Ricucci Domenico, Loghin Simona, Siqueira José F
Private Practice, Cetraro, Italy.
Department of Endodontics, Faculty of Dentistry, Estácio de Sá University, Rio de Janeiro, RJ, Brazil.
Aust Endod J. 2018 Dec;44(3):281-285. doi: 10.1111/aej.12220. Epub 2017 Aug 14.
The purpose of this article was to report a case of untreated apical periodontitis resulting in severe late complications. A patient with an asymptomatic crowned root canal-treated mandibular molar revealing a radiographic substandard endodontic treatment and a slight periapical radiolucency was made aware of the treatment options and opted for no treatment. The lesion slightly increased in size after 6 years, but the tooth remained asymptomatic and endodontic retreatment was again refused. After 4 more years, the patient presented with an abscess and severe pain, complicated by paraesthesia of the left chin and lip. Radiographic examination revealed that the lesion had increased considerably to involve the mandibular canal. The treatment protocol included long-term intracanal medication with calcium hydroxide and follow-ups revealed complete resolution of the periapical radiolucency and the paraesthesia had completely subsided.
本文旨在报告一例未经治疗的根尖周炎导致严重晚期并发症的病例。一名下颌磨牙进行了根管治疗并戴了牙冠但无症状的患者，其影像学检查显示根管治疗不达标且根尖有轻微透射影，医生向其告知了治疗方案，患者选择不进行治疗。6年后病变大小略有增加，但牙齿仍无症状，患者再次拒绝根管再治疗。又过了4年，患者出现脓肿和剧痛，并伴有左下巴和嘴唇麻木。影像学检查显示病变显著增大，累及下颌管。治疗方案包括长期使用氢氧化钙进行根管内给药，随访显示根尖透射影完全消失，麻木感也完全消退。
