Endodontic and prosthetic treatment of teeth with periapical lesions in a 16-year-old-girl
J. appl. oral sci
;
18(2): 201-206, Mar.-Apr. 2010. ilus
Article
in English
| LILACS
| ID: lil-550413
ABSTRACT
This paper reports the nonsurgical endodontic therapy using calcium hydroxide intracanal dressing and prosthetic treatment of 9 teeth with periapical lesions in a 16-year-old female patient. The periodontal treatment plan included oral hygiene instructions, mechanical debridement and gingivectomy in the maxillary incisors to improve gingival contouring. Root canal treatment was indicated for teeth 11-13, 21, 22, 42-45. After successive changes of a calcium hydroxide intracanal dressing during 6 weeks, the size of the periapical radiolucencies decreased and lesion remission occurred after root canal obturation. The endodontically treated teeth received a bondable polyethylene reinforcement fiber (Ribbond) in the prepared canal space and crown buildup was done with composite resin. Prosthetic rehabilitation was planned with single-unit metal-ceramic crowns and fixed partial dentures. Clinical and radiographic evaluation after 6 months showed successful results. The outcomes of this case showed that chronic periapical lesions can respond favorably to nonsurgical endodontic treatment in adolescent patients and that, with proper indication, polyethylene fibers can provide an effective conservative and esthetic option for reinforcing endodontically treated teeth undergoing prosthetic rehabilitation.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Periapical Periodontitis
/
Root Canal Therapy
/
Post and Core Technique
/
Dental Pulp Necrosis
/
Crowns
/
Denture, Partial, Fixed
Limits:
Adolescent
/
Female
/
Humans
Language:
English
Journal:
J. appl. oral sci
Journal subject:
Dentistry
Year:
2010
Type:
Article
Affiliation country:
Turkey
Institution/Affiliation country:
Dicle University/TR
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