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Complicated untreated apical periodontitis causing paraesthesia: A case report
Author(s) -
Ricucci Domenico,
Loghin Simona,
Siqueira José F.
Publication year - 2018
Publication title -
australian endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.703
H-Index - 34
eISSN - 1747-4477
pISSN - 1329-1947
DOI - 10.1111/aej.12220
Subject(s) - medicine , root canal , dentistry , asymptomatic , periapical abscess , periodontitis , periapical periodontitis , lesion , radiodensity , molar , radiography , endodontist , impacted tooth , endodontic retreatment , orthodontics , surgery
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.