FEITOSA, V. G.; http://lattes.cnpq.br/5747043567876779; FEITOSA, Vanessa Gonçalves.
Resumo:
Proservation endodontic treatment aims to observe the success or failure of the same,
through the remission of symptomatology and the observation of the regression or repair
of periradicular lesions with bone neoformation of the affected region. Thus, the present
study aimed to report a clinical case with post-retreatment follow-up in a patient with
extensive periradicular lesion diagnosed as chronic apical periodonditis, with an image
suggestive of periapical granuloma. Teeth 21, 22 and 23 were involved, presenting also
involvement of nasal fossa floor and discontinuity of the palatal bone blade. The
procedure was performed by clinical, radiographic and tomographic examination before
and 2 years after treatment. During the clinical examination, it was observed
characteristics and normality regarding the periodontal tissues and absence of
symptomatology. The area compromised by the periradicular lesion showed an
expressive degree of regression and repair with signs of bone neoformation in the palatal
region and floor of the nasal fossa, but without total remission until the moment.
Therefore, it can be concluded that non-surgical endodontic therapy proved to be quite
effective, allowing the osteolytic area to be reduced. This fact contributes to the success
of the treatment. We suggest the continuation of the proservation of the case for future
evaluation of the need for complementary periradicular surgery.