Management of atypical mucosal lesions from primary endodontic infection: Two cases report
Aim/Case report: We have described here the diagnosis and treatment of two cases involving atypical mucosal lesions originating from primary endodontic infections in young patients. Differential diagnoses were established by clinical and radiographic examinations. In both the cases, a red-colored lesion was observed in the alveolar mucosa, with a soft consistency and a sessile-base without any drainage path in tooth 31 (case 1) and with a sinus tract in tooth 36 (case 2), as confirmed by X-ray. The cleaning and shaping of the root canals were performed, and camphorated paramonochlorofenol (CPMC)-enriched calcium hydroxide paste was used as an intracanal dressing for 6 months, with replacement every 60 days. Conclusion: Based on our experience, we thus conclude that long-term root canal maintenance with CPMC enriched calcium hydroxide was an effective therapeutic protocol for promoting the healing of atypical mucosal lesions.
2. Krishnapillai R, Punnoose K, Angadi P V., Koneru A. Oral pyogenic granuloma — a review of 215 cases in a South Indian Teaching Hospital , Karnataka , over a period of 20 years. Oral Maxillofac Surg. 2012;16:305–9.
3. Kakehashi S, Stanley H, Fitzgerald R, Bethesda. The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats. Oral Surg. 1965;20(3):340–9.
4. Harrison JW, Larson WJ, Wash T. The epithelized oral sinus tract. Oral Surg Oral Med Oral Pathol. 1976;42(4):511–7.
5. Drăghici EC, Crăiţoiu Ş, Mercuţ V, Scrieciu M, Popescu SM, Diaconu OA, et al. Local cause of gingival overgrowth. Clinical and histological study. Rom J Morphol Embryol. 2016;57(2):427–35.
6. Gomes BPFA, Endo MS, Martinho FC. Comparison of endotoxin levels found in primary and secondary endodontic infections. J Endod. 2012;38(8):1082–6.
7. Pereira TC, da Silva Munhoz Vasconcelos LR, Graeff MSZ, Ribeiro MCM, Duarte MAH, de Andrade FB. Intratubular decontamination ability and physicochemical properties of calcium hydroxide pastes. Clin Oral Investig. 2018;1–10.
8. Mighetl A, Robinson P, Hume W. Peripheral giant cell granuloma: a clinical study of 77 cases from 62 patients, and literature review. Oral Dis. 1995;1(1):12–9.
9. Marla V, Shrestha A, Goel K, Shrestha S. The histopathological spectrum of pyogenic granuloma: A case series. Case Rep Dent [Internet]. 2016;1–6. Available from: http://www.hindawi.com/journals/crid/2016/1323798/
10. Shadman N, Ebrahimi SF, Jafari S, Eslami M. Peripheral giant cell granuloma : a review of 123 Cases. Dent Res J. 2009;6(1):47–50.
11. Bradley G, Magalhaes M. Oral manifestation of systemic diseases — a perspective from an oral pathology diagnostic service. Oral Dis. 2018;24:219–23.
12. Zehnder M, Belibasakis GN. On the dynamics of root canal infections — what we understand and what we don ’ t. Virulence. 2015;6(3):216–22.
13. Vianna M., Horz H., Conrads G, Zaia AA, Souza-filho F., Gomes BPF. Effect of root canal procedures on endotoxins and endodontic pathogens. Oral Microbiol Immunol. 2007;22:411–8.
14. Mohammadi Z, Dummer PMH. Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J. 2011;44(8):697–730.
15. Mohammadi Z, Shalavi S, Yazdizadeh M. Antimicrobial activity of calcium hydroxide in endodontics : a review. Chonnam Med J. 2012;48:133–40.
This work is licensed under a Creative Commons Attribution 4.0 International License.
- All content of the journal, except where identified, is licensed under a Creative Commons attribution-type BY. The online journal is free and open access.