Large apical periodontitis healing following root canal dressing with calcium hydroxide: a case report

Authors

  • Henry Herrera Faculdade de Odontologia de Ribeirão Preto da Universidade de São Paulo
  • Helen Herrera Faculdade de Odontologia de Ribeirão Preto da Universidade de São Paulo
  • Francisco Wanderley Garcia de Paula e Silva Faculdade de Odontologia de Ribeirão Preto da Universidade de São Paulo
  • Mário R Leonardo Faculdade de Odontologia de Ribeirão Preto da Universidade de São Paulo
  • Léa A B Silva Faculdade de Odontologia de Ribeirão Preto da Universidade de São Paulo

Keywords:

Apical periodontitis, root canal dressing, calcium hydroxide, dental trauma

Abstract

Purpose: The objective of this paper is to report the clinical case of a patient who presented a chronic apical periodontitis, arising from internal inflammatory resorption followed by pulp necrosis, and a long-term success of a root canal therapy using calcium hydroxide as root canal dressing. Case description: A 20-year-old male patient presented for routine dental treatment. By radiographic examination we noted an extensive radioluscent area, laterally to the permanent maxillary right lateral incisor, with possibility of communication with the lateral periodontium, suggestive of a chronic apical periodontitis. Due to external root resorption detection, we used a calcium hydroxide root canal dressing, changed every 15 days, for a period of 2 months. Root canal filling was performed using gutta-percha cones by lateral condensation technique Radiographic follow up held after 19 years of treatment indicated a periodontium in conditions of normality, with the presence of lamina dura. Conclusion: Calcium hydroxide is a suitable material to be used as root canal dressing in teeth with apical periodontitis. Long-term evaluation demonstrated the satisfactory clinical outcome following root canal treatment.

Author Biographies

Henry Herrera, Faculdade de Odontologia de Ribeirão Preto da Universidade de São Paulo

Universidade de São Paulo Faculdade de Odontologia de Ribeirão Preto Departamento de Clínica Infantil, Odontologia Preventiva e Social

Helen Herrera, Faculdade de Odontologia de Ribeirão Preto da Universidade de São Paulo

Universidade de São Paulo Faculdade de Odontologia de Ribeirão Preto Departamento de Clínica Infantil, Odontologia Preventiva e Social

Francisco Wanderley Garcia de Paula e Silva, Faculdade de Odontologia de Ribeirão Preto da Universidade de São Paulo

Uestrado em Odontopediatria (FORP/USP); Doutorado em Odontopediatria (FORP/USP)

Mário R Leonardo, Faculdade de Odontologia de Ribeirão Preto da Universidade de São Paulo

Universidade de São Paulo Faculdade de Odontologia de Ribeirão Preto Departamento de Clínica Infantil, Odontologia Preventiva e Social

Léa A B Silva, Faculdade de Odontologia de Ribeirão Preto da Universidade de São Paulo

Universidade de São Paulo Faculdade de Odontologia de Ribeirão Preto Departamento de Clínica Infantil, Odontologia Preventiva e Social

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Published

2011-02-14

Issue

Vol. 26 No. 2 (2011)

Section

Case Report

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