Endodontic micro-resurgery and guided tissue regeneration of a periapical cyst associated to recurrent root perforation: a case report
Although the success rates of microsurgery and micro-resurgery are very high, the influence of a recurrent perforation combined with radicular cyst remains unclear. A 21-year-old white female patient had a history of root perforation in a previously treated right maxillary lateral incisor. Analysis...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Academy of Conservative Dentistry
2022-11-01
|
| Series: | Restorative Dentistry & Endodontics |
| Subjects: | |
| Online Access: | http://www.rde.ac/upload/pdf/rde-47-e35.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849422471322664960 |
|---|---|
| author | Fernando Córdova-Malca Hernán Coaguila-Llerena Lucía Garré-Arnillas Jorge Rayo-Iparraguirre Gisele Faria |
| author_facet | Fernando Córdova-Malca Hernán Coaguila-Llerena Lucía Garré-Arnillas Jorge Rayo-Iparraguirre Gisele Faria |
| author_sort | Fernando Córdova-Malca |
| collection | DOAJ |
| description | Although the success rates of microsurgery and micro-resurgery are very high, the influence of a recurrent perforation combined with radicular cyst remains unclear. A 21-year-old white female patient had a history of root perforation in a previously treated right maxillary lateral incisor. Analysis using cone-beam computed tomography (CBCT) revealed an extensive and well-defined periapical radiolucency, involving the buccal and palatal bone plate. The perforation was sealed with bioceramic material (Biodentine) in the pre-surgical phase. In the surgical phase, guided tissue regeneration (GTR) was performed by combining xenograft (lyophilized bovine bone) and autologous platelet-rich fibrin applied to the bone defect. The root-end preparation was done using an ultrasonic tip. The retrograde filling was performed using a bioceramic material (Biodentine). Histopathological analysis confirmed a radicular cyst. The patient returned to her referring practitioner to continue the restorative procedures. CBCT analysis after 1-year recall revealed another perforation in the same place as the first intervention, ultimately treated by micro-resurgery using the same protocol with GTR, and a bioceramic material (MTA Angelus). The 2-year recall showed healing and bone neoformation. In conclusion, endodontic micro-resurgery with GTR showed long-term favorable results when a radicular cyst and a recurrent perforation compromised the success. |
| format | Article |
| id | doaj-art-ee2c65cf6a9249d5874b3336dd3f9077 |
| institution | Kabale University |
| issn | 2234-7658 2234-7666 |
| language | English |
| publishDate | 2022-11-01 |
| publisher | Korean Academy of Conservative Dentistry |
| record_format | Article |
| series | Restorative Dentistry & Endodontics |
| spelling | doaj-art-ee2c65cf6a9249d5874b3336dd3f90772025-08-20T03:31:05ZengKorean Academy of Conservative DentistryRestorative Dentistry & Endodontics2234-76582234-76662022-11-01474e3510.5395/rde.2022.47.e351033Endodontic micro-resurgery and guided tissue regeneration of a periapical cyst associated to recurrent root perforation: a case reportFernando Córdova-Malca0Hernán Coaguila-Llerena1Lucía Garré-Arnillas2Jorge Rayo-Iparraguirre3Gisele Faria4Department of Endodontics, Cayetano Heredia Peruvian University (UPCH), Lima, PeruDepartment of Restorative Dentistry, Araraquara School of Dentistry, São Paulo State University (UNESP), Araraquara, SP, BrazilAcademic Department of Stomatological Clinic, Cayetano Heredia Peruvian University (UPCH), Lima, PeruAcademic Department of Stomatological Clinic, Cayetano Heredia Peruvian University (UPCH), Lima, PeruDepartment of Restorative Dentistry, Araraquara School of Dentistry, São Paulo State University (UNESP), Araraquara, SP, BrazilAlthough the success rates of microsurgery and micro-resurgery are very high, the influence of a recurrent perforation combined with radicular cyst remains unclear. A 21-year-old white female patient had a history of root perforation in a previously treated right maxillary lateral incisor. Analysis using cone-beam computed tomography (CBCT) revealed an extensive and well-defined periapical radiolucency, involving the buccal and palatal bone plate. The perforation was sealed with bioceramic material (Biodentine) in the pre-surgical phase. In the surgical phase, guided tissue regeneration (GTR) was performed by combining xenograft (lyophilized bovine bone) and autologous platelet-rich fibrin applied to the bone defect. The root-end preparation was done using an ultrasonic tip. The retrograde filling was performed using a bioceramic material (Biodentine). Histopathological analysis confirmed a radicular cyst. The patient returned to her referring practitioner to continue the restorative procedures. CBCT analysis after 1-year recall revealed another perforation in the same place as the first intervention, ultimately treated by micro-resurgery using the same protocol with GTR, and a bioceramic material (MTA Angelus). The 2-year recall showed healing and bone neoformation. In conclusion, endodontic micro-resurgery with GTR showed long-term favorable results when a radicular cyst and a recurrent perforation compromised the success.http://www.rde.ac/upload/pdf/rde-47-e35.pdfapicoectomyguided tissue regenerationplatelet-rich fibrinretreatmentradicular cyst |
| spellingShingle | Fernando Córdova-Malca Hernán Coaguila-Llerena Lucía Garré-Arnillas Jorge Rayo-Iparraguirre Gisele Faria Endodontic micro-resurgery and guided tissue regeneration of a periapical cyst associated to recurrent root perforation: a case report Restorative Dentistry & Endodontics apicoectomy guided tissue regeneration platelet-rich fibrin retreatment radicular cyst |
| title | Endodontic micro-resurgery and guided tissue regeneration of a periapical cyst associated to recurrent root perforation: a case report |
| title_full | Endodontic micro-resurgery and guided tissue regeneration of a periapical cyst associated to recurrent root perforation: a case report |
| title_fullStr | Endodontic micro-resurgery and guided tissue regeneration of a periapical cyst associated to recurrent root perforation: a case report |
| title_full_unstemmed | Endodontic micro-resurgery and guided tissue regeneration of a periapical cyst associated to recurrent root perforation: a case report |
| title_short | Endodontic micro-resurgery and guided tissue regeneration of a periapical cyst associated to recurrent root perforation: a case report |
| title_sort | endodontic micro resurgery and guided tissue regeneration of a periapical cyst associated to recurrent root perforation a case report |
| topic | apicoectomy guided tissue regeneration platelet-rich fibrin retreatment radicular cyst |
| url | http://www.rde.ac/upload/pdf/rde-47-e35.pdf |
| work_keys_str_mv | AT fernandocordovamalca endodonticmicroresurgeryandguidedtissueregenerationofaperiapicalcystassociatedtorecurrentrootperforationacasereport AT hernancoaguilallerena endodonticmicroresurgeryandguidedtissueregenerationofaperiapicalcystassociatedtorecurrentrootperforationacasereport AT luciagarrearnillas endodonticmicroresurgeryandguidedtissueregenerationofaperiapicalcystassociatedtorecurrentrootperforationacasereport AT jorgerayoiparraguirre endodonticmicroresurgeryandguidedtissueregenerationofaperiapicalcystassociatedtorecurrentrootperforationacasereport AT giselefaria endodonticmicroresurgeryandguidedtissueregenerationofaperiapicalcystassociatedtorecurrentrootperforationacasereport |