Routine periapical radiography showing a radiolucent lesion at the apex of tooth 22.

Routine periapical radiography showing a radiolucent lesion at the apex of tooth 22.

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Endodontic perforations are defined as a iatrogenic mechanical communication between the root canal and supporting periodontal tissues. Dental imaging techniques are essential for satisfactory detection of these conditions. The purpose of this study was to describe the clinical case of a patient diagnosed with endo-periodontal cystic lesion by endo...

Contexts in source publication

Context 1
... in the present case, to meet the patient's objective, computed tomography was indicated, which showed a satisfactory bone condition for implant placement in the partially edentulous area. Figure 3 shows the periapical radiograph in which a radiolucent area with a radiopaque halo suggestive of granuloma or periapical cyst was observed at the apex of tooth 22. The endodontic treatment of that tooth was classified as in good condition, with the obturation being intact and being performed about 1 mm below the apical foramen, a procedure considered normal in endodontic therapy. ...
Context 2
... this case, dental science would indicate quarterly clinical-radiographic follow-up, including possible parendodontic surgery and curettage of the lesion, but no type of endodontic procedure. Conventional radiographic examination (as can be seen in Figure 3) would lead to an inadequate decision to resolve the clinical condition, as demonstrated by the fact that the patient sought a dental service for implant placement and implant-supported dentures, with the consequent indication of CBCT. It should be noted that in the present case the routine imaging method would be periapical radiography to evaluate the quality of the endodontic treatment performed and the integrity of the periapical region. ...