Diagnosis and treatment of teeth with primary endodontic lesions mimicking periodontal disease: three cases with long-term follow ups

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 i...

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Main Authors: Jae-Hyung Lim, Ji-Hyun Lee, Su-Jung Shin
Format: Article
Language:English
Published: Korean Academy of Conservative Dentistry 2014-02-01
Series:Restorative Dentistry & Endodontics
Online Access:https://doi.org/10.5395/rde.2014.39.1.56
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author Jae-Hyung Lim
Ji-Hyun Lee
Su-Jung Shin
author_facet Jae-Hyung Lim
Ji-Hyun Lee
Su-Jung Shin
author_sort Jae-Hyung Lim
collection DOAJ
description 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.
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spelling doaj.art-e149f57eeeea467cb2324dab425e3c492022-12-22T03:12:13ZengKorean Academy of Conservative DentistryRestorative Dentistry & Endodontics2234-76582234-76662014-02-01391566210.5395/rde.2014.39.1.56Diagnosis and treatment of teeth with primary endodontic lesions mimicking periodontal disease: three cases with long-term follow upsJae-Hyung Lim0Ji-Hyun Lee1Su-Jung Shin2Department of Oral and Maxillofacial Surgery, Korea University Ansan Medical Hospital, Ansan, Korea.Division of Biomaterials and Bioengineering, Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, CA, USA.Department of Conservative Dentistry, Yonsei University College of Dentistry, Seoul, Korea.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.https://doi.org/10.5395/rde.2014.39.1.56
spellingShingle Jae-Hyung Lim
Ji-Hyun Lee
Su-Jung Shin
Diagnosis and treatment of teeth with primary endodontic lesions mimicking periodontal disease: three cases with long-term follow ups
Restorative Dentistry & Endodontics
title Diagnosis and treatment of teeth with primary endodontic lesions mimicking periodontal disease: three cases with long-term follow ups
title_full Diagnosis and treatment of teeth with primary endodontic lesions mimicking periodontal disease: three cases with long-term follow ups
title_fullStr Diagnosis and treatment of teeth with primary endodontic lesions mimicking periodontal disease: three cases with long-term follow ups
title_full_unstemmed Diagnosis and treatment of teeth with primary endodontic lesions mimicking periodontal disease: three cases with long-term follow ups
title_short Diagnosis and treatment of teeth with primary endodontic lesions mimicking periodontal disease: three cases with long-term follow ups
title_sort diagnosis and treatment of teeth with primary endodontic lesions mimicking periodontal disease three cases with long term follow ups
url https://doi.org/10.5395/rde.2014.39.1.56
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