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Journal of Clinical Pathology and Laboratory Medicine | Volume 3
July 05-06, 2019 | Paris, France
Pathology and Surgical Pathology
2
nd
International Conference on
Inflammatory radicular cyst
Denildo De Magalhães, Karine Regina Tolesano Loureiro , Rafael Pires Vaz, Isabella Resende Vieira, Gabriel Sousa
Lima, Jessica Stephanie Martins, Thalita Braga Nazario
and
Ana Paula de Lima Oliveira
Federal University od Uberlandia, Brazil
P
atient, 27 years old, male, brown-skinned was referred
to the Federal University of Uberlândia’s Dental care
unit for an endodontic treatment of the left maxillary central
incisor. Intraoral clinical and radiographic examination
suggested a hypothesis of diagnosis compatible with chronic
apical periodontitis. The treatment was performed in two
sessions, using manual instrumentation system according
to the goerig technique combined with replacement of the
intracanal medication in between sessions. The obturation
was satisfactory and the tooth was restored with a pin-
retained metal ceramic crown. Six months posterior to
the treatment, the patient returned presenting clinical
signs of a fistula. Radiographic examination sustained
the hypothesis of chronic apical periodontitis (cyst or
granuloma). Itwas suggested the patient should undergo an
apicectomy surgery followed by an excisional biopsy of the
lesion preserving the restorative prosthetic treatment and
discarding the possibility of an endodontic retreatment.
After the flap was lifted, it became possible to identify a
crack in the root, which was confirmed by the colorimetric
method. The sample was stored in 10% formaldehyde and
sent to histopathological analysis at the Federal University
of Uberlândia’s pathological laboratory. The results
suggested inflammatory odontogenic cyst, root cyst type.
Six months posterior the procedure, the fistula returned
and the tooth was kept on follow up. In this case, the
parendodontic surgery represented the most conservative
plan of treatment. It is important to emphasize the need
to send the biopsied tissue to histopathological analysis
to confirm the diagnosis and help the patient's condition
preservation.
Speaker Biography
Denildo de Magalhães, PhD and MSc in Dentistry from the University of
São Paulo, Brazil. He is currently a full professor at the Federal University of
Uberlândia in the faculty of dentistry in the area of Periodontics.
e:
denildo@ufu.br