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Case Reports
. 2010 Mar-Apr;18(2):201-6.
doi: 10.1590/s1678-77572010000200016.

Endodontic and prosthetic treatment of teeth with periapical lesions in a 16-year-old-girl

Buket Ayna  1 , Emrah Ayna, Sema Celenk
Affiliations
Case Reports

Endodontic and prosthetic treatment of teeth with periapical lesions in a 16-year-old-girl

Buket Ayna et al. J Appl Oral Sci. 2010 Mar-Apr.

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.

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Figures

Figure 1
Figure 1
Preoperative intraoral view of teeth
Figure 2
Figure 2
Preoperative panoramic radiograph showing teeth with periapical lesions
Figure 3
Figure 3
Postoperative intraoral view of teeth
Figure 4
Figure 4
Panoramic radiograph taken 6 months after the endodontic treatment. Note a remarkable decrease of the radiolucencies
Figure 5
Figure 5
Clinical view of the bondable polyethylene reinforcement fiber (Ribbond) in position
Figure 6
Figure 6
Clinical view of crown preparation
Figure 7
Figure 7
Clinical view of the definitive restoration
See this image and copyright information in PMC

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References

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