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1

Uhl, Aline Nogueira de Andrade, Ana Paula Marques Paes da Silva, Alexandre Marques Paes da Silva, Lucio De Souza Gonçalves, Natan Mecler, Rodrigo Carvalho de Souza, and Dennis De Carvalho Ferreira. "Investigation of acute periradicular abscess videos from one virtual platform." Revista Brasileira de Odontologia 76 (December 17, 2019): 1. http://dx.doi.org/10.18363/rbo.v76.2019.e1493.

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Анотація:
Objetivo: avaliar vídeos postados nos últimos dez anos na plataforma virtual YouTube ™ com o tema "abscessos periapicais agudos". Materiais e métodos: foi realizada uma busca na plataforma de vídeos do YouTube ™ usando as palavras-chave "abscesso periapical", "abscesso periradicular", "abscesso alveolar apical", "abscesso apical dentário-alveolar", "periodontite periapical supurativa" e "periodontite apical supurativa" ( Descritores Science Health (DeCS)) e "abscesso oral" e "abscesso bucal" (não indexados). Uma vez identificados, seus conteúdos foram avaliados, bem como sua concordância com a literatura, data de publicação, número de visualizações, duração, entre outros. Resultados: 1.106 vídeos foram identificados e 28 incluídos na amostra final (critérios de inclusão e exclusão). Dos vídeos excluídos, 85,5% não abordaram os temas nos termos buscados. 78,6%, foram divulgados em 2017 e 2018, principalmente nos meses de junho e novembro. 64,3%, excederam dois minutos, sendo o assunto mais abordado, o tratamento de abscessos perirradiculares agudos (75%), seguidos de etiologia (50%) e sintomas (50%). Conclusões: a internet é uma ferramenta importante na disseminação de informações em odontologia; no entanto, a qualidade dessas informações deve ser revisada por profissionais treinados
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Neves, Bruna da Rocha, Adriane Tenorio Dourado Chaves, Heloisa Helena Pinho Veloso, Esdras Gabriel Alves-Silva, and Ana Cláudia Amorim Gomes Dourado. "Avaliação da prescrição de antibióticos pelos endodontistas em abscesso periapical agudo." Research, Society and Development 9, no. 9 (September 8, 2020): e826997901. http://dx.doi.org/10.33448/rsd-v9i9.7901.

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Анотація:
Esse estudo teve como objetivo avaliar a prescrição de antibióticos nos abscessos periapicais agudos pelos endodontistas da região metropolitana do Recife - PE. Um estudo transversal com uma amostra de 100 endodontistas, que exerciam suas atividades em faculdades de odontologia e clínicas odontológicas particulares ou públicas. Eles responderam um questionário sobre prescrição de antibióticos sistêmicos no tratamento de abscesso periapical agudo e os dados foram analisados descritivamente por meio de frequências absolutas e relativas. Para avaliar associação entre duas variáveis categóricas foi utilizado o teste Qui-quadrado de Pearson ou teste Exato de Fisher e o programa estatístico utilizado foi o SPSS (Statistical Package for the Social Sciences) na versão 23. A associação de amoxicilina com clavulanato de potássio em pacientes adultos sem alergia a penicilina foi prescrita por 50% dos endodontistas e em casos de alergia a penicilina, a clindamicina foi a droga de primeira escolha com 67%. A maioria dos endodontistas realizava a prescrição do antibiótico por 7 dias. Com relação a prescrição de antibióticos a maioria respondeu que não prescrevia em todas as fases do abscesso periapical agudo, no entanto, quando houve determinação das fases evolutivas dessa doença, resultados mostraram que existiu prescrição em todas as fases, porém com percentuais diferentes, sendo mais indicados quando existia comprometimento sistêmico do paciente. Concluiu-se que a prescrição de antibióticos pelos endodontistas pesquisados não foi coerente com a literatura científica, no entanto, mostrou uma preocupação com a saúde e risco de complicações sistêmicas graves do paciente.
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Koller, Felipe L., Sandra M. Borowski, William Asanome, Gisele Hein, Franco L. Lagemann, David Driemeier, and David Emilio S. N. de Barcellos. "Abscessos dentários periapicais em leitões com síndrome multissistêmica do definhamento." Pesquisa Veterinária Brasileira 28, no. 6 (June 2008): 271–74. http://dx.doi.org/10.1590/s0100-736x2008000600002.

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Анотація:
Duzentos e oitenta leitões, entre 40 e 70 dias de idade, afetados pela sindrome multissistêmica do definhamento (SMD) foram examinados após eutanásia para pesquisa de lesões dentárias. Pelo menos um abscesso periapical foi observado em 58 leitões (20,7%), dos quais 12 apresentaram abscessos múltiplos. Terceiros incisivos superiores, 3os incisivos inferiores, caninos superiores, caninos inferiores e outros dentes apresentaram respectivamente 22 (31,4%), 16 (22,9%), 4 (5,7%), 23 (32,9%) e 5 (7,1%) abscessos periapicais. A maior prevalência de abscessos observada nos dentes 3os incisivos e caninos inferiores está provavelmente associada com a maior área de corte ou desgaste que sofrem esses dentes. Entre as bactérias isoladas de amostras de 65 abscessos, Streptococcus sp. foi a mais prevalente e esteve presente em 21,48% e 27,7% dos isolados em aerobiose e anaerobiose, respectivamente. Na segunda posição em prevalência estiveram as bactérias corineformes, as quais foram mais freqüentemente isoladas em atmosfera anaeróbica do que aeróbica. Houve preponderância de isolamentos de bactérias Gram-positivas. Não foi possível determinar se as co-infecções bacterianas predispuseram às lesões características de SMD ou foram conseqüentes à imunossupressão causada pela infecção com PCV2.
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Sousa, Carlos Wallyson, Juliana Lima Vecchio, Mikaella Edite Fontes Borges, Paulo Vitor Ramos Carvalho Costa, Raquel Bastos Vasconcelos, and Abrahão Cavalcante Gomes de Sousa Carvalho. "Tratamento proposto para paciente portador de fístula cutânea resultante de cisto radicular: relato de caso." Revista de Odontologia da Universidade Cidade de São Paulo 31, no. 1 (August 19, 2019): 95. http://dx.doi.org/10.26843/ro_unicidv3112019p95-105.

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Анотація:
O cisto periapical tem origem associada à proliferação dos restos epiteliais de Malassez, após um processo inflamatório crônico decorrente de uma extensa lesão cariosa com acometimento pulpar. Quando um cisto periapical passa por um processo de reagudização infecciosa o quadro clínico é denominado de abscesso Fênix. O objetivo deste trabalho é relatar um caso de abscesso Fênix associado à raiz residual do dente 44. Paciente M.R.G, 19 anos, apresentou queixa principal de “espinha no meu queixo”. Ao exame clínico, foi observada uma fístula cutânea na região mentual, com drenagem purulenta. Ao exame intraoral, foi observada a raiz residual do dente 44. Ao exame imaginológico, observou-se um cisto periapical associado ao dente 44 que se estendia anteriormente até a região anterior de mandíbula, fenestrando a cortical vestibular (mais espessa) e drenando para a região de mento. O paciente foi então tratado com a enucleção da lesão, seguida de plastia da fístula cutânea. Após exame histopatológico foi confirmado o diagnóstico de cisto periapical com processo de inflamação aguda. O paciente evoluiu bem após o tratamento, sem queixas álgicas. Portanto, é fundamental que o Cirurgião-Dentista conheça a etiopatogenia das lesões odontogênicas para o correto diagnóstico e tratamento em casos atípicos como o relatado.
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Flandes, Marcelle Pelegrino, Paolla Camacho Vallim, Leonardo Braun Braun Galvão Maximo DIAS, and Walter Paulesini Junior. "Celulite em região cervicofacial: relato de caso." Revista de Odontologia da Universidade Cidade de São Paulo 31, no. 3 (July 7, 2020): 98. http://dx.doi.org/10.26843/ro_unicidv3132019p98-104.

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Анотація:
A maioria das infecções de origem odontogênica, se origina a partir de necrose pulpar com invasão bacteriana no tecido periapical e periodontal, podendo levar à formação de abscesso, quando a infecção prevalece sobre as resistências do hospedeiro. Em situações nas quais a coleção purulenta não é capaz de drenar através de superfície cutânea ou mucosa bucal, o abscesso pode se estender através dos planos fasciais dos tecidos moles, patologia que se denomina celulite. O seu tratamento varia desde administração de antibioticoterapia parenteral de amplo espectro à drenagem sob anestesia geral.
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Dalabilia, Valeria, Diego José Gambin, João Paulo De-Carli, and Fabiane Zanette. "Prevalência de dor odontogênica em um serviço de pronto-atendimento odontológico público do Sul do Brasil." Dental Press Endodontics 10, no. 3 (September 24, 2020): 56–62. http://dx.doi.org/10.14436/2358-2545.10.3.056-062.oar.

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Анотація:
Objetivo: Identificar as principais causas de dor odontogênica que levam à busca pelo atendimento no Serviço de Pronto Atendimento Odontológico (SPAO) da Faculdade de Odontologia da Universidade de Passo Fundo (UPF), que funciona junto ao Hospital São Vicente de Paulo e está ligado ao Sistema Único de Saúde (SUS). Métodos: Realizou-se um estudo epidemiológico transversal e retrospectivo, baseado em dados de prontuários odontológicos de pacientes atendidos entre novembro de 2016 e outubro de 2017. Os dados foram analisados buscando-se a prevalência das diversas origens de dor odontogênica dos pacientes atendidos no período: pulpar (pulpite reversível, pulpite irreversível, necrose); periapical (pericementite, abscesso periapical); ou periodontal (periodontite, abscesso periodontal). Além disso, foi catalogada a conduta realizada durante os atendimentos de urgência. Resultados: Ao todo, foram analisados 1.275 prontuários. Desses, 868 pacientes (68,1%) apresentavam dor ao atendimento. Dos pacientes que relataram dor, 62,3% apresentavam dor odontogênica pulpar; 11,1%, dor periapical; e 12,2%, dor periodontal. A conduta mais adotada para tratamento da dor foi a terapia com analgésicos e/ou antibióticos (21,0% dos casos), seguida por acessos endodônticos (18,7%) e exodontias (17,9%). Conclusão: No serviço de pronto atendimento analisado, prevaleceram os casos de dor de origem pulpar. Os resultados obtidos contribuem para o desenvolvimento de estratégias de controle da dor odontogênica, bem como para a melhoria dos protocolos clínicos adotados na faculdade em questão.
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Travassos, Rosana Maria Coelho, Ana Caroline Chalegre de Oliveira, Charley Henrique dos Passos Gomes Filho, Ismael Sebastião da Silva Sousa, José Mateus da Silva Alves, Kataryne Maria dos Santos, Matheus Eduardo da Silva Paz, and Victor Felipe Farias do Prado. "Análise de regressão da lesão periapical: relato de caso clínico." Research, Society and Development 10, no. 12 (September 18, 2021): e201101220267. http://dx.doi.org/10.33448/rsd-v10i12.20267.

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Анотація:
Este estudo possui como objetivo a descrição do reparo através de um caso clínico de uma lesão periapical difusa e extensa com diagnóstico sugestivo de abscesso periapical crônico. Foram realizados a anamnese e exame clínico. A partir da correta indicação do tratamento endodôntico, foi realizada a abertura coronária e posterior preparo cervical com brocas GattesGlidden, e no preparo cervico-medial, os instrumentos manuais tipo K-Files. Posteriormente, introduziu-se a medicação intracanal à base de hidróxido de cálcio. Após o preparo do canal radicular, o paciente foi submetido a medicação intracanal constituida por hidróxido de cálcio. Após 15 dias, foi constatada a ausência da sensibibilidade referida no início da terapêutica e portanto seguiu-se com a obturação do sistema de canais com a técnica de condensação lateral ativa juntamente com cimento AH-Plus. Foi averiguado por imagens radiográficas no tratamento realizado, que no decorrer das consultas houve uma redução no diâmetro da lesão periapical. Essa redução foi ocasionada por conta da medicação intracanal, que foi renovada a cada mês por um período de seis meses com a finalidade de desinfetar o canal radicular e causar reparação da destruição óssea periapical. Diante disso, a proservação clínica e radiográfica, após um período de seis meses de medicação intracanal, constatou o reparo da lesão periapical.
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8

MUNERATO, Maria Cristina, Diogo Luís FIAMINGHI, and Paulo C. PETRY. "Urgências em odontologia: um estudo retrospectivo." Revista da Faculdade de Odontologia de Porto Alegre 46, no. 1 (January 26, 2005): 90–95. http://dx.doi.org/10.22456/2177-0018.7649.

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Анотація:
Este estudo teve o propósito de realizar um levantamento epidemiológico retrospectivo dos registros de atendimentos do setor de urgência da Faculdade de Odontologia - UFRGS, durante o semestre de 2002/1. Um total de 918 pacientes foi atendido neste período e foram analisados os dados referentes à idade, gênero, história médica pregressa, uso de fármacos, diagnóstico relacionado à queixa e achados estomatológicos, bem como o tratamento de urgência realizado. Foi constatado que: 63,51% dos pacientes tinham entre 21 e 50 anos, com predominância do gênero feminino (65,24%) em relação ao gênero masculino (34,76%); as causas mais freqüentes de atendimentos foram: pulpite, abscesso periapical agudo, cárie profunda, necrose pulpar, cárie, abscesso periodontal e fratura dentária. Os tratamentos mais realizados foram: abertura de câmara, restauração provisória, exodontia e prescrição de medicamento.
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Azambuja, Taís W. Furlanetto de, Francesca Bercini, Adriana Zanon Moschen, Ana Paula Weissheimer, and Luciana Reinhardt. "Abscesso crônico associado à fístula extra-oral: revisão de literatura e apresentação de caso clínico e cirúrgico." Revista da Faculdade de Odontologia de Porto Alegre 39, no. 1 (May 5, 1998): 9–13. http://dx.doi.org/10.22456/2177-0018.7800.

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Utami, Istri Dwi, Farina Pramanik, and Lusi Epsilawati. "Proporsi gambaran radiografis lesi periapikal gigi nekrosis pada radiograf periapikalRadiographic image proportion of necrotic teeth periapical lesions on periapical radiographs." Padjadjaran Journal of Dental Researchers and Students 3, no. 1 (July 12, 2019): 64. http://dx.doi.org/10.24198/pjdrs.v3i1.22306.

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Анотація:
Pendahuluan: Karies merupakan penyakit yang paling banyak terjadi. Pada tahun 2013 kerusakan gigi masyarakat Indonesia adalah 460 buah gigi per 100 orang. Jika dibiarkan tidak dirawat akan berkembang mengarah pada kematian pulpa dan akan menyebar menyebabkan infeksi periapikal. Tahun 2010 penyakit pulpa dan periapikal menempati posisi ke 7 dari 10 penyakit terbanyak pada pasien rawat jalan di rumah sakit di Indonesia. Teknik radiograf yang dapat digunakan untuk diagnosis penyakit pulpa dan periapikal adalah teknik radiografi periapikal. Tujuan penelitian adalah mendapatkan informasi mengenai proporsi gambaran radiografis lesi periapikal gigi nekrosis di RSGM Unpad. Metode: Jenis penelitian deskriptif. Populasi penelitian adalah seluruh radiograf periapiakal gigi nekrosis dengan lesi periapikal pada bulan November 2018 – Januari 2019 di Instalasi Radiologi Kedokteran Gigi RSGM Unpad. Sampel penelitian ditentukan dengan metode purposive sampling. Jumlah sampel sebanyak 54 radiograf periapikal. Hasil: Proporsi gambaran radiografis lesi periapikal yaitu abses periapikal sebanyak 42 kasus (77,78%), granuloma periapikal 8 kasus (14,81%) dan kista periapikal 4 kasus (7,40 %). Simpulan: Proporsi gambaran radiografis lesi periapikal gigi nekrosis di RSGM Unpad didapatkan proporsi tertinggi adalah abses periapikal diikuti granuloma periapikal dan yang terakhir adalah kista periapikal.Kata Kunci: Gigi nekrosis, lesi periapikal, radiograf periapikal ABSTRACTIntroduction: Caries is the most common disease. In 2013, tooth decay of Indonesian people was 460 teeth per 100 people. If left untreated, it will develop, leading to pulp death and will spread, causing periapical infection. In 2010, pulp and periapical diseases were ranked 7th out of the ten most diseases in outpatients of the hospitals in Indonesia. A radiographic technique that can be used for the diagnosis of pulp and periapical disease is a periapical radiographic technique. This study was aimed to obtain information about the radiographic image proportion of necrotic teeth periapical lesions at Universitas Padjadjaran Dental Hospital. Methods: This study was descriptive, with study population was all radiographs of the necrotic teeth periapical lesions in November 2018 - January 2019 at Dentomaxillofacial Radiology Installation of Universitas Padjadjaran Dental Hospital. The research sample was determined by purposive sampling method. The number of samples was 54 periapical radiographs. Results: The radiographic image proportion of necrotic teeth periapical lesions, namely periapical abscesses in 42 cases (77.78%), periapical granuloma in 8 cases (14.81%) and periapical cysts in 4 cases (7.40%). Conclusion: The radiographic image proportion of necrotic teeth periapical lesions at Universitas Padjadjaran Dental Hospital mostly are periapical abscesses, followed by periapical granuloma, and the least is periapical cysts.Keywords: Necrotic teeth, periapical lesions, periapical radiographs
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Santana, Flávia Carvalho, Ricardo Silva Alves, Renato Piai Pereira, Salatiel Ferraz Alves de Souza, Silvia Santos Melo, and Rogério Vieira Silva. "Retratamento endodôntico e complementação cirúrgica em dente com fístula persistente: relato de caso." Dental Press Endodontics 10.14436/2358-2545.11, no. 2 (July 1, 2021): 76–83. http://dx.doi.org/10.14436/2358-2545.11.2.076-083.oar.

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Анотація:
Introdução: O preparo químico-mecânico representa uma etapa fundamental, pois promove a antissepsia do complexo sistema de canais radiculares, viabilizando um ambiente biológico favorável para o processo de cura e reparo dos tecidos periapicais. Porém, insucessos podem acontecer em dentes tratados e retratados endodonticamente, sendo a intervenção cirúrgica frequentemente indicada nesses casos. Relato do caso: Paciente do sexo masculino, 32 anos de idade, melanoderma, apresentou-se à clínica-escola de uma faculdade de Odontologia em um município baiano, com queixa principal de “aparecimento de bolha na gengiva e gosto amargo na boca”. Ao exame clínico, visualizou-se presença de restauração de resina composta nas faces mesial e palatina, bem como fístula intrabucal ativa na região de fundo de vestíbulo, próximo ao ápice do elemento #22. Por meio de exames clínico e radiográfico, testes de sensibilidade pulpar e rastreamento da fístula, foi estabelecido diagnóstico de tratamento endodôntico concluído, e periapical de abscesso apical crônico. Em seguida, houve indicação de retratamento endodôntico e duas sessões de medicação intracanal com hidróxido de cálcio, seguidas de uma intervenção cirúrgica exploratória. Resultados: O protocolo de tratamento proposto foi eficaz. Constatou-se sucesso clínico, com cicatrização da fístula intrabucal ativa, e radiográfico, com reparação dos tecidos periapicais, além do restabelecimento da estética e função dentária, com acompanhamento de 26 meses. O paciente encontra-se sob acompanhamento semestral. Conclusão: é necessário salientar a relevância de efetuar com segurança um planejamento e prognóstico endodôntico confiável e, igualmente, o acompanhamento do caso, com supervisão clínica e radiográfica periódica.
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Rodrigues, Cristovão Marcondes de Castro, Daniela Meneses Santos, Mirlany Mendes Maciel Oliveira, Vinicius Lima De Almeida, Danyella Carolyna Soares dos Reis, and Jonas Dantas Batista. "Infecção cervicofacial grave de origem odontogênica – relato de caso." Revista da Faculdade de Odontologia - UPF 25, no. 2 (June 2, 2021): 254–59. http://dx.doi.org/10.5335/rfo.v25i2.9960.

Повний текст джерела
Анотація:
Introdução: as infecções odontogênicas tem como principal origem a necrose pulpar com invasão bacteriana no tecido periapical e periodontal, podendo levar à formação de quadros de celulite e posteriormente de abscesso, além disso, possuem o potencial de disseminar-se pelos espaços faciais profundos e comprometer a vida do paciente. Complicações graves, decorrentes dos quadros de infecções odontogênicas, podem ocorrer, se o tratamento instituído não for adequado, como: trombose do seio cavernoso, abscesso cerebral, mediastinite e até óbito. Objetivo: discutir o manejo das infecções odontogênicas disseminados em espaços faciais profundos, através do relato de caso clínico. Caso clínico: paciente de 52 anos, portador de diabetes mellitus tipo 2, com infecção odontogênica, no exame clínico inicial apresentava trismo, disfonia, dispneia, disfagia, hiperemia e edema em lado esquerdo da face, envolvendo os espaços canino, bucal, submandibular e cervical além de unidades dentárias com foco infeccioso. Em exame de tomográfica computadorizada, observou-se desvio da via área, presença de um grande volume de gás e de lojas de infecção. Optou-se como tratamento a remoção dos focos dentários e drenagem intraoral foi realizada pela equipe da CTBMF com anestesia local e posteriormente drenagem sob anestesia geral, intubação com uso de fibroscopia pela equipe de cirurgia cabeça e pescoço. Considerações finais: as infecções odontogênicas que envolvem espaços faciais profundos devem ser tratadas com urgência e o tratamento de escolha dessa condição deve ser remoção imediata do foco infeccioso, exploração e drenagem rápida e agressiva dos espaços faciais envolvidos e associação com antimicrobianos de amplo espectro com características bactericidas.
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Prisinda, Diani, Yuti Malinda, Yurika Ambar Lita, and Sri Tjahajawati. "Diagnosis determination of chronic periapical abscess case using imaging radiography software and microbiological examination in female patients." Padjadjaran Journal of Dentistry 31, no. 1 (March 29, 2019): 38. http://dx.doi.org/10.24198/pjd.vol31no1.15974.

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Introduction: Diagnosis determination of chronic periapical abscess can be achieved by subjective, objective, and other examination such as radiographic and microbiological examination based on clinical finding and differences intensity at the periapical area with healthy bone suspected to be chronic abscess periapical. A microbiological examination performed to obtain the predominant bacteria that involved to determine an adequate medicament to succeed endodontic treatment. This study was aimed to compare intensity abscess lesion segmentation image reconstruction and surrounding bone for determine the diagnosis of periapical abscess more accurately and to determine the characteristic of bacteria colony from a periapical abscess tooth. Methods: The study sampling method was consecutive sampling (6 female) consisted of inclusion criteria patient with a periapical lesion in anterior maxillary that diagnosed based on clinical signs and symptoms. CBCT 3D scan of the maxillofacial region taken from of patients was measured image intensity periapical lesion and surrounding bone using semi-auto segmentation with ITK-SNAP 3.6.0. Samples from the root canals taken using three sequential sterile paper points. The samples were plated, and microorganisms were then isolated and identified by the colony characteristics. Results: There was a significant difference between the mean content of lesion intensity of (n = 6,256.710 ± 81.930 and 636.022 ± 79.981 lesion boundary. The two-tailed p-value = 0.0050, this difference was considered to be very statistically significant. The mean of group lesion minus group surrounding bone equals to 163.715. 95% confidence interval of this difference from 75.542 to 251.888. Conclusions: Demineralisation of periapical bone can be determined by voxel intensity value in CBCT 3D radiograph using semi-auto segmentation ITK SNAP, could be recommended as a quantitative interpretation for detection periapical lesion and chronic periapical abscesses is a poly-microbial disease. Keywords: Chronic periapical abscess, endodontic, microbiology, radiograph CBCT
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14

Philippi, Christine Kalvelage, Pantelis Varvaki Rados, Manoel Sant'ana Filho, João Jorge Diniz Barbachan, and Onofre Francisco de Quadros. "Distribution of CD8 and CD20 lymphocytes in chronic periapical inflammatory lesions." Brazilian Dental Journal 14, no. 3 (2003): 182–86. http://dx.doi.org/10.1590/s0103-64402003000300008.

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The objective of this study was to investigate the distribution of CD8+ and CD20+ lymphocytes in chronic periapical inflammatory lesions. A total of 90 periapical inflammatory lesions (chronic abscesses, abscessed cysts, and inflammatory cysts) were evaluated. The biotin-streptavidin immunohistochemical technique was used to identify cytotoxic/suppressor T-lymphocytes (CD8) and B-lymphocytes (CD20). Age ranged from 10 to 67 years. Patients between 26 and 45 years old (54.4%), females (52.2%), and white patients (74.4%) were more frequently affected. CD8+ cell distribution was as follows: 1) fibrous capsule: diffuse in 58.8% of chronic abscesses and absent in 64.1% of abscessed cysts and in 70.6% of inflammatory cysts; 2) infiltration zone: diffuse in 100% of abscessed cysts and in 82.4% of inflammatory cysts; 3) sub-epithelial zone: absent in 53.0% of inflammatory cysts and diffuse in 56.4% of abscessed cysts; 4) suppurative zone: diffuse in 100% of chronic abscesses and in 97.5% of abscessed cysts. CD20+ cell distribution was as follows: 1) fibrous capsule: absent in 100% of inflammatory cysts, in 94.8% of abscessed cysts, and in 88.3% of chronic abscesses; 2) infiltration zone: diffuse in 100% of abscessed cysts and in 53% of inflammatory cysts; 3) sub-epithelial zone: absent in 58.8% of inflammatory cysts and focal in 46.2% of abscessed cysts; 4) suppurative zone: diffuse in 100% of abscessed cysts and in 100% of chronic abscesses. The distribution of the lymphocytic infiltrate in the lesions was usually diffuse for both types of lymphocytes.
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15

Altaie, Alaa Muayad, Basema Saddik, Mohammed Amjed Alsaegh, Sameh S. M. Soliman, Rifat Hamoudi, and Lakshman P. Samaranayake. "Prevalence of unculturable bacteria in the periapical abscess: A systematic review and meta-analysis." PLOS ONE 16, no. 8 (August 5, 2021): e0255485. http://dx.doi.org/10.1371/journal.pone.0255485.

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Objective To assess the prevalence of unculturable bacteria in periapical abscess, radicular cyst, and periapical granuloma. Methods PubMed, Scopus, Science Direct, and Ovid databases were systematically searched from January 1990 to May 2020. All the included studies were cross-sectional design. The risk of bias was assessed using Joanna Briggs Institute check-list. Heterogeneity was described using meta-regression and mixed-effects model for lesion, country, and sequence technique moderators. Funnel plot and unweighted Egger’s regression test were used to estimate the publication bias. Microbiome data on diversity, abundance, and frequency of unculturable bacteria in the periapical lesions were reviewed, analysed, and the principal component analysis (PCA) was performed. Results A total of 13 studies out of 14,780, were selected for the final analysis. These studies focused on the prevalence of unculturable bacteria in periapical abscesses and related lesions. Approximately 13% (95% CI: 7–23%) of the cumulative number of bacteria derived from periapical abscesses was unculturable. Country moderator significantly (P = 0.05) affects the diversity summary proportion. While the pooled frequency of unculturable bacteria was 8%; 95% CI: 5, 14%, the estimate of the pooled abundance of unculturable bacteria was 5%; 95% CI: 2, 12% with a significant (P = 0.05) country moderator that affects the abundance summary proportion. Of the 62 unculturable bacteria, 35 were subjected to PCA and Peptostreptococcus sp. oral clone CK035 was the most abundant species in periapical abscesses. Hybridization techniques were found to be the most reliable molecular methods in detecting the abundance and frequency of unculturable bacteria. Conclusion The significant prevalence of unculturable bacteria in the periapical abscess, suggests that they are likely to play, a yet unknown, critical role in the pathogenesis and progression of the disease. Further research remains to be done to confirm their specific contributions in the virulence and disease progression.
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16

Lawrence, Martha M. "PERIAPICAL ABSCESS." Journal of the American Dental Association 142, no. 2 (February 2011): 128. http://dx.doi.org/10.14219/jada.archive.2011.0042.

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17

Hassan, Amaar Obaid, Gregory Y. H. Lip, Arnaud Bisson, Julien Herbert, Alexandre Bodin, Laurent Fauchier, and Rebecca V. Harris. "Acute Dental Periapical Abscess and New-Onset Atrial Fibrillation: A Nationwide, Population-Based Cohort Study." Journal of Clinical Medicine 10, no. 13 (June 30, 2021): 2927. http://dx.doi.org/10.3390/jcm10132927.

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There are limited data on the relationship of acute dental infections with hospitalisation and new-onset atrial fibrillation (AF). This study aimed to assess the relationship between acute periapical abscess and incident AF. This was a retrospective cohort study from a French national database of patients hospitalized in 2013 (3.4 million patients) with at least five years of follow up. In total, 3,056,291 adults (55.1% female) required hospital admission in French hospitals in 2013 while not having a history of AF. Of 4693 patients classified as having dental periapical abscess, 435 (9.27%) developed AF, compared to 326,241 (10.69%) without dental periapical abscess that developed AF over a mean follow-up of 4.8 ± 1.7 years. Multivariable analysis indicated that dental periapical abscess acted as an independent predictor for new onset AF (p < 0.01). The CHA2DS2VASc score in patients with acute dental periapical abscess had moderate predictive value for development of AF, with Area Under the Curve (AUC) 0.73 (95% CI, 0.71–0.76). An increased risk of new onset AF was identified for individuals hospitalized with dental periapical abscess. Careful follow up of patients with severe, acute dental periapical infections is needed for incident AF, as well as investigations of possible mechanisms linking these conditions.
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18

Curtis, J. W., D. L. Brodish, D. S. Weaver, and A. G. Brady. "Periapical abscesses of cut canine teeth in cynomolgus macaques." Laboratory Animals 20, no. 4 (October 1, 1986): 277–80. http://dx.doi.org/10.1258/002367786780808794.

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Periapical abscesses of canine teeth in a group of 47 male cynomolgus macaques are found to be associated with a procedure, involving cutting the canine teeth, used to make non-human primates less hazardous. Examination of 150 canine teeth in dry specimens revealed 30 cut teeth with no exposure of the pulpal chamber and 107 cut teeth where the dental pulp had been exposed. Of those teeth which had the pulpal chamber exposed by the cutting procedure, 85 (79·4%) showed clear evidence of osseous changes consistent with abscess formation in the apical regions.
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19

Remeeus, P. G. K., and M. Verbeek. "The use of Calcium Hydroxide in the Treatment of Abscesses in the Cheek of the Rabbit Resulting from a Dental Periapical Disorder." Journal of Veterinary Dentistry 12, no. 1 (March 1995): 19–22. http://dx.doi.org/10.1177/089875649501200103.

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Abscesses on the jaws of 10 rabbits resulting from diseased premolar or molar teeth were treated by extraction of diseased teeth and injection of calcium hydroxide paste into the abscess cavity. The abscesses did not recur (follow-up period 3–38 months, median 24 months).
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20

Allareddy, Veerasathpurush. "PERIAPICAL ABSCESS: Author's response." Journal of the American Dental Association 142, no. 2 (February 2011): 128–30. http://dx.doi.org/10.14219/jada.archive.2011.0043.

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21

Guo, Hongmei, Wei Lu, Qianqian Han, Shubo Li, and Pishan Yang. "Rare Periodontal Ligament Drainage for Periapical Inflammation of an Adjacent Tooth: A Case Report and Review of the Literature." Case Reports in Dentistry 2014 (2014): 1–6. http://dx.doi.org/10.1155/2014/879562.

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Aim. To report a case with an unusual drainage route of periapical inflammation exiting through the gingival sulcus of an adjacent vital tooth and review probable factors determining the diversity of the discharge routes of periapical inflammation.Summary. An 18-year-old male patient presented with periodontal abscess of tooth 46, which was found to be caused by a periapical cyst with an acute abscess of tooth 45. During endodontic surgery, a rarely reported drainage route for periapical inflammation via the gingival sulcus of an adjacent vital tooth was observed for the first time. Complete periodontal healing of the deep pocket of tooth 46 and hiding of the periapical cyst of tooth 45 followed after root canal treatment and periapical surgery with Bio-Oss Collagen implantation on tooth 45. The drainage routes of periapical inflammation are multivariate and the diversity of drainage pathways of periapical inflammation is mainly related to factors such as gravity, barriers against inflammation, and the causative tooth itself.
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22

YAMAMOTO-SILVA, Fernanda Paula, Brunno Santos de Freitas SILVA, Aline Carvalho BATISTA, Elismauro Francisco de MENDONÇA, Décio dos Santos PINTO-JÚNIOR, and Carlos ESTRELA. "Chondroblastic osteosarcoma mimicking periapical abscess." Journal of Applied Oral Science 25, no. 4 (August 2017): 455–61. http://dx.doi.org/10.1590/1678-7757-2016-0424.

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23

Sawant, Deepak, and SM Panzade. "Management of periapical abscess with Jalaukavcharana (leech application) -A single case study." International Journal of AYUSH Case Reports 1, no. 1 (October 16, 2017): 6–9. http://dx.doi.org/10.52482/ijacare.v1i1.2.

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Jalaukavacharan is indicated in Vranashotha and advised exclusively in delicate patients for Raktamokshan (blood letting). In this case report a female patient of Pitta-kaphaj Prakruti suffering from periapical abscess due to dental carries was treated with Jalaukavacharan (leech application at cheek) in five sittings weekly once. The patient was cured completely without any untoward effect. Hence this case highlighted that Jalaukavacharan is effective remedy for management of periapical abscess.
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24

Sabogal, Ángelo, Jhonn Asencios, Ada Robles, Eloy Gamboa, José Rosas, Jorge Ríos, and Frank Mayta-Tovalino. "Epidemiological Profile of the Pathologies of the Oral Cavity in a Peruvian Population: A 9-Year Retrospective Study of 18,639 Patients." Scientific World Journal 2019 (February 3, 2019): 1–8. http://dx.doi.org/10.1155/2019/2357013.

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Aim. To determine the epidemiological profile of oral diseases in a marginal urban Peruvian population. Methods. A 9-year retrospective study was conducted, analysing 18,639 clinical records from the María Auxiliadora Hospital between 2006 and 2015 with diagnoses of oral lesions using ICD-10 criteria. Clinical records were analysed for sex, tumour, periapical abscess and sinus, cysts of the oral region, other lesions of the oral mucosa and cavity, gingivitis and periodontal disease, dentofacial anomalies, diseases of pulp, etc. Results. Of 18,639 cases, the prevalence was higher in women for the following pathologies: unspecified dental caries (30.6%); impacted tooth in the category of disorders of tooth development and eruption (2.0%); pulpitis (6.8%) in the category of diseases of pulp and periapical tissues; temporomandibular joint (TMJ) disorders (1.5%) in the category of dentofacial anomalies; acute gingivitis (7.5%); radicular cyst (0.3%) in the category of cysts of the oral region; and periapical abscess without sinus (2.0%). Conclusions. We found a significant association between sex and different types of dental caries, disturbances in tooth eruption, diseases of pulp and periapical tissues, and dentofacial anomalies. The study also shows a statistically significant association between sex and gingivitis, periodontal disease, and periodontal abscess and sinus.
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25

Vasa AAK, AAK. "Incongruous periapical abscess? : a case report." ANNALS AND ESSENCES OF DENTISTRY 2, no. 2 (March 30, 2010): 44–47. http://dx.doi.org/10.5368/aedj.2010.2.2.44-47.pdf.

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26

Hernandez Arenas, Yuritza Yoleinnis, Jacobo Ivan Ramos Manotas, and Antonio José Díaz Caballero. "Abordaje quirúrgico de absceso apical crónico y obturación retrógrada con Super EBA. Reporte de caso." Ciencia y Salud Virtual 9, no. 1 (July 26, 2017): 48–54. http://dx.doi.org/10.22519/21455333.674.

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La cirugía periapical se lleva a cabo ante la presencia de lesiones perirradiculares persistentes o cuando el tratamiento endodóntico ortógrado no es factible. Los procesos que hacen parte de la cirugía endodóntica consisten en realizar raspado de tejido infectado o inflamado, eliminación de un ápice radicular infectado y obturación retrógrada ya sea efectuando de manera aislada cada uno de estos procesos o combinándolos con el fin de evitar la comunicación entre el sistema de conductos radiculares y los tejidos periapicales. Múltiples materiales son utilizados en obturación retrógrada tales como amalgama de plata, gutapercha, cementos de ionómero de vidrio, Súper EBA, mineral trióxido agregado (MTA), entre los cuales se destaca el cemento de obturación retrograda súper EBA por las ventajas proporcionadas en cuanto al selle de este tipo de preparaciones. Se presenta abordaje quirúrgico de periodontitis apical crónica supurativa en paciente sistémicamente comprometido con hipertensión arterial y diabetes. Previo a la realización de la cirugía se prescribe terapia antibiótica, se realiza levantamiento de colgajo de base apical libre, apicectomía y obturación retrograda con súper EBA.
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27

Qianyi, Deng, Mustapha Rammal, Zhang Huini, He Hongwen, and Huang Fang. "Odontogenic cutaneous sinus tract - misdiagnosis and follow-up in a seven-year-old boy." IIUM Journal of Orofacial and Health Sciences 1, no. 2 (November 23, 2020): 84–90. http://dx.doi.org/10.31436/ijohs.v1i2.28.

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Cutaneous sinus tracts of dental origin are relatively rare, but frequently misdiagnosed. In this case report, we present a seven-year-old patient with a cutaneous lesion in the left submandibular region misdiagnosed by a physician as an abscess secondary to suppurative lymphadenitis, and thus incorrectly treated with surgery and systemic antibiotics. Following a detailed dental examination, the patient was correctly diagnosed with an odontogenic sinus tract from a periapical abscess of tooth 36. Treatment of the immature tooth was initiated with apexification combined with nonsurgical endodontic treatment. The cutaneous and the periapical lesions were all resolved after the treatment and there has been no recurrence during an eight-year follow-up.
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28

Brook, Itzhak, Edith H. Frazier, and Marlin E. Gher. "Aerobic and anaerobic microbiology of periapical abscess." Oral Microbiology and Immunology 6, no. 2 (April 1991): 123–25. http://dx.doi.org/10.1111/j.1399-302x.1991.tb00464.x.

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29

Llena, Carmen, Teodora Nicolescu, Salvadora Perez, Silvia Gonzalez de Pereda, Ana Gonzalez, Iris Alarcon, Angela Monzo, José Luis Sanz, Maria Melo, and Leopoldo Forner. "Outcome of Root Canal Treatments Provided by Endodontic Postgraduate Students. A Retrospective Study." Journal of Clinical Medicine 9, no. 6 (June 25, 2020): 1994. http://dx.doi.org/10.3390/jcm9061994.

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The aim of this study was to assess the preoperative, intraoperative, and postoperative factors that influenced complete periapical healing in teeth that underwent primary root canal treatment (RCT), in patients treated by postgraduate students in endodontics. Factors were retrieved and compared with the periapical status during the follow-up visit. Healing was considered as the absence of clinical and radiological symptoms. Variables significantly associated by the chi-squared test were included in a logistic regression model (LRM). Preoperative factors associated with healing were: American Society of Anesthesiology (ASA) status (p = 0.01); the absence of preoperative pain (p = 0.04); positive response to pulp tests; when the RCT cause was caries, pain, abscess, or sinus tract; probing depth <4 mm; the absence of mobility; absence or <4 mm periapical lesion (p < 0.01). In the LRM, the factors included were: absence or <4 mm periapical lesion; probing depths <4 mm; RCT caused by caries, pain, abscess, or sinus tract; the tooth was not a bridge abutment. Postoperative factors were: teeth with direct restoration; teeth that did not act as a support for a fixed prosthetic restoration; the favorable condition of the coronal restoration (p < 0.01). In the LRM, only the status of the coronal restoration was included. Preoperative conditions and the adequate fit of the coronal restoration influenced the outcome of RCT.
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30

De Jesus, Sidinéia Feitoza, Yasmim Santos Meneses, Rafaela Cardoso De-Sá, Vanessa Valente Elias, Marcio Santos De Carvalho, Alexandra Mussolino De Queiroz, Francisco Wanderley Garcia De Paula e Silva, and Manoel Damião Sousa-Neto. "Cirurgia do periápice para remoção de lesões granulomatosas: relato de caso." Revista da Faculdade de Odontologia de Porto Alegre 61, no. 2 (December 30, 2020): 129–35. http://dx.doi.org/10.22456/2177-0018.102764.

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Periapical granuloma is a histological term that refers to the formation of a mass of granulomatous tissue around the apex of a tooth resulting from inflammation and necrosis of the pulp tissue. It consists of an infiltrate of inflammatory cells such as macrophages, plasmocytes and lymphocytes, as well as fibroblasts, collagen fibers and capillaries. Periapical surgery is an alternative for preserving the tooth in the oral cavity in cases where periapical inflammation is persistent even after treatment of root canals. The objective of this study was to report a clinical case in which the surgical technique was used to remove granulomatous lesions from a patient, female, with a history of recurrent periapical abscess without painful symptomatology in the region of the anterior 11,12 and 13 teeth. The histopathological exam demonstrated the presence of a granulomatous tissue with intense inflammatory infiltrate mixed, permeated with lymphocytes and high number of plasmocytes, confirming the diagnosis of periapical granuloma. The treatment was considered successful since the patient remained asymptomatic and there was incorporation of the inorganic bovine bone graft and initiation of bone neoformation in the periapical region.
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31

Esteves, Lucas Senhorinho, Águida Cristina Gomes Henriques, Carolina Ávila Varginha de Moraes e. Silva, Maria Cristina Teixeira Cangussu, Eduardo Antônio Gonçalves Ramos, Carlos Estrela, and Jean Nunes dos Santos. "Actinomycosis is not Frequent in the Periapex But is a Persistent Lesion." Brazilian Dental Journal 28, no. 6 (December 2017): 688–93. http://dx.doi.org/10.1590/0103-6440201701449.

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Abstract Periapical actinomycosis caused by a gram-positive anaerobic pathogen characterizes a typical extra-radicular infection. This study determined the frequency and correlated the content of bacteria colonies with the of periapical actinomycosis size. The study comprised a total of 218 periapical lesions (PL) (cysts, granulomas or abscess). The specimens embedded in paraffin were sliced into 4-µm sections and stained with hematoxylin-eosin, Gram, Periodic Acid-Schiff (PAS) and Grocott’s stain. The presence of bacterial colonies composed of filamentous structures labeled with the histochemical stains were described as Actinomyces, and for each case, the bacterial colonies were counted and measured. The correlation between the number and size of bacterial colonies and the size of PL was tested using Pearson’s adjusted correlation coefficient. From 218 PL, bacterial colonies were identified in 64 biopsies. Seven cases (0.3%) fulfill the criteria for diagnosis of periapical actinomycosis. All of cases were therapy-resistant and did not showed periapical repair after 12 months of follow-up. Periapical surgery or dental extraction was performed. The correlation test indicated no correlation between the number of bacterial colonies and the lesion size (p=0.752, r=-0.148). However, a larger bacterial colony size generally resulted in a larger periapical lesion (P=0.000, r=0.657). The frequency of periapical actinomycosis was low, and this lesion should be included in the differential diagnosis of PL. The size of the Actinomyces colonies seemed to contribute to increase the size of the periapical lesion.
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32

Moreno, Johana, Carlos Gutiérrez, Martha Rodríguez, and Adriana Jaramillo. "Prevalence of infection dissemination from odontogenic origin to the bucomaxilofacial complex." Revista Estomatología 20, no. 1 (September 29, 2017): 23–29. http://dx.doi.org/10.25100/re.v20i1.5746.

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Objective: To establish the prevalence of infectious dissemination of odontogenic origin of the maxillofacial complex in patients attending for emergency consultation and outpatien service of a second level hospital in the city of Cali. Materials and methods: We reviewed 142 medical records of adult patients of any gender and ethnicity, with diagnostic impression of periapical abscess with and without fistula, periodontal abscess, pericoronitis, cellulitis and mouth and face abscesses that had disseminations to maxilla and mandible, who attended the emergency dental service and the outpatient service of a level II hospital in Cali in 2009. Results: One hundred and twenty four of 695 patients who attended the service of dentistry presented any infection of odontogenic origin, equivalent to the 17.8%. The most frequent diagnostics were acute periocoronitis, cellulitis and abscess. Discussion: The dentist must know the prevalence of these infections and the risks of occurrence of a more complicated condition as a mediastinitis by spread from the dental infection, with a high rate of mortality. Infections such as these can put at risk the life of the patient which leads to hospitalization. Conclusions: The anatomical area with greater commitment was the lower maxillary infection spread from the lower molars and premolars. It is important to recommend further promotion and prevention education strategy directed to dentists and vulnerable population, to explain the risks associated with an oral infection and the importance of early treatment and the possibility of generating resistance to antibiotics.
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33

Estrela, Carlos, Paulo Otávio Carmo Souza, Mateus Gehrke Barbosa, Artur Aburad de Carvalhosa, Aline Carvalho Batista, Décio dos Santos Pinto Júnior, Fernanda Paula Yamamoto-Silva, and Brunno Santos de Freitas Silva. "Mesenchymal Stem Cell Marker Expression in Periapical Abscess." Journal of Endodontics 45, no. 6 (June 2019): 716–23. http://dx.doi.org/10.1016/j.joen.2019.03.009.

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34

Bashar, Abul Khair Mohammad, Khaleda Akter, Govind Kumar Chaudhary, and Asifur Rahman. "Primary molar with chronic periapical abscess showing atypical presentation of simultaneous extraoral and intraoral sinus tract with multiple stomata." BMJ Case Reports 12, no. 9 (September 2019): e229039. http://dx.doi.org/10.1136/bcr-2018-229039.

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Chronic periapical abscess drains through a sinus tract either intraorally or extraorally. However, intraoral drainage is more common than extraoral in both dentitions. Nevertheless, the simultaneous presentation of extraoral and intraoral sinus tract is very rarely reported in primary dentition. This case report discussed the management of a girl aged 7 years with a chronic periapical abscess of tooth no. 85 with both non-healing extraoral and intraoral sinus tract having multiple stomata. Non-vital pulpectomy using calcium hydroxide paste intracanal dressing was performed initially until 2 weeks without remarkable healing; then antibiotic dressing consisting of a mixture of ciprofloxacin, metronidazole and clindamycin was placed as an intracanal medicament for 1 week, which shows uneventful healing of both intraoral and extraoral sinus tract. This case report clearly indicates about how history, correct diagnosis and appropriate treatment of endodontic infection associated with sinus tract can be conservatively healed with endodontic treatment alone.
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35

Nekoofar, M. H., M. S. Namazikhah, M. S. Sheykhrezae, M. M. Mohammadi, A. Kazemi, Z. Aseeley, and P. M. H. Dummer. "pH of pus collected from periapical abscesses." International Endodontic Journal 42, no. 6 (June 2009): 534–38. http://dx.doi.org/10.1111/j.1365-2591.2009.01550.x.

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36

Goumas, P. D., S. S. Naxakis, D. A. Papavasiliou, E. D. Moschovakis, S. J. Tsintsos, and A. Skoutelis. "Periapical Abscesses: Causal Bacteria and Antibiotic Sensitivity." Journal of Chemotherapy 9, no. 6 (January 1997): 415–19. http://dx.doi.org/10.1179/joc.1997.9.6.415.

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37

Ekici, Ömer. "Technical and biological causes of periapical surgery: Retrospective analysis of 301 apical surgical cases." International Dental Research 11, no. 1 (April 30, 2021): 38–45. http://dx.doi.org/10.5577/intdentres.2021.vol11.no1.7.

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Aim: Endodontic surgery is a treatment for persistent peri-radicular pathological conditions that do not improve after endodontic treatment. The aim of this study was to evaluate the quality of endodontic treatment, technical error types seen in root canals and the periapical condition of the teeth in patients undergoing periapical surgery, and thus to analyze the reasons leading to periapical surgery. Methodology: Clinical and radiographic data of 301 periapical surgery cases were retrospectively evaluated in this study. The causes of periapical surgery were classified into technical and biological reasons. Results: In this study, 51.8 % of periapical surgery cases were related to biological factors and 48.2 % were related to technical factors. Maxillary anterior teeth were the most common teeth undergoing apical surgery with a rate of 66,8 %. The most common technical reasons were non-homogeneous filling (15,6 %), underfilling (12,0 %) and overfilling (9,6 %). The most common biological reasons were cysts (30,2 %), traumas (16,6 %) and apical abscess (5,0 %). 37.5% of cases undergoing periapical surgery, the diameter of the cystic lesion was 10mm or more. Conclusion: The number of cases of apical periodontitis is increasing in the community due to insufficiently filled root canals. Increasing the quality of root canal treatments applied by dentists will reduce the need for periapical surgery by reducing the incidence of apical periodontitis. How to cite this article: Ekici Ö. Technical and biological causes of periapical surgery: Retrospective analysis of 301 apical surgical cases. Int Dent Res 2021;11(1):38-45. https://doi.org/10.5577/intdentres.2021.vol11.no1.7 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.
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38

Kulsum, U., and F. Farzana. "Surgical Management of Calcific Metamorphosis of Pulp: A Case Report." BIRDEM Medical Journal 1, no. 1 (October 25, 2012): 46–50. http://dx.doi.org/10.3329/birdem.v1i1.12396.

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A case is reported which states calcific metamorphosis of pulp in a mandibular left lateral incisor and concomitant pulp necrosis of both central incisors for a single trauma. There was a large periapical lesion associated with the teeth. Conventional endodontic treatment was performed on teeth with pulp necrosis, but the canal with calcific metamorphosis could not be negotiated with endodontic files. The periapical lesion was surgically removed and diagnosed as acute periapical abscess on histopathology. During the surgical procedure root apices of calcified tooth as well as other teeth were removed and retrograde cavity was prepared and filled with glass ionomer cement i.e apicectomy was done. The bony defect was filled with calcium hydroxyappatite crystal. Six months later the teeth were asymptomatic and radiological follow-up showed gradual healing of the bony cavity. DOI: http://dx.doi.org/10.3329/birdem.v1i1.12396 Birdem Med J 2011; 1(1): 46-50
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39

MATSUMOTO, Kazuhiro, Yuuichi MURATA, Rikiya SHIRASU, Kouichi MATSUMOTO, Hakuro OKANO, Yukari TOYOSHIMA, Kouji YAMAMOTO, Hisanori FUKUSHIMA, Yoshiaki SASAKI, and Hirosuke SAGAWA. "Bacteriological examination of the obligate anaerobic infection. Periapical abscess." Japanese Journal of Oral & Maxillofacial Surgery 35, no. 2 (1989): 367–74. http://dx.doi.org/10.5794/jjoms.35.367.

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40

Deepak Sharma, Maj (Dr), Surg Lt Cdr (Dr) Muneesh Joshi, Lt Col (Dr) Manab Kosala, and Col (Dr) T Prasanth. "Management of Recurrent Periapical Abscess with Platelet Rich Fibrin." International Journal of Scientific and Research Publications (IJSRP) 10, no. 1 (January 12, 2020): p9751. http://dx.doi.org/10.29322/ijsrp.10.01.2020.p9751.

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41

Saleh, Wafaa, Wei Xue, and Joseph Katz. "Diabetes Mellitus and Periapical Abscess: A Cross-sectional Study." Journal of Endodontics 46, no. 11 (November 2020): 1605–9. http://dx.doi.org/10.1016/j.joen.2020.08.015.

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42

BEZERRA, VANESSA ALVES, EDUARDO HIDEKI SUZUKI, EDUARDO DA COSTA NUNES, EMÍLIO CARLOS SPONCHIADO, ANDRÉ AUGUSTO FRANCO MARQUES, and FREDSON MARCIO ACRIS DE CARVALHO. "SURGICAL TREATMENT OF PERSISTENT CHRONIC PERIAPICAL ABSCESS: CASE REPORT." Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 124, no. 2 (August 2017): e104. http://dx.doi.org/10.1016/j.oooo.2017.05.226.

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43

Cho, Eunae, Jeong-Seung Kwon, Hyung-Joon Ahn, Seong-Taek Kim, and Jong-Hoon Choi. "Temporomandibular Disorder Caused by Periapical Abscess of Third Molar." Journal of Oral Medicine and Pain 38, no. 2 (June 30, 2013): 143–47. http://dx.doi.org/10.14476/jomp.2013.38.2.143.

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44

Skuhala, Tomislava, Dalibor Vukelić, Boško Desnica, Mirjana Balen-Topić, Andrija Stanimirović, and Klaudija Višković. "Unusual presentations of actinomycosis: a case series and literature review." Journal of Infection in Developing Countries 15, no. 06 (June 30, 2021): 892–96. http://dx.doi.org/10.3855/jidc.13414.

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Introduction: To review unusual actinomycosis cases that appeared as a diagnostic and therapeutic challenge at our institution and to present a literature review on the usual clinical presentations. Methodology: This retrospective review included all patients hospitalized for actinomycosis in a 10-year period at the University Hospital for Infectious Diseases “Dr. Fran Mihaljević”, Zagreb, Croatia. Results: A total of 15 patients were hospitalized during the observed period, 9 (60%) females and 6 (40%) males. The localizations of actinomycosis were: pelvis (5), lungs (3), blood stream (2), colon (1), penis (1), stomach (1), skin (1), cervicofacial region (1). We present four unusual cases: subcutaneous actinomycotic abscess, actinomycosis of the stomach with underlying non-Hodgkin lymphoma, sepsis due to Actinomyces neslundii originated from chronic asymptomatic periapical tooth abscesses and actinomycosis of the distal part of the penile shaft. Conclusions: Actinomycosis was a very rare clinical problem in our clinical practice (0.032% of all hospitalizations and 0.0034% of all outpatients) but among those cases classical clinical presentations were also very rare.
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45

Gupta, Swati, Ramakant Gupta, and Manju Gupta. "Non-Surgical Management of Unusually Large Chronic Recurrent Periapical Abscess and an Insight on Periapical Radiolucencies." Acta Scientific Dental Scienecs 4, no. 7 (June 22, 2020): 64–71. http://dx.doi.org/10.31080/asds.2020.04.0862.

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46

Brook, Itzhak, Edith H. Frazier, and Marlin E. Gher. "Microbiology of Periapical Abscesses and Associated Maxillary Sinusitis." Journal of Periodontology 67, no. 6 (June 1996): 608–10. http://dx.doi.org/10.1902/jop.1996.67.6.608.

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47

Ertaş, Ümit, and Ertan Yalçın. "Chronic temporal abscess resulting from a periapical abscess of the upper right first molar." British Journal of Oral and Maxillofacial Surgery 47, no. 4 (June 2009): 332–33. http://dx.doi.org/10.1016/j.bjoms.2009.03.002.

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48

Goel, Parul, Veena Gupta, Anjali Narwal, and Jigyasa Duhan. "Actinomycotic Osteomyelitis of Mandible Masquerading Periapical Pathology." Journal of Oral Health and Community Dentistry 5, no. 2 (2011): 97–99. http://dx.doi.org/10.5005/johcd-5-2-97.

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ABSTRACT Actinomycosis is an infectious disease characterized by chronic granulomatous and suppurative lesions often caused by Actinomyces group. Actinomycosis has been referred to as the chameleon of head and neck pathology because of its varied clinical picture which can resemble various pathologies ranging from benign infection to metastatic tumour. Nowadays, the diagnosis of the same may be difficult because the number of patients with typical symptoms has decreased, and there is a low success rate in culturing the microorganism. Mandibular osteomyelitis is also underappreciated by many clinicians in their assessment of head and neck infections. Most cases are traced to an odontogenic source, with periapical tooth abscess and posttraumatic or surgical complication as key antecedent events. A case of osteomyelitis of mandible initiated from a vital but peridontally compromised tooth is reported. Radiography of this case revealed bone destruction, and H & E of the biopsied tissue showed branching filaments resembling ray fungus.
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49

Shroff, Deepti, Romesh P. Nalliah, Veerajalandhar Allareddy, Sangeetha Chandrasekaran, Kyle Stein, Sankeerth Rampa, and Veerasathpurush Allareddy. "Opioid abuse/dependence among those hospitalized due to periapical abscess." Journal of Investigative and Clinical Dentistry 9, no. 4 (July 31, 2018): e12354. http://dx.doi.org/10.1111/jicd.12354.

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50

Jesudoss Prabhakaran, AC, and JP Angeline Archana. "Nonsteroidal anti-inflammatory drugs misleading the diagnosis of periapical abscess." Journal of Natural Science, Biology and Medicine 3, no. 1 (2012): 84. http://dx.doi.org/10.4103/0976-9668.95978.

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