Cirurgia parendodôntica: relato de caso
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Data
2023
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Editor
Universidade Brasil
Resumo
The failure of endodontic treatment can be confirmed through clinical and
radiographic examinations, with the appearance of spontaneous pain, pain on
palpation, vertical percussion, edema and the presence of periapical lesions. Given
these signs and symptoms, endodontic retreatment is the first choice and when this
is not possible, endodontic surgery is indicated. The main indications for surgery are:
difficulty in accessing the root canal through the coronary approach, with the
presence of a full metal-ceramic crown and intracanal pin, or calcified root canals
with periapical lesions, fractured instruments, deviations, apical perforations and
steps. Several techniques are described in the literature, including periapical
curettage, apicoectomy, surgery with simultaneous retrograde filling, retro instrumentation with retro-filling are the most used. The objective of this work is to
present a case report of a 25-year-old patient who sought out Universidade Brasil
after the emergence of intraoral edema. The patient had previous root canal
treatment and developed an acute periapical abscess after undergoing internal
bleaching. In the 1st session, intraoral drainage and coronary opening were
performed with the placement of intracanal medication Formocresol for 48 hours. In
the 2nd session, during the removal of the filling material, she found a perforation in
the middle third of the root. The filling material was removed to the location of the
deviation, and Calcium Hydroxide medication was placed for 20 days. In the 3rd
session, the canal was filled with Bio-C Repair (Angelus) and an apicoectomy of the
apical third and curettage of the endodontic lesion were performed. The patient did
not present pain on apical palpation, vertical percussion, spontaneous pain or edema
in the postoperative period and in the 15-day follow-up. The patient will continue to
be monitored for evaluation of the repair in the periapical region. When traditional
methods of endodontic treatment are not viable, or when there are accidents during
the intervention, endodontic surgery is an excellent alternative for maintaining the
dental element, promoting health and restoring aesthetics and function to the patient.
Descrição
Palavras-chave
Endodontia, Apicectomia, Tratamento do canal radicular, Endodontics, Apicectomy, Root canal treatment