Treatment of Permanent Teeth with Extensive Apical Periodontitis: 2 Case Reports

Abstract

Aims: The purpose of the examination of these cases is to maintain the treatments and the managements of teeth with extensive apical periodontitis. Case Presentation: Case 1: A fifteen years old young male patient with apical periodontitis and an accompanying symptom of intraoral swelling on the maxiller left central incisor is presented. Radiographic examination showed an extensive radiolucent periradicular lesion and an open apex. Mineral Trioxide Aggregate was placed to obtain apical plug and seal, surgical curettage was performed and one week after the surgery the rest of the root canal was obturated with gutta percha. Case 2: A thirty two years old male patient is presented with asymptomatic apical periodontitis. Radiographic examination revealed that the left mandibular first molar had an inadaquate root canal fiiling and an extensive radiolucent periradicular lesion on the distal root. In the first session the inadequate root canal filling was removed and calcium hydroxide was placed. The patient did not visit our faculty for a year. After one year the radiographic examination showed that the extensive periradicular lesion was disappeared. The root canal filling was completed with traditional gutta percha lateral condensation technique. Discussion: Both of the patients’ clinical follow-up appointments showed the absence of complaints and the radiological controls revealed that the extensive periradicular lesions were disappeared. Conclusion: Treatment procedures for the therapies of teeth with large apical periodontitis may differ from one case to another. Selecting the correct treatment procedures and obtaining the follow-up appointments are the important steps to achieve and prolong the clinical success of such cases.