Surgical Treatment of Chronic Periapical Lesions

Session

Dental Science

Description

Chronic periapical lesions represent an inflammatory disorder of the periradicular tissue, caused by both endodontic and non-endodontic etiological agents. This review explores the persistence of these lesions, their treatment options, and the surgical interventions involved. Introduction Chronic periapical lesions are often the result of inadequate endodontic treatment. Common factors leading to their persistence include:      Inadequate aseptic control Insufficient canal widening and shaping Undetected canals Inadequate instrumentation Coronal microleakage Pathophysiology Despite adherence to strict endodontic protocols, lesions may remain asymptomatic or symptomatic as radiolucencies due to the complexity of the root canal system, which comprises the main canal, lateral canals, branches, and anastomoses where residual infection Treatment may persist. Outcomes Conventional endodontic treatment typically yields success; however, in 10-15% of cases, symptoms may persist or spontaneously recur. Clinical indicators of complications include: Draining fistula Pain during mastication Increasing radiolucency on radiographs Surgical Intervention Given the above complications, surgical intervention is often necessary. The choice between retreatment and surgical options depends on specific clinical and anatomical factors. Surgical procedures usually entail: Removal of the root apex Curettage of necrotic, granulomatous, inflammatory, or cystic lesions Goals of The primary objectives of endodontic surgery include: Sealing the outlet portals in the root canal system an Endodontic Eliminating bacteria and their byproducts from periradicular tissue contamination Facilitating environment Classification conducive to the and regeneration Surgery of periradicular tissues Treatment This review describes chronic periapical lesions according to Grossman’s classification, detailing the etiology, signs and symptoms, diagnosis, and treatment for each type. The focus lies on the surgical treatment of chronic periapical lesions, including: Types of surgical interventions Indications and contraindications Surgical techniques for each intervention Conclusion: A thorough understanding of chronic periapical lesions and their treatment is essential for successful outcomes in endodontics. Future research should aim to refine surgical techniques and improve clinical results

Keywords:

Chronic Periapical Lesions, Endodontic Treatment, Grossman Classification Retreatment, Infection Management

Proceedings Editor

Edmond Hajrizi

ISBN

978-9951-982-15-3

Location

UBT Kampus, Lipjan

Start Date

25-10-2024 9:00 AM

End Date

27-10-2024 6:00 PM

DOI

10.33107/ubt-ic.2024.170

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Oct 25th, 9:00 AM Oct 27th, 6:00 PM

Surgical Treatment of Chronic Periapical Lesions

UBT Kampus, Lipjan

Chronic periapical lesions represent an inflammatory disorder of the periradicular tissue, caused by both endodontic and non-endodontic etiological agents. This review explores the persistence of these lesions, their treatment options, and the surgical interventions involved. Introduction Chronic periapical lesions are often the result of inadequate endodontic treatment. Common factors leading to their persistence include:      Inadequate aseptic control Insufficient canal widening and shaping Undetected canals Inadequate instrumentation Coronal microleakage Pathophysiology Despite adherence to strict endodontic protocols, lesions may remain asymptomatic or symptomatic as radiolucencies due to the complexity of the root canal system, which comprises the main canal, lateral canals, branches, and anastomoses where residual infection Treatment may persist. Outcomes Conventional endodontic treatment typically yields success; however, in 10-15% of cases, symptoms may persist or spontaneously recur. Clinical indicators of complications include: Draining fistula Pain during mastication Increasing radiolucency on radiographs Surgical Intervention Given the above complications, surgical intervention is often necessary. The choice between retreatment and surgical options depends on specific clinical and anatomical factors. Surgical procedures usually entail: Removal of the root apex Curettage of necrotic, granulomatous, inflammatory, or cystic lesions Goals of The primary objectives of endodontic surgery include: Sealing the outlet portals in the root canal system an Endodontic Eliminating bacteria and their byproducts from periradicular tissue contamination Facilitating environment Classification conducive to the and regeneration Surgery of periradicular tissues Treatment This review describes chronic periapical lesions according to Grossman’s classification, detailing the etiology, signs and symptoms, diagnosis, and treatment for each type. The focus lies on the surgical treatment of chronic periapical lesions, including: Types of surgical interventions Indications and contraindications Surgical techniques for each intervention Conclusion: A thorough understanding of chronic periapical lesions and their treatment is essential for successful outcomes in endodontics. Future research should aim to refine surgical techniques and improve clinical results