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Resective and Regenerative Approach for an Unresolved Periapical Lesion: A Surgical Case Report With 24-Month
Anchu R Thomas1, Melwin Mathew2, Sunil K Nettemu2
1Endodontics, Manipal University College Malaysia, Melaka, MYS.
Cureus
|January 1, 2024
Summary
This case report details a successful treatment for a persistent periapical lesion using combined resection and regeneration techniques with mineral trioxide aggregate (MTA) and bone grafting, restoring health to the tooth and surrounding bone.
Area of Science:
- Endodontics and Periodontics
- Regenerative Dentistry
Background:
- The intricate anatomical and functional relationship between the dental pulp and periodontium presents diagnostic and therapeutic challenges.
- Understanding pulp-periodontal interrelationships is crucial for effective treatment planning.
Observation:
- A persistent periapical lesion was identified in a maxillary premolar.
- The lesion posed challenges for conventional treatment strategies.
Findings:
- A combined approach involving resection and regeneration techniques was employed.
- Mineral trioxide aggregate (MTA) and bone grafting facilitated lesion management and tissue regeneration.
- Successful regeneration of the periapical lesion and alleviation of patient symptoms were achieved.
Implications:
- This case highlights the efficacy of combined surgical and regenerative modalities for complex endodontic-periodontal issues.
- MTA and bone grafting offer a viable solution for persistent periapical lesions.
- Successful treatment underscores the importance of integrated approaches in managing pulp-periodontal conditions.
