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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Inducing Apical Periodontitis in Mice
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Complicated untreated apical periodontitis causing paraesthesia: A case report.

Domenico Ricucci1, Simona Loghin1, José F Siqueira2

  • 1Private Practice, Cetraro, Italy.

Australian Endodontic Journal : the Journal of the Australian Society of Endodontology Inc
|August 15, 2017
PubMed
Summary

Untreated apical periodontitis can lead to severe complications, including nerve involvement. Prompt endodontic retreatment is crucial for resolving infection and preventing long-term issues like paresthesia.

Keywords:
apical periodontitiscalcium hydroxideendodontic retreatmentmandibular canal paraesthesiatreatment decision-making

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Area of Science:

  • Dentistry
  • Endodontics
  • Oral Surgery

Background:

  • Apical periodontitis, an inflammation of the tissues surrounding the root apex, can arise from endodontic treatment failure.
  • Untreated or persistent apical periodontitis may lead to significant complications, impacting adjacent structures.

Observation:

  • A patient with a root canal-treated mandibular molar and asymptomatic apical periodontitis refused retreatment.
  • Over time, the periapical lesion enlarged, eventually causing an abscess, severe pain, and paresthesia due to mandibular canal involvement.

Findings:

  • Long-term intracanal medication with calcium hydroxide was initiated for the persistent apical periodontitis.
  • Complete resolution of the periapical radiolucency and paresthesia was observed following treatment.

Implications:

  • This case highlights the potential for severe complications from untreated apical periodontitis, even in asymptomatic cases.
  • It underscores the importance of timely endodontic retreatment to prevent irreversible damage and functional deficits, such as nerve paresthesia.