Block Grafting in Periradicular Surgery- A Case Report With One-year Follow Up
Keywords:
periapical diseases, root canal therapy, bone transplantation, piezosurgery.
Abstract
One of the most difficult problems in dentistry is the diagnosis, treatment, and prognosis of endodontic-periodontal lesions. Primary endodontic lesions are the most common form of endo-perio lesions, which has been associated with resorption of the surrounding periapical bone and attachment apparatus degradation. Conventional root canal therapy is the preferred method of treating such an infection. Surgery is frequently the next line of management when this treatment has failed or is not feasible. Success rate following peri-radicular surgery is approximately 75%. This case report is about the novel management of large periapical lesion using para symphysis block graft along with clinical and radiographic follow up of one year.
References
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2. Tsurumachi T. Current strategy for successful periradicular surgery. Journal of oral science. 2013;55:267-73.
3. Danin J, Linder LE, Lundqvist G, Ohlsson L, Ramsköld LO, Strömberg T. Outcomes of periradicular surgery in cases with apical pathosis and untreated canals. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 1999;87:227-32..
4. de Almeida FJ, Dawson VS, Kvist T, Frisk F, Bjørndal L, Isberg PE, et al. Periradicular surgery: A longitudinal registry study of 10‐year outcomes and factors predictive of post‐surgical extraction. International Endodontic Journal. 2023;56:1212-21.
5. Zuolo ML, Ferreira MO, Gutmann JL. Prognosis in periradicular surgery: a clinical prospective study. International endodontic journal. 2000;33:91-8.
6. Baumgartner JC, Heggers JP, Harrison JW. Incidence of bacteremias related to endodontic procedures.: II. Surgical endodontics. Journal of Endodontics. 1977;3:399-402.
7. Saunders WP. A prospective clinical study of periradicular surgery using mineral trioxide aggregate as a root-end filling. Journal of endodontics. 2008;34:660-5.
8. Jesslén P, Zetterqvist L, Heimdahl A. Long-term results of amalgam versus glass ionomer cement as apical sealant after apicectomy. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 1995;79:101-3.
9. Dietrich T, Zunker P, Dietrich D, Bernimoulin JP. Periapical and periodontal healing after osseous grafting and guided tissue regeneration treatment of apicomarginal defects in periradicular surgery: results after 12 months. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2003;95:474-82.
10. Singh S, Singh A, Singh S, Singh R. Application of PRF in surgical management of periapical lesions. National journal of maxillofacial surgery. 2013;4:94-9.
11. Desai AJ, Thomas R, Kumar AT, Mehta DS. Current concepts and guidelines in chin graft harvesting: A literature review. International Journal of Oral Health Sciences. 2013;3:16-25.
Published
2025-04-24
How to Cite
Jannath, A. J., Sivapragasam, S., Viswanathan, K., & Sundaram, R. (2025). Block Grafting in Periradicular Surgery- A Case Report With One-year Follow Up. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 11(2). https://doi.org/10.21276/ujds.2025.v11.i2.9
Section
Case Reports
