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.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-01-01 DOI:10.5037/jomr.2023.14104

Roberta Zamaliauskiene, Rita Veberiene

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Abstract

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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成熟恒磨牙囊性病变联合膀胱切除术、非手术牙髓治疗及重要牙髓治疗成功1例，随访19个月。

背景:临床检查发现大的根尖周病变。患者在计划膀胱切除术前接受右下颌第一磨牙和第二磨牙的根管治疗。本病例报告的目的是介绍采用非手术根管治疗和牙髓生命治疗相结合的方法来保护成熟下颌磨牙的牙髓组织。方法:采用非手术根管治疗和生命髓治疗相结合的微创根管治疗方法。行智齿周围截骨术，拔除智齿，切除囊肿。结果:随访19个月，患者无主诉，根尖周骨完全再生。结论:在计划膀胱切除术前，采用非手术根管治疗和重要牙髓治疗相结合的微创根管治疗是一种长期效果良好的治疗方案。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.