Emna Hidoussi Sakly

Abstract

Most of periapical lesions usually result from microbial infection with oral microorganisms originating from the degenerated pulp tissue. These lesions are commonly painless and incidentally found on routine radiographic examinations. Treating these cases using non-surgical root canal is the fruit of the innovative techniques, tools and root medicaments as well as the tendency toward minimally invasive treatment. The healing process of the infected area is conditioned by a proper diagnosis, a treatment that follows good clinical practice under aseptic environment including cleaning, shaping and root filing. The aim of the present clinical case report was to report non-surgical healing of a periapical lesion of endodontic origin associated with maxillary left central incisor, observed over a period of 2 years.   Keywords: Calcium Hydroxide, Periapical Diseases, Root canal therapy

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Abstract

MIH is defined as a qualitative enamel defect from systemic origin. It affects one to four permanent first molars and can affected also the permanent incisors with variable severity. Nowadays, the aetiology is unknown and there is a wide range of prevalence of MIH. Therefore, the early detection of the lesions offers to set up appropriate means of prevention as quickly as possible. Besides etiopathogenic investigations, this work is highlighting the therapeutic approach of MIH in children and adolescents. Preventive guidelines are invoked to extract sensibility and remedy either the high risk of caries or functional problems encountered most often. Keywords: Diagnosis, Molar incisor hypomineralization, Permanent first molars, Prevalence.

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Abstract

Cutaneous dental sinus tract arises as a consequence of chronic periapical periodontitis induced by pulp degeneration or necrosis. The absence of symptoms along with its unusual occurrence lead to ill-suited treatments. So, more often than not, it is misdiagnosed at the beginning. This article presents in detail the management of a 17-year-old patient in a good systemic health complaining of a sinus tract under his chin, which is secondary to pulp necrosis of the mandibular central incisor. A non-surgical endodontic treatment of this fistula was performed, which led to a successful resolution of the sinus tract, and which promoted periapical healing of the tooth involved. The article aims at highlighting the case history, diagnosis and management of this odontogenic cutaneous fistula. Keywords: Apical periodontitis, Cutaneous sinus tract, Necrosis pulp, Root canal treatment.

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