Acompanhamento de lesões periapicais em pacientes submetidos a tratamento endodôntico.

Abstract

Endodontic treatment is of fundamental importance so that the tooth, affected by some pathology of the pulp tissue, can continue to perform its functions in the stomatognathic system without becoming a propitiating agent of severe damages to the health of the individual. In this perspective, this study aims to follow periapical lesions in patients submitted to endodontic treatment in the dentistry school clinic of the Universidade de Campina Grande, Patos-PB. An observational, cross-sectional, descriptive study was carried out in which the dental records of the patients who underwent endodontic treatment and that presented periapical lesion at the beginning of the treatment were evaluated, and the clinical and radiographic examination of the patients. In the analysis of the data, pulp necrosis (81%) was the most present pulp disease, and in 66.7% of the cases the pulp pathology evolved to chronic apical periodontitis, which was the most prevalent periapical pathology. After the clinical and radiographic examination, the majority of the patients presented coronary seals in an unsatisfactory composite resin, 71.4%, and few had painful symptoms 14.3%. However, when present, 66.7% were caused, 100% of the percussion, negative percussion, and lack of dental mobility were found. On the radiographic examination, 66.7% of the patients still had a periapical lesion, yet 100% of the patients demonstrated new bone formation. This study is relevant so that the regression of periapical lesion and bone neoformation can be observed in these patients, and the efficacy of the performed treatment is proven.