Recovery of periradicular tissues in a patient after endodontic treatment
Keywords:
tejidos perirradiculares, tratamiento endodóntico, cicatrización, restauración, regeneraciónAbstract
The restoration of periradicular tissues following endodontic treatment is critical for the long-term success of the procedure. This case study presents the recovery of periradicular tissues in a patient who underwent endodontic treatment for a molar with periapical lesion. Significant improvement in healing and tissue regeneration was observed after appropriate therapy, which included strict follow-up and the use of proper obturation and restoration techniques. The literature review highlights the importance of proper management of periradicular tissues to avoid complications such as recurrent infections or loss of the treated tooth. It is concluded that successful restoration of these tissues is essential to ensure the durability of endodontic treatment.
Downloads
References
Mergoni G, Ganim M, Lodi G, Figini L, Gagliani M, Manfredi M. Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database of Systematic Reviews .2022 [citado 19/03/2025];(12). Disponible en:
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005296.pub4/full
Pineda-Vélez E, Marín-Muñoz A, Escobar-Márquez A, Tamayo-Agudelo WF, Pineda-Vélez E, Marín-Muñoz A, et al. Factores relacionados con el resultado de los tratamientos endodónticos realizados en una institución universitaria con odontólogos en formación. CES Odontol. 2021 [citado 19/03/2025];34(1):14–24. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-971X2021000100014&lng=en&nrm=iso&tlng=es
Del Fabbro M, Corbella S, Sequeira-Byron P, Tsesis I, Rosen E, Lolato A, et al. Endodontic procedures for retreatment of periapical lesions. Cochrane Database of Systematic Reviews. 2016 [citado el 19/03/2025];2016(10). Disponible en: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005511.pub3/full
Khandelwal A, Janani K, Teja KV, Jose J, Battineni G, Riccitiello F, et al. Periapical Healing following Root Canal Treatment Using Different Endodontic Sealers: A Systematic Review. Biomed Res Int.2022 [citado el 19/03/2025];2022(1):3569281. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1155/2022/3569281
Castillo Páez JA, Álvarez M. Reparación de tejidos perirradiculares en el tratamiento endodóntico no quirúrgico. Una revisión. Rev.Científica Odontológica.2024 [citado 19/03/2025];12(3):e210. Disponible en:
https://pmc.ncbi.nlm.nih.gov/articles/PMC11495172/
Zmener O. Lesiones perirradiculares persistentes. Revisión narrativa. Rev Asoc Odontol Argent. 2022;1–12.
Mayorga-Solórzano MF, Naranjo-Yumi LF, Peñaherrera-Manosalvas MS. Regeneración de tejidos periradiculares mediante tratamiento endodóntico y cirugía paraendodóntica, regeneración ósea guiada (plasma rico en fibrina). Dominio de las Ciencias. 2017 [citado 19/03/2025];3(1):331–45. Disponible en: https://dominiodelasciencias.com/ojs/index.php/es/article/view/250/html
Song Y, Li X, Huang D, Song H. Macrophages in periapical lesions: Potential roles and future directions. Front Immunol .2022 [citado 19 /03/2025];13:949102. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC9483141/
Karamifar K, Tondari A, Saghiri MA. Endodontic Periapical Lesion: An Overview on the Etiology, Diagnosis and Current Treatment Modalities. Eur Endod J. 2020 [citado 19/03/2025];5(2):54. Disponible en:
https://pmc.ncbi.nlm.nih.gov/articles/PMC7398993/
Luo X, Wan Q, Cheng L, Xu R. Mechanisms of bone remodeling and therapeutic strategies in chronic apical periodontitis. Front Cell Infect Microbiol. 2022 [citado 19/03/2025];12:908859. Disponible en:
https://pmc.ncbi.nlm.nih.gov/articles/PMC9353524/
Yang N, Liu Y. The Role of the Immune Microenvironment in Bone Regeneration. Int J Med Sci. 2021 [citado 19/03/2025];18(16):3697. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8579305/
Amarasekara DS, Kim S, Rho J. Regulation of Osteoblast Differentiation by Cytokine Networks. Int J Mol Sci. 2021 [citado el 19/03/2025];22(6):2851. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC7998677/
González A. Reparación apical posterior al tratamiento endodóntico - Apical repair after endodontic treatment. UNCuyo. 2016 [citado el 19/03/2025];1(1). Disponible en: https://bdigital.uncu.edu.ar/objetos_digitales/12128/gonzalez-rfoe-112016.pdf
Law A, Withrow J. Endodontic Case Difficulty Assessment and Referral. American Association of Endodontists. 2005 [citado19/03/2025]. Disponible en: https://www.aae.org/specialty/wp-content/uploads/sites/2/2017/07/ss05ecfe.pdf
Bilezikian J, Raisz L, Martin J. Principles of Bone Biology. 6ta. Ed. San Diego: Academic Press; 2008 [citado 19/03/2025].p.5–6. Disponible en:
Hienz SA, Paliwal S, Ivanovski S. Mechanisms of Bone Resorption in Periodontitis. J Immunol Res. 2015 [citado 19/03/2025];2015:615486. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC4433701/
Ordinola-Zapata R, Noblett WC, Perez-Ron A, Ye Z, Vera J. Present status and future directions of intracanal medicaments. Int Endod J.2022 [citado 19/03/2025];55(Suppl3):613. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC9321724/
Pekpinarli B, Kaval ME, Cogulu D, Ilhan B, Sorsa T, Tervahartiala T, et al. The effect of calcium hydroxide and double antibiotic paste on radiographic outcomes and periapical MMP-8 levels in regenerative endodontic procedures: a randomized clinical trial. Journal of Applied Oral Science. 2024 [citado 19/03/2025];32:e20240122. Disponible en: https://www.scielo.br/j/jaos/a/S7MBc8VDZFrVSqrqKLF7SjM/?lang=en
Peña-Bengoa F, Magasich MC, Bustamante D, Wastavino C, Niklander SE, Cáceres C. Effect of Ultrasonic Activation on Dentinal Tubule Penetration of Bio-C Temp and Ultracal XS: A Comparative CLSM Assessment. Eur Endod J. 2023 [citado 19/03/2025];8(4):268. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10500209/
Binanzan N, Alsalleeh F. Cytokine Expression and Anti-Microbial Effectiveness of Different Calcium Hydroxide Dilutions. Indian Journal of Dental Research. 2022 [citado 19/03/2025];33(1):69–74. Disponible en:
https://journals.lww.com/ijdr/fulltext/2022/33010/cytokine_expression_and_anti_microbial.14.aspx
Patri G, Bansal S, Lath H, Chatterjee I, Majee N, Sinha Y. Comparative evaluation of the antibacterial efficacy of two experimental calcium silicate-based intracanal medicaments: An in-vitro study. Journal of Conservative Dentistry and Endodontics 2024 [citado 19/03/2025];27(4):419. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11108418/
Bianco E, Calvelli C, Citterio CL, Pellegatta A, Venino PM, Maddalone M. Evaluation with micro-CT of the canal seal made with two different bioceramic cements: Guttaflow bioseal and bioroot RCS. Journal of Contemporary Dental Practice. 2020;21(4):359–66.
Kirthiga M, Thomas G, Jose S, Joseph S, Krishna M. Marginal Adaptation of BioRoot RCS, MTA-Fillapex, EpoxySeal, and Sealapex to Radicular Dentin: An In Vitro Study. Cureus. 2024 [citado 19/03/2025];16(7):e64380. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11316956/
Ríos-Osorio N, Caviedes-Bucheli J, Murcia-Celedón J, Gutiérrez C, Sierra-Collazo D, Alvarado-Caicedo B, et al. Comparison of dynamic cyclic fatigue resistance of Reciproc® Blue and WaveOne® Gold after sterilization and/or immersion in sodium hypochlorite. J Clin Exp Dent .2024 [citado 19/03/2025];16(1):e1. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10837797/
Nouroloyouni A, Shahi S, Milani AS, Noorolouny S, Farhang R, Azar AY. In vitro apical extrusion of debris and instrumentation time following root canal instrumentation with Reciproc and Reciproc Blue instruments and a novel stainless steel rotary system (Gentlefile) versus manual instrumentation. J Dent Res Dent Clin. 2023 [citado 19/03/2025];17(3):136. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10676536/
Altufayli MD, Salim B, Katbeh I, Merei R, Mamasaidova Z. Shaping Ability of Reciproc Blue Versus One Curve in Curved Canal: An In-Vitro Study. Cureus. 2022 [citado 19/03/2025];14(4):e24387. Disponible en:
https://pmc.ncbi.nlm.nih.gov/articles/PMC9126444/
Al-labed H, layous K, Alzoubi H. The Efficacy of Three Rotary Systems (Reciproc Blue, WaveOne Gold, and AF Blue R3) in Preparing Simulated, Highly Curved Root Canals: An In Vitro Study. Cureus. 2022 [citado 19/03/2025];14(10):e30232. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC9650934/
Karkehabadi H, Khoshbin E, Abbasi R, Esmailnasab S, Doosti Irani A. Effects of Final Root Canal Irrigants in Conventional and Regenerative Endodontic Treatments: A Systematic Review. Avicenna Journal of Dental Research. 2024 [citado 19/03/2025];16(2):117–27. Disponible en: https://ajdr.umsha.ac.ir/Article/ajdr-1764
Mohammadi Z, Shalavi S, Kinoshita JI, Giardino L, Gutmann JL, Banihashem Rad SA, et al. A Review on Root Canal Irrigation Solutions in Endodontics. Journal of Dental Materials and Techniques. 2021 [citado 19/03/2025];10(3):121– Disponible en: https://jdmt.mums.ac.ir/article_18532.html
Dranceanu A, Andreea Diaconu O, Mihaela Gheorghiță L, Bătăiosu M, Dascălu I, Gabriela Nicola A, et al. Endodontic Irrigants: A Review. Dental Health Oral Res .2023 [citado 19/03/2025];4:1–8. Disponible en:
Alarcón-Apablaza J, Prieto R, Rojas M, Fuentes R. Potential of Oral Cavity Stem Cells for Bone Regeneration: A Scoping Review. Cells 2023 [citado 19/03/2025];12(10):1392. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10216382/
Giuliani A, Manescu A, Langer M, Rustichelli F, Desiderio V, Paino F, et al. Three Years After Transplants in Human Mandibles, Histological and In-Line Holotomography Revealed That Stem Cells Regenerated a Compact Rather Than a Spongy Bone: Biological and Clinical Implications. Stem Cells Transl Med.2013 [citado 19/03/2025];2(4):316. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC3659838/
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Karina Lourdes Tito Moreno, Pamela Mishell Cajo Yánez, Mathias Alejandro Navarrete Bustamante
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
ACCESS AND DISTRIBUTION POLICY
All published articles are open access contributions, which are distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License which permits unrestricted non-commercial use, distribution and reproduction in any medium, provided that the primary source of publication is properly cited.
