Interdisciplinary approach to a confluent periapical lesion involving the maxillary sinus: A case report
PDF (Español (España))
PDF

Keywords

Granuloma
Periapical Lesion
Maxillary sinusitis
Fistula; Apicoectomy
Cone-Bean tomography
Histopathology
mmunohistochemistry (MeSH)

How to Cite

Ortiz-Ramírez, D. F., Betancourt-Bermúdez, R. M. ., Rebolledo-Cobos, M. L. ., Marriaga-Gutiérrez, A. M., & Domínguez-Ortega, C. A. (2023). Interdisciplinary approach to a confluent periapical lesion involving the maxillary sinus: A case report. Duazary, 20(1), 73–80. https://doi.org/10.21676/2389783X.5109

Abstract

Interdisciplinarity in the diagnosis and treatment of large periapical lesions in the jaws is essential for a favorable prognosis and preservation of dental organs. This case presents apical granulomas as a consequence of chronic endo-periodontal diseases and inadequate and untimely diagnoses. This is how tools such as cone-Bean tomography, histopathology and immunohistochemistry were also applied, playing a fundamental role in their intervention for an accurate diagnosis. The objective of this case was to describe an interdisciplinary approach to a confluent periapical lesion involving the maxillary sinus, which evolved satisfactorily.
https://doi.org/10.21676/2389783X.5109
PDF (Español (España))
PDF

References

Syed Ismail PM, Apoorva K, Manasa N, Rama Krishna R, Bhowmick S, Jain S. Clinical, radiographic, and histological findings of chronic inflammatory periapical lesions - A clinical study. J Family Med Prim Care. 2020;9(1):235-238. https://doi.org/10.4103/jfmpc.jfmpc_715_19

Kharat N, Waghmare P, Sarkar M, Nawal S, Sahu T, Dheeraj M. Assessment of Constant Periapical Lesions and Their Connection with Endodontic Failures after Apical Microsurgery. J Pharm Bioallied Sci. 2020;12(Suppl 1):S233-S237. https://doi.org/10.4103/jpbs.JPBS_68_20

Dumitrescu A, Martu MA, Nemtoi A, Sirghe A, Chelaru L, Tatarciuc D, Dumitrescu AM, Haba D. Association between Cone-Beam Computed Tomography and Histological and Immunohistochemical Features in Periapical Lesions Correlated with Thickened Maxillary Sinus Mucosa. Medicina (Kaunas). 2021;19;57(8):840. https://doi.org/10.3390/medicina57080840

Vidal F, Coutinho TM, Carvalho Ferreira D, Souza RC, Gonçalves LS. Odontogenic sinusitis: a comprehensive review. Acta Odontol Scand. 2017;75(8):623-633. https://doi.org/10.1080/00016357.2017.1372803

Tsesis I, Rosen E, Beitlitum I, Dicker-Levy E, Matalon S. Influence of the Periapical Status of the Posterior Maxillary Teeth on the Width of the Schneiderian Membrane of the Maxillary Sinus Mucosa. Applied Sciences. 2021; 11(9):3908. https://doi.org/10.3390/app11093908

Gürhan C, Şener E, Mert A, Şen GB. Evaluation of factors affecting the association between thickening of sinus mucosa and the presence of periapical lesions using cone beam CT. Int Endod J. 2020;53(10):1339-1347. https://doi.org/10.1111/iej.13362

Vestin Fredriksson M, Öhman A, Flygare L, Tano K. When Maxillary Sinusitis Does Not Heal: Findings on CBCT Scans of the Sinuses With a Particular Focus on the Occurrence of Odontogenic Causes of Maxillary Sinusitis. Laryngoscope Investig Otolaryngol. 2017;2(6):442-446. https://doi.org/10.1002/lio2.130

Fuentes R, Álvarez G, Arias A, Borie-Echevarría E, Dias F. Periodontitis Apical: Caracterización Histológica y Morfométrica de Quistes Radiculares y Granulomas Periapicales. Int. J. Morphol. 2018; 36(4): 1268-1274. Disponible en: http://dx.doi.org/10.4067/S0717-95022018000401268.

Villarreal-Arango D, Ramos-Manotas J, Díaz-Caballero A. Apicectomía y obturación retrógrada como tratamiento de granuloma periapical. Reporte de caso. Rev Fac Odontol Univ Antioq 2016;28(1): 203-209. http://dx.doi.org/10.17533/udea.rfo.v28n1a11

Kharat N, Waghmare P, Sarkar M, Nawal S, Sahu T, Dheeraj M. Assessment of Constant Periapical Lesions and Their Connection with Endodontic Failures after Apical Microsurgery. J Pharm Bioallied Sci. 2020;12(Suppl 1):S233-S237. http://doi.org/10.4103/jpbs.JPBS_68_20

Love RM, Firth N. Histopathological profile of surgically removed persistent periapical radiolucent lesions of endodontic origin. Int Endod J. 2009;42(3):198-202. http://doi.org/10.1111/j.1365-2591.2008.01500.x

Syed Ismail PM, Apoorva K, Manasa N, Rama Krishna R, Bhowmick S, Jain S. Clinical, radiographic, and histological findings of chronic inflammatory periapical lesions - A clinical study. J Family Med Prim Care. 2020;9(1):235-238. Published 2020 Jan 28. http://doi.org/10.4103/jfmpc.jfmpc_715_19

Juerchott A, Pfefferle T, Flechtenmacher C, Mente J, Bendszus M, Heiland S, Hilgenfeld T. Differentiation of periapical granulomas and cysts by using dental MRI: a pilot study. Int J Oral Sci. 2018;10(2):17. http://doi.org/10.1038/s41368-018-0017-y

Weber M, Schlittenbauer T, Moebius P, et al. Macrophage polarization differs between apical granulomas, radicular cysts, and dentigerous cysts. Clin Oral Investig. 2018;22(1):385-394. https://doi.org/10.1007/s00784-017-2123-1

Bănică AC, Popescu SM, Mercuţ V, et al. Histological and immunohistochemical study on the apical granuloma. Rom J Morphol Embryol. 2018;59(3):811-817. Disponible: https://pubmed.ncbi.nlm.nih.gov/30534820/

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Copyright (c) 2023 Universidad Del Magdalena

Downloads

Download data is not yet available.