Endodontic retreatment of a tooth with an extensive periapical lesion with the presence of a metallic core

Authors

  • Rosana Maria Coelho Travassos Universidade de Pernambuco https://orcid.org/0000-0003-4148-1288
  • Gustavo Moreira de Almeida Faculdade do instituto de pesquisa e ensino https://orcid.org/0000-0002-1404-099X
  • William Wale Rodrigues Martins Universidade Uninassau Cacoal -Ro
  • Christiano Ferraz Milagres Universidade Federal de Minas Gerais
  • Renata Wiertz Cordeiro Faculdade São Leopoldo Mandic
  • Fabrício Victer Ribeiro Faculdade São Leopoldo Mandic
  • Glauco dos Santos Ferreira FACSETE - Faculdade Sete Lagoas
  • Nathanny Christinne Garrido de Macedo Santiago Guedes de Oliveira Faculdade São Leopoldo Mandic
  • Paulo Maurício Reis de Melo Júnior Universidade de Pernambuco
  • Pedro Guimarães Sampaio Trajano Dos Santos Faculdade de Odontologia do Recife https://orcid.org/0009-0001-5720-603X
  • Luciano Barreto Silva Universidade de Pernambuco

DOI:

https://doi.org/10.36557/2674-8169.2024v6n10p3764-3774

Keywords:

Endodontics. Periapical Diseases. Retreatment.

Abstract

This work aims to present a clinical case of retreatment of a tooth with an extensive periapical lesion with the presence of a metallic core. A 59-year-old patient was referred for dental treatment due to the need for retreatment on tooth 22. On clinical examination, the presence of a fistula was observed and the patient reported pain on vertical and horizontal percussion, absence of periodontal pocket and on radiographic examination, it was observed there is extensive periapical bone radiolucency, presence of filling material, as well as a molten metallic core. After removing the metallic core with the aid of ultrasound, retreatment was performed using rotary instrumentation (Prodesign Logic RT). As an irrigating solution, 2.5% Sodium Hypochlorite was used. The filling of the root canal system was performed using the single cone technique associated with BIO-C Sealer cement. It is concluded that endodontic retreatment after removal of a molten metal core can be performed in a single session and determine the success of endodontic therapy.

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References

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Published

2024-10-26

How to Cite

Coelho Travassos, R. M., Moreira de Almeida, G., Wale Rodrigues Martins, W., Ferraz Milagres, C., Wiertz Cordeiro, R., Victer Ribeiro, F., dos Santos Ferreira, G., Garrido de Macedo Santiago Guedes de Oliveira, N. C., Reis de Melo Júnior, P. M., Guimarães Sampaio Trajano Dos Santos, P., & Barreto Silva , L. (2024). Endodontic retreatment of a tooth with an extensive periapical lesion with the presence of a metallic core. Brazilian Journal of Implantology and Health Sciences, 6(10), 3764–3774. https://doi.org/10.36557/2674-8169.2024v6n10p3764-3774