical lesion treatment with retrograde filling and bone graft. A case report. Odontol Sanmarquina [Internet]. 2019 Sep. 12 [cited 2024 Jul. 17];22(3):205-10. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/odont/article/view/16711