Successful treatment of cystic lesion combining Cystectomy, Nonsurgical Endodontics and Vital Pulp Therapy of Mature Permanent Mandibular Molars: a Case Report with 19 Months Follow-Up

Background: Clinical examination revealed large periapical lesion. Patient was referred for endodontic treatment of right mandibular first and second molars before planed cystectomy. The aim of this case report is to present the clinical approach to preserve healthy pulp tissue by combining nonsurgi...

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Main Authors: Roberta Zamaliauskiene, Rita Veberiene
Format: Article
Language:English
Published: Lithuanian University of Health Sciences, Faculty of Odontology 2023-03-01
Series:eJournal of Oral Maxillofacial Research
Subjects:
Online Access:https://www.ejomr.org/JOMR/archives/2023/1/e4/v14n1e4ht.htm
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author Roberta Zamaliauskiene
Rita Veberiene
author_facet Roberta Zamaliauskiene
Rita Veberiene
author_sort Roberta Zamaliauskiene
collection DOAJ
description Background: Clinical examination revealed large periapical lesion. Patient was referred for endodontic treatment of right mandibular first and second molars before planed cystectomy. The aim of this case report is to present the clinical approach to preserve healthy pulp tissue by combining nonsurgical root canal treatment and vital pulp therapy for mature mandibular molar. Methods: A minimally invasive endodontic therapy treatment with combination of nonsurgical root canal treatment and vital pulp therapy was performed. Osteotomies around wisdom teeth were performed, wisdom teeth extracted, and cyst was removed. Results: At the 19 months follow-up appointment patient had no complaints, radiographically full regeneration of periapical bone was observed. Conclusions: A minimally invasive endodontic therapy treatment with combination of nonsurgical root canal treatment and vital pulp therapy for mature mandibular molar before a planned cystectomy could be considered as a treatment option showing good long-term results.
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publisher Lithuanian University of Health Sciences, Faculty of Odontology
record_format Article
series eJournal of Oral Maxillofacial Research
spelling doaj-art-bc6ddbbc85c044bfaad073ffc401bee02025-08-20T03:36:03ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2023-03-01141e410.5037/jomr.2023.14104Successful treatment of cystic lesion combining Cystectomy, Nonsurgical Endodontics and Vital Pulp Therapy of Mature Permanent Mandibular Molars: a Case Report with 19 Months Follow-UpRoberta ZamaliauskieneRita VeberieneBackground: Clinical examination revealed large periapical lesion. Patient was referred for endodontic treatment of right mandibular first and second molars before planed cystectomy. The aim of this case report is to present the clinical approach to preserve healthy pulp tissue by combining nonsurgical root canal treatment and vital pulp therapy for mature mandibular molar. Methods: A minimally invasive endodontic therapy treatment with combination of nonsurgical root canal treatment and vital pulp therapy was performed. Osteotomies around wisdom teeth were performed, wisdom teeth extracted, and cyst was removed. Results: At the 19 months follow-up appointment patient had no complaints, radiographically full regeneration of periapical bone was observed. Conclusions: A minimally invasive endodontic therapy treatment with combination of nonsurgical root canal treatment and vital pulp therapy for mature mandibular molar before a planned cystectomy could be considered as a treatment option showing good long-term results.https://www.ejomr.org/JOMR/archives/2023/1/e4/v14n1e4ht.htmcystectomyoral surgerypulpectomypulpotomyroot canal therapy
spellingShingle Roberta Zamaliauskiene
Rita Veberiene
Successful treatment of cystic lesion combining Cystectomy, Nonsurgical Endodontics and Vital Pulp Therapy of Mature Permanent Mandibular Molars: a Case Report with 19 Months Follow-Up
eJournal of Oral Maxillofacial Research
cystectomy
oral surgery
pulpectomy
pulpotomy
root canal therapy
title Successful treatment of cystic lesion combining Cystectomy, Nonsurgical Endodontics and Vital Pulp Therapy of Mature Permanent Mandibular Molars: a Case Report with 19 Months Follow-Up
title_full Successful treatment of cystic lesion combining Cystectomy, Nonsurgical Endodontics and Vital Pulp Therapy of Mature Permanent Mandibular Molars: a Case Report with 19 Months Follow-Up
title_fullStr Successful treatment of cystic lesion combining Cystectomy, Nonsurgical Endodontics and Vital Pulp Therapy of Mature Permanent Mandibular Molars: a Case Report with 19 Months Follow-Up
title_full_unstemmed Successful treatment of cystic lesion combining Cystectomy, Nonsurgical Endodontics and Vital Pulp Therapy of Mature Permanent Mandibular Molars: a Case Report with 19 Months Follow-Up
title_short Successful treatment of cystic lesion combining Cystectomy, Nonsurgical Endodontics and Vital Pulp Therapy of Mature Permanent Mandibular Molars: a Case Report with 19 Months Follow-Up
title_sort successful treatment of cystic lesion combining cystectomy nonsurgical endodontics and vital pulp therapy of mature permanent mandibular molars a case report with 19 months follow up
topic cystectomy
oral surgery
pulpectomy
pulpotomy
root canal therapy
url https://www.ejomr.org/JOMR/archives/2023/1/e4/v14n1e4ht.htm
work_keys_str_mv AT robertazamaliauskiene successfultreatmentofcysticlesioncombiningcystectomynonsurgicalendodonticsandvitalpulptherapyofmaturepermanentmandibularmolarsacasereportwith19monthsfollowup
AT ritaveberiene successfultreatmentofcysticlesioncombiningcystectomynonsurgicalendodonticsandvitalpulptherapyofmaturepermanentmandibularmolarsacasereportwith19monthsfollowup