Title of article :
Persistence of postoperative pain due to extrusion of endodontic obturator plastic carrier: A report of two cases treated with a periradicular microsurgical approach
Author/Authors :
taschieri, silvio irccs istituto ortopedico galeazzi - dental clinic, Milan, Italy , taschieri, silvio università degli studi di milano - department of biomedical surgical and dental sciences, milan, italy , gambarini, gianluca università sapienza di roma - department of dental and maxillofacial sciences, Rome, Italy , makeeva, irina i. m. sechenov first moscow state medical university - institute of dentistry, Moscow, Russia , tarasenko, svetlana i. m. sechenov first moscow state medical university - institute of dentistry, Moscow, Russia , corbella, stefano irccs istituto ortopedico galeazzi - dental clinic, Milan, Italy , corbella, stefano i. m. sechenov first moscow state medical university - institute of dentistry, Moscow, Russia , corbella, stefano università degli studi di milano - department of biomedical surgical and dental sciences, Milan, Italy
From page :
1
To page :
7
Abstract :
The aim of the present study was to describe two clinical cases showing postoperative pain associated with the use of plastic carrier obturation system and apical bone fenestration. The patients were treated by surgical access and apicoectomy through a modern technique (using magnification and microsurgical approach), thus removing the direct contact between obturation material and submucosal connective tissue. The surgical interventions were carried on without the occurrence of any complication. Postsurgical adverse sequelae were negligible. After few weeks from the surgery, all symptoms disappeared. Radiographic healing was observed after 48 months. The presence of apical bone fenestration could be the cause of persistent pain after root canal treatment. The contact between plastic carrier and submucosal connective tissue could be the direct cause of spontaneous pain even in absence of periapical infection. Since the clinical diagnosis could be difficult, the use of tridimensional radiology could be justified. Surgical approach, by the removal of the contact between the carrier and connective tissues, can be considered a viable option to treat these particular affections.
Keywords :
Apicoectomy , endodontics , pain , root canal obturation
Journal title :
DRJ Dental Research Journal
Journal title :
DRJ Dental Research Journal
Record number :
2748262
Link To Document :
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