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Persistent infection by Staphylococcus epidermidis in endodontic flare-up: a case report
General Dentistry
|March 5, 2016
Summary
Endodontic flare-ups can be managed by identifying specific bacteria like Staphylococcus epidermidis. Microbial cultures and antibiograms guide targeted antibiotic therapy for refractory endodontic lesions, ensuring successful treatment.
Area of Science:
- Endodontics
- Microbiology
- Infectious Diseases
Background:
- Endodontic flare-ups pose significant clinical challenges.
- They can stem from the overgrowth of specific bacterial species within the root canal system.
- Prompt and accurate diagnosis is crucial for effective management.
Observation:
- A patient experienced severe pain post-endodontic retreatment.
- Intracanal medication and repeated interventions failed to resolve the persistent symptoms.
- Microbial analysis identified Staphylococcus epidermidis as the causative agent.
Findings:
- An antibiogram guided the selection of a specific antibiotic regimen.
- Treatment involved oral tetracycline and intramuscular ceftriaxone.
- Successful infection control was achieved, allowing for root canal obturation.
Implications:
- Microbial cultures and antibiograms are vital tools for managing refractory endodontic infections.
- Targeted antimicrobial therapy can lead to successful outcomes in challenging cases.
- This approach facilitates faster and more effective resolution of endodontic flare-ups.
