Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
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Necrosis of intact premolar caused by an adjacent apical infection: a case report

  • Asgary, Saeed (Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences) ;
  • Marvasti, Laleh Alim (Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences)
  • Received : 2013.02.07
  • Accepted : 2013.04.06
  • Published : 2013.05.31
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Abstract

Although periapical inflammatory lesions are usually resulted by infection in the root canal system, this rare case showed that a periapical lesion related to an infected tooth may cause pulpal necrosis in adjacent intact tooth, with no history or clinical signs of caries, disease, trauma or developmental anomaly. This case also suggests that the periapical lesion can be treated conservatively, without surgical intervention. Furthermore, this case highlights the importance of prompt treatment of apical periodontitis before the lesion becomes extensive as well as follows up of large lesions.

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References

  1. Nair PN. On the causes of persistent apical periodontitis: a review. Int Endod J 2006;39:249-281. https://doi.org/10.1111/j.1365-2591.2006.01099.x
  2. Kakehashi S, Stanley HR, Fitzgerald RJ. The effects of surgical exposures of dental pulps in germ free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol 1965;20:340-349. https://doi.org/10.1016/0030-4220(65)90166-0
  3. Carrotte P. Endodontics: Part 1. The modern concept of root canal treatment. Br Dent J 2004;197:181-183. https://doi.org/10.1038/sj.bdj.4811565
  4. Sundqvist G, Figdor D. Endodontic treatment of apical periodontitis. In: Orstavik D, Pitt Ford TR, eds. Essential Endodontology. London: Blackwell; 1998. p242-277.
  5. Holland GR, Davis SB. Pulpal Pathosis. In: Ingle's Endodontics, 6th ed. Ontario: BC Decker Inc.; 2008. p468-493.
  6. Johansen JR, Karlsen K. The effect of denervation on trauma from occlusion. J Oral Rehabil 1979;6:27-34. https://doi.org/10.1111/j.1365-2842.1979.tb00401.x
  7. Komabayashi T, Jiang J, Zhu Q. Apical infection spreading to adjacent teeth: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111: e15-e20.
  8. Chaniotis AM, Tzanetakis GN, Kontakiotis EG, Tosios KI. Combined endodontic and surgical management of a mandibular lateral incisor with a rare type of dens invaginatus. J Endod 2008;34:1255-1260. https://doi.org/10.1016/j.joen.2008.07.014
  9. Iwu C, MacFarlane TW, MacKenzie D, Stenhouse D. The microbiology of periapical granulomas. Oral Surg Oral Med Oral Pathol 1990;69:502-505. https://doi.org/10.1016/0030-4220(90)90386-7

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