Periapical Surgeries in Paediatric Dental Patients: A Case Series.

Periapical Surgeries in Paediatric Dental Patients

Abstract

Background: Periapical lesions are sequelae of microbial
pulpal invasion, which can occur through trauma or dental
caries. These periapical radiolucent areas may be diagnosed
on routine dental examination or following acute dental
pain. These lesions may manifest as sinus discharge, pain,
swelling, fever, mobility, and even possible loss of the tooth.
In such instances, antibiotic therapy may not be effective in
restricting the infective process, but when combined with
re-treatment and periapical surgery, complete resolution of
the symptoms occurs.
Objective: To report cases of periapical surgeries on
Paediatric Dental Patients
Method: A retrospective case series study design and a
single-centre data collation of four Periapical surgeries
carried out at the Paediatric Dental Clinic of the Lagos
University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
LUTH, a leading tertiary Hospital in Nigeria, with referral
cases from different centres in the country.
Result: Four cases of periapical surgery done on the anterior
teeth of four patients with periapical lesions were seen. Two
cases had periapical cysts, while the other two had
iatrogenic displacements of gutta-percha beyond the apex
of the teeth. Retrograde apical seal was achieved using
Mineral Trioxide Aggregate as an adjunct to periapical
surgery, resulting in satisfactory healing outcomes postsurgery,
with radiographic and clinical signs of healing in all
cases.
Conclusion: Periapical surgery as part of endodontic
treatment remains a tool for the complete and satisfactory
healing outcome in the management of periapical lesions.