Tomographic considerations during the decision for endodontic retreatment or tooth extraction. A case report

Luis Darío Pérez Villalba; Diana Carolina Freire Villena; Ana Gabriela Vargas Corte

doi:10.59471/ijhsc2024109

Authors

Luis Darío Pérez Villalba Universidad Regional Autónoma de Los Andes, Matriz Ambato, Ecuador Author https://orcid.org/0000-0001-9810-8754
Diana Carolina Freire Villena Universidad Regional Autónoma de Los Andes, Matriz Ambato, Ecuador Author https://orcid.org/0009-0009-8018-8341
Ana Gabriela Vargas Corte Universidad Regional Autónoma de Los Andes, Matriz Ambato, Ecuador Author https://orcid.org/0009-0002-2092-4385

DOI:

https://doi.org/10.59471/ijhsc2024109

Keywords:

CBCT, decision, extraction, retreatment

Abstract

The aim of this report is to point out the tomographic considerations not observable in the periapical radiography that allow a correct treatment decision. Emphasis will also be placed on how to evaluate the level of difficulty in case of retreatment and possible long-term failure. A 64-year-old female patient came for consultation without any pain symptoms referring that she feels dissatisfied with the appearance of her tooth (OD# 1.6), which had been treated more than a year ago. The tomographic analysis confirmed certain difficulties such as calcifications that prevented complete visualization of the canal, steps and deviations from the normal anatomy of the palatal canal, considerable curvatures at the apical level and difficulties for the complete rehabilitation of the tooth due to the scarce remaining tooth structure at the coronal level. For this reason both patient and treating dentist opted for exodontia and placement of a dental implant

References

Tamayo Lizárraga MF. Evaluación in vitro de la transportación apical por Cone Beam de dos protocolos de instrumentación empleando limas V-Taper 2H. marzo de 2020 [citado 11 de agosto de 2023]; Disponible en: http://bibliotecavirtual.dgb.umich.mx:8083/xmlui/handle/DGB_UMICH/4621

Ovalle Yaco Y, Rivas Villarroel YX. Evaluación tomográfica de la calidad de obturación en tratamientos endodónticos, con técnica de cono único vs técnica de onda continua, en premolares de conducto único: estudio in vitro, Abancay 2022. 2023 [citado 11 de agosto de 2023]; Disponible en: https://repositorio.utea.edu.pe/handle/utea/504

Vargas MAA, Villacrés JMP, Tenelema MBT, Solís LFP. Importancia de las radiografías en los tratamientos Endodónticos: usos, ventajas, desventajas y fracasos como Medio de Enseñanza. Rev Conrado. 1 de diciembre de 2022;18(S4):94-104.

Noblecilla MZ, Castañeda JN, Falla RV, Riquero RNN. Tratamiento No Quirúrgico de una Lesión Periapical Extensa de Origen Endodóntico. Reporte de Caso.

Quijano S, García C, Rios K, Ruiz V, Ruíz A. Sistema de conducto radicular en forma de C en segundas molares mandibulares evaluados por tomografía cone beam. Rev Estomatológica Hered. enero de 2016;26(1):28-36.

AAE Endodontic Case Difficulty Assessment Form and Guidelines.

Rodríguez G, Abella F, Durán-Sindreu F, Patel S, Roig M. Influence of Cone-beam Computed Tomography in Clinical Decision Making among Specialists. J Endod. 1 de febrero de 2017;43(2):194-9.

Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endod Top. marzo de 2005;10(1):3-29.

Torabinejad M, Goodacre CJ. Endodontic or dental implant therapy. J Am Dent Assoc. julio de 2006;137(7):973-7.

Soğur E, Gröndahl HG, Baksı BG, Mert A. Does a Combination of Two Radiographs Increase Accuracy in Detecting Acid-induced Periapical Lesions and Does It Approach the Accuracy of Cone-Beam Computed Tomography Scanning? J Endod. 1 de febrero de 2012;38(2):131-6.