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Surgical management of mandibular central incisors with dumbbell shaped periapical lesion: a case report.

Garlapati R, Venigalla BS, Patil JD, Jayaprakash T, Chaitanya CH, Kalluru RS - Case Rep Dent (2014)

Bottom Line: A twenty-four-year-old male patient presented with pain in the mandibular central incisors.Radiographic examination revealed mandibular central incisors with dumbbell shaped periapical lesion.After one-year recall examination, the teeth were asymptomatic and periapical lesion had healed.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry and Endodontics, Kamineni Institute of Dental Sciences, Narketpally, Nalgonda, Andhra Pradesh 508254, India.

ABSTRACT
Dental traumatic injuries may affect the teeth and alveolar bone directly or indirectly. Pulpal necrosis and chronic and apical periodontitis with cystic changes are the most common sequelae of the dental traumatic injuries, if the teeth are not treated immediately. This case report focuses on the conventional and surgical management of mandibular central incisors. A twenty-four-year-old male patient presented with pain in the mandibular central incisors. Radiographic examination revealed mandibular central incisors with dumbbell shaped periapical lesion. After root canal treatment, parendodontic surgery was performed for mandibular central incisors. After one-year recall examination, the teeth were asymptomatic and periapical lesion had healed.

No MeSH data available.


Related in: MedlinePlus

Pretreatment radiograph showing large periapical lesion involving Mandibular central incisors.
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fig2: Pretreatment radiograph showing large periapical lesion involving Mandibular central incisors.

Mentions: A 20-year-old male patient was referred to the Department of Conservative Dentistry and Endodontics with pain and labial swelling in the lower anterior region for two weeks. The pain was continuous and throbbing. His medical history was noncontributory. His dental history revealed trauma to lower anterior teeth due to accident five years ago. On clinical examination, both mandibular central incisors were discolored. Soft tissue examination revealed labial swelling over these teeth; a sinus opening was seen on the labial aspect of mandibular right central incisor. The area was tender on palpation and the teeth were tender on percussion (Figure 1). On vitality examination, teeth were nonvital. Radiographic examination revealed a large dumbbell shaped periapical radiolucency associated with 31, 41 (Figure 2). As dumbbell shaped periapical lesion is a rare occurrence, a computed tomography (CT) scan was advised for 31, 41 to know the exact extension and for the accurate diagnosis of the periapical lesion (Figure 3). The periapical lesion associated with 31, 41, having regular borders, was seen along the apical and lateral root surfaces of mandibular central incisors. The periapical lesion resembles a dumbbell shape and was approximately 2.5 × 1 cm in its greatest dimensions. Based on the above clinical and radiographic findings, mandibular central incisors were diagnosed as having chronic apical periodontitis with cystic changes. A combined approach of orthograde endodontic treatment for 31, 41 followed by periapical surgery was planned. The patient was informed about the procedure and consent was taken.


Surgical management of mandibular central incisors with dumbbell shaped periapical lesion: a case report.

Garlapati R, Venigalla BS, Patil JD, Jayaprakash T, Chaitanya CH, Kalluru RS - Case Rep Dent (2014)

Pretreatment radiograph showing large periapical lesion involving Mandibular central incisors.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4109420&req=5

fig2: Pretreatment radiograph showing large periapical lesion involving Mandibular central incisors.
Mentions: A 20-year-old male patient was referred to the Department of Conservative Dentistry and Endodontics with pain and labial swelling in the lower anterior region for two weeks. The pain was continuous and throbbing. His medical history was noncontributory. His dental history revealed trauma to lower anterior teeth due to accident five years ago. On clinical examination, both mandibular central incisors were discolored. Soft tissue examination revealed labial swelling over these teeth; a sinus opening was seen on the labial aspect of mandibular right central incisor. The area was tender on palpation and the teeth were tender on percussion (Figure 1). On vitality examination, teeth were nonvital. Radiographic examination revealed a large dumbbell shaped periapical radiolucency associated with 31, 41 (Figure 2). As dumbbell shaped periapical lesion is a rare occurrence, a computed tomography (CT) scan was advised for 31, 41 to know the exact extension and for the accurate diagnosis of the periapical lesion (Figure 3). The periapical lesion associated with 31, 41, having regular borders, was seen along the apical and lateral root surfaces of mandibular central incisors. The periapical lesion resembles a dumbbell shape and was approximately 2.5 × 1 cm in its greatest dimensions. Based on the above clinical and radiographic findings, mandibular central incisors were diagnosed as having chronic apical periodontitis with cystic changes. A combined approach of orthograde endodontic treatment for 31, 41 followed by periapical surgery was planned. The patient was informed about the procedure and consent was taken.

Bottom Line: A twenty-four-year-old male patient presented with pain in the mandibular central incisors.Radiographic examination revealed mandibular central incisors with dumbbell shaped periapical lesion.After one-year recall examination, the teeth were asymptomatic and periapical lesion had healed.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry and Endodontics, Kamineni Institute of Dental Sciences, Narketpally, Nalgonda, Andhra Pradesh 508254, India.

ABSTRACT
Dental traumatic injuries may affect the teeth and alveolar bone directly or indirectly. Pulpal necrosis and chronic and apical periodontitis with cystic changes are the most common sequelae of the dental traumatic injuries, if the teeth are not treated immediately. This case report focuses on the conventional and surgical management of mandibular central incisors. A twenty-four-year-old male patient presented with pain in the mandibular central incisors. Radiographic examination revealed mandibular central incisors with dumbbell shaped periapical lesion. After root canal treatment, parendodontic surgery was performed for mandibular central incisors. After one-year recall examination, the teeth were asymptomatic and periapical lesion had healed.

No MeSH data available.


Related in: MedlinePlus