Diagnosis and treatment of teeth with primary endodontic lesions mimicking periodontal disease: three cases with long-term follow ups
임재형, 이지현, 신수정,
소속 상세정보
임재형 ( Lim Jae-Hyung ) - Korea University Ansan Medical Hospital Department of Oral and Maxillofacial Surgery
이지현 ( Lee Ji-Hyun ) - University of California Department of Preventive and Restorative Dental Sciences Division of Biomaterials and Bioengineering
신수정 ( Shin Su-Jung ) - Yonsei University College of Dentistry Department of Conservative Dentistry
KMID : 1034420140390010056
Abstract
A tooth with primary endodontic disease that demonstrates a periodontal defect might be extracted because of misdiagnosis as severe periodontal disease or a vertical root fracture. The aim of this case report was to demonstrate the long-term survival of endodontically treated teeth, which had been initially considered unsavable. With meticulous evaluation including the patient's dental history, clinical and radiographic examinations, teeth with primary endodontic lesions could be differentiated and saved after proper root canal treatment. Pain history, vitality test, and radiographic examinations, as well as a general periodontal condition check with periodontal probing on an affected tooth, might be the key methods to differentiate endodontic pathosis from that of periodontal disease.
키워드
Diagnosis and treatment; Periodontal; Primary endodontic lesions
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