López MF, Guerra RMC, Olivares PPN, Jiménez CMA

Language: Spanish
References: 11
Page: 716-718
PDF size: 72.74 Kb.

ABSTRACT

Periapical lesions cannot be diagnosed before treatment; diagnosis is made only after surgical treatment with a biopsy for histopathological examination. We report the case of a woman 50 years old, which refers to have a volume increase on the palate. Radiographically there is a wellcircumscribed radiolucent area located in teeth 1.3, 1.2 and 1.1. Sensitivity test showed negative response only in tooth 1.2, with the presumptive diagnosis of necrotic pulp. Since radiographic images suggested a possible communication with nasal cavity, and the infection did not yield, we performed a CT of the paranasal sinuses in which we noted the existing drilling of nasal cavity floor due to the extent of the injury. It was decided to finish the root canal of tooth 1.2 and at the same appointment apical surgery was performed, after curettage, proceeded to cut the apex and used to compact the gutta-percha microcondensators, which in this case was our sealing material. Once the lesion was removed, it was placed in 10% formalin for subsequent histological processing, which showed us a radicular cyst. After six months, we can see the bone regeneration in the affected area.

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