根尖切除术后正畸根管再治疗及挤压后mta再吸收—8年随访1例。

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Sumaya O. Basudan, Bashayer H. Baras
{"title":"根尖切除术后正畸根管再治疗及挤压后mta再吸收—8年随访1例。","authors":"Sumaya O. Basudan,&nbsp;Bashayer H. Baras","doi":"10.1002/ccr3.71024","DOIUrl":null,"url":null,"abstract":"<p>Orthograde retreatment following unsuccessful apicoectomy is a valid treatment option instead of surgical retreatment. This case report details the successful orthograde retreatment of a 34-year-old female patient with persistent symptoms following prior apicoectomy without retrofilling materials and conventional root canal treatment. The mandibular left premolars (#44 and #45) had incomplete apical resections and lacked retrofilling materials, and a nonsurgical approach was chosen due to compromised periodontal conditions. Mineral Trioxide Aggregate (MTA) plugs were placed orthogradely, with unintentional extrusion into the periapical tissues. Despite this, an 8-year follow-up revealed complete resolution of periapical radiolucencies, re-establishment of the lamina dura, and resorption of the extruded MTA. This case highlights the efficacy of orthograde retreatment with MTA plugs in achieving periapical healing, even after failed apicoectomy. Moreover, MTA extrusion may heal satisfactorily without compromising the outcome. Relevant literature is also discussed.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479205/pdf/","citationCount":"0","resultStr":"{\"title\":\"Orthograde Endodontic Retreatment Following Apicoectomy and Resorption of Extruded MTA—A Case Report With 8-Year Follow-Up\",\"authors\":\"Sumaya O. Basudan,&nbsp;Bashayer H. Baras\",\"doi\":\"10.1002/ccr3.71024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>Orthograde retreatment following unsuccessful apicoectomy is a valid treatment option instead of surgical retreatment. This case report details the successful orthograde retreatment of a 34-year-old female patient with persistent symptoms following prior apicoectomy without retrofilling materials and conventional root canal treatment. The mandibular left premolars (#44 and #45) had incomplete apical resections and lacked retrofilling materials, and a nonsurgical approach was chosen due to compromised periodontal conditions. Mineral Trioxide Aggregate (MTA) plugs were placed orthogradely, with unintentional extrusion into the periapical tissues. Despite this, an 8-year follow-up revealed complete resolution of periapical radiolucencies, re-establishment of the lamina dura, and resorption of the extruded MTA. This case highlights the efficacy of orthograde retreatment with MTA plugs in achieving periapical healing, even after failed apicoectomy. Moreover, MTA extrusion may heal satisfactorily without compromising the outcome. Relevant literature is also discussed.</p>\",\"PeriodicalId\":10327,\"journal\":{\"name\":\"Clinical Case Reports\",\"volume\":\"13 10\",\"pages\":\"\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-09-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479205/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/ccr3.71024\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ccr3.71024","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

摘要

根尖切除术不成功后的矫正再治疗是代替手术再治疗的有效治疗选择。本病例报告详细介绍了一名34岁女性患者的成功矫正治疗,该患者在之前的根尖切除术后持续出现症状,未使用补体材料和常规根管治疗。下颌左前磨牙(#44和#45)根尖切除不全,缺乏补牙材料,由于牙周状况受损,选择了非手术入路。三氧化二矿骨料(MTA)塞放置在正侧,无意中挤压到根尖周组织。尽管如此,8年的随访显示根尖周放射率完全消退,硬膜板重建,挤压的MTA被重新吸收。本病例强调了MTA桥塞矫正治疗在根尖周愈合方面的疗效,即使在根尖切除术失败后。此外,MTA挤压可以令人满意地愈合而不影响预后。并对相关文献进行了讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Orthograde Endodontic Retreatment Following Apicoectomy and Resorption of Extruded MTA—A Case Report With 8-Year Follow-Up

Orthograde Endodontic Retreatment Following Apicoectomy and Resorption of Extruded MTA—A Case Report With 8-Year Follow-Up

Orthograde retreatment following unsuccessful apicoectomy is a valid treatment option instead of surgical retreatment. This case report details the successful orthograde retreatment of a 34-year-old female patient with persistent symptoms following prior apicoectomy without retrofilling materials and conventional root canal treatment. The mandibular left premolars (#44 and #45) had incomplete apical resections and lacked retrofilling materials, and a nonsurgical approach was chosen due to compromised periodontal conditions. Mineral Trioxide Aggregate (MTA) plugs were placed orthogradely, with unintentional extrusion into the periapical tissues. Despite this, an 8-year follow-up revealed complete resolution of periapical radiolucencies, re-establishment of the lamina dura, and resorption of the extruded MTA. This case highlights the efficacy of orthograde retreatment with MTA plugs in achieving periapical healing, even after failed apicoectomy. Moreover, MTA extrusion may heal satisfactorily without compromising the outcome. Relevant literature is also discussed.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Clinical Case Reports
Clinical Case Reports MEDICINE, GENERAL & INTERNAL-
自引率
14.30%
发文量
1268
审稿时长
13 weeks
期刊介绍: Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信