Skuteczne leczenie zębów z różnymi rodzajami zmian endo-perio
Endodontic treatment was accomplished in two visits with calcium hydroxide Ca(OH)2 medication between appointments. Local anesthesia (1.8 mL of lidocaine with epinephrine 1:100,000) was administered, and the tooth was isolated with a rubber dam. An access opening was created and four canals were located. During the second visit, the localized swelling and sinus opening were thoroughly resolved, and the root canal treatment was completed with RaCe NiTi rotary files (FKG Dentaire, La Chaux-de-Fonds, Switzerland) and 5.25% sodium hypochlorite irrigation. The tooth was obturated with lateral condensation of gutta-percha and AH Plus sealer (AH Plus; Dentsply Maillefer, Tulsa, OK, USA). No periodontal treatment was administered. Follow-up X-ray images were obtained from 1 year to 6 years, which showed complete healing of the bone in the periapical and furcation areas (fig. 1).
Case 2. Iatrogenic periodontal lesion – root perforation
A 30-year-old woman with a noncontributory medical history was referred to the endodontic specialist clinic at PSMMC complaining of pain and localized intraoral swelling in the left first mandibular molar. One year earlier, the tooth had undergone root canal treatment with cementation of the post and core and placement of a permanent crown. The clinical examination revealed localized swelling in the gingival sulcus. Periodontal probing through the furcation showed increased probing values with a grade II defect [2] (fig. 2). The radiographic examination revealed a large post in the distal canal and a large furcal lesion related [...]
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