Title: Management of 5 yrs old Midmandibular Soft Fluctuant Swelling Arising due to Buccal Cortical Perforation of Mandible Subsequent to Chronic Periapical Periodontitis of Carious Lower Central Incisors by a Combination of Surgical and Conventional Endodontic Approach with 20 Months Follow-Up
Authors: Dr Prashant Acharya, Dr Neesha Kumari, Dr Sanjivani Pandit
DOI: https://dx.doi.org/10.18535/jmscr/v9i8.14
Abstract
Inflammatory root canal infections become symptomatic and spread further towards alveolar bone predominantly due to collective pathogenicity of the multispecies community dominated by anaerobic bacteria like fusobacterium, prevotella, porphyromonas etc causing pathologies like apical periodontitis, periapical granulomas, abcesses and periapical cysts.
Nonsurgical and surgical endodontic treatments have a high success rate in treatment and prevention of apical periodontitis. Differential diagnosis of the periapical radioopacity is most important as these bone alternation could be neoplastic, dysplastic or of metabolic origin. So a detailed CBCT analysis of an inflammatory or non inflammatory lesion is necessary for the proper designing of treatment plan.
The advantages and shortcoming of the management approach while treating this case are discussed ahead.
Keywords: Intraosseous benign fibrocollagenous inflammatory growth, Apicoectomy, Apical root repair, MTA.
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