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

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...

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Bibliographic Details
Authors: Herrera, Henry, Herrera, Helen, Silva, Francisco Wanderley Garcia de Paula e, Leonardo, Mário R, Silva, Léa A B
Format: article
Status:Published version
Publication Date:2011
Country:Brasil
Institution:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
Repository:Revista odonto ciência (Online)
Language:English
OAI Identifier:oai:ojs.revistaseletronicas.pucrs.br:article/8032
Online Access:https://revistaseletronicas.pucrs.br/fo/article/view/8032
Access Level:Open access
Keyword:Apical periodontitis
root canal dressing
calcium hydroxide
dental trauma
Apical peiodontitis
Lesão periapical
curativo de demora
hidróxido de cálcio
trauma dental
Description
Summary: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.