Endodontic Retreatment in Underfilled Root Canal of Maxillary First Molar with Chronic Periapical Abscess: A Case Report

Authors

  • Nanik Zubaidah
  • Kun Ismiyatin
  • Cinitra Anindya
  • Nindhira Puspita Sari
  • Singgih Harseno
  • Ahmad Afif Dzulfikar
  • Dian Dwi Pratiwi

DOI:

https://doi.org/10.37506/ijfmt.v15i4.16990

Keywords:

endodontic retreatment, endodontic failure, chronic periapical abscess

Abstract

Background:The failure of endodontic treatment commonly caused by imperfect obturation, periodontalperiradicular
lesions, untreated root canals, and some other factors. The failure may trigger the occurrence
of secondary infections due to persistent. bacteria.One of the abnormalities that appear after endodontic
treatment is a periapical abscess.Endodontic failure can be overcome by endodontic retreatment, apical
surgery, or extraction. During an endodontic retreatment, endodontic instruments are used to remove the
root canal filling material and to repeat the steps of endodontic treatment to achieve the apical patency.
Purpose: This case report presents management to overcome the failure of previous endodontic treatment
with nonsurgical endodontic retreatment. Case: A 66 years old male patient came with a dull pain of
tooth no 16 and uncomfortable when used for chewing since 2 months after endodontic treatment. The
episodic swelling appeared since 3 months ago which then deflated.The objective examination showed a
positive response to bite test and percussion test. Intraoral periapical radiograph confirmed an underfilled
root canal, and a periapical radiolucency with a diffuse border on palatal root. Case Management: Based
on the patient’s history taking, radiographic, and clinical examination,endodontic retreatment was done
and followed by porcelain fused to metal crown restoration. Conclusion: Endodontic retreatment is the
appropriate treatmentoption to overcome the failure of the previous endodontic treatment that accompanied
with a periapical lesion and to preserve its function in stomatognatic system.

Author Biographies

Nanik Zubaidah

Staff, Conservative Dentistry Department, Faculty of Dental Medicine, Universitas Airlangga

Kun Ismiyatin

Staff, of Conservative Dentistry Department, Faculty of Dental Medicine, Universitas Airlangga

Cinitra Anindya

Resident of Conservative Dentistry Department, Faculty of Dental Medicine, Universitas Airlangga

Nindhira Puspita Sari

Resident of Conservative Dentistry Department, Faculty of Dental Medicine, Universitas Airlangga

Singgih Harseno

Resident of Conservative Dentistry Department, Faculty of Dental Medicine, Universitas Airlangga

Ahmad Afif Dzulfikar

Resident of Conservative Dentistry Department, Faculty of Dental Medicine, Universitas Airlangga

Dian Dwi Pratiwi

Resident of Conservative Dentistry Department, Faculty of Dental Medicine, Universitas Airlangga

Published

2021-08-16

How to Cite

Nanik Zubaidah, Kun Ismiyatin, Cinitra Anindya, Nindhira Puspita Sari, Singgih Harseno, Ahmad Afif Dzulfikar, & Dian Dwi Pratiwi. (2021). Endodontic Retreatment in Underfilled Root Canal of Maxillary First Molar with Chronic Periapical Abscess: A Case Report. Indian Journal of Forensic Medicine & Toxicology, 15(4), 1970-1974. https://doi.org/10.37506/ijfmt.v15i4.16990