A Case Report : The Utility of Cone-beam Computed Tomography in the Diagnosis and Treatment of Endodontic-periodontal Disease with Swelling of the Lower Eyelid

DOI
  • USHIO Satoshi
    Section of Operative Dentistry and Endodontology, Department of Odontology, Fukuoka Dental College
  • MATSUMOTO Noriyoshi
    Section of Operative Dentistry and Endodontology, Department of Odontology, Fukuoka Dental College
  • MINAKAMI Masahiko
    Section of Operative Dentistry and Endodontology, Department of Odontology, Fukuoka Dental College
  • IZUMI Toshio
    Section of Operative Dentistry and Endodontology, Department of Odontology, Fukuoka Dental College
  • MOROTOMI Takahiko
    Section of Operative Dentistry and Endodontology, Department of Odontology, Fukuoka Dental College
  • HARUNA Chieko
    Section of Operative Dentistry and Endodontology, Department of Odontology, Fukuoka Dental College
  • FUKUDA Yasuko
    Section of Operative Dentistry and Endodontology, Department of Odontology, Fukuoka Dental College
  • HEMMI Koji
    Section of Operative Dentistry and Endodontology, Department of Odontology, Fukuoka Dental College
  • ITAYA Keisuke
    Section of Operative Dentistry and Endodontology, Department of Odontology, Fukuoka Dental College
  • ANAN Hisashi
    Section of Operative Dentistry and Endodontology, Department of Odontology, Fukuoka Dental College

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Other Title
  • 下眼瞼の腫脹を伴う歯内-歯周疾患I型病変の診断および治療における歯科用コーンビームCTの有用性

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Abstract

Purpose: There are many reports of gingival swelling caused by endodontic-periodontal disease, but few reports concerning swelling of the lower eyelid in association with endodontic-periodontal disease. We report the efficacy of cone-beam computed tomography (CBCT) in the diagnosis and treatment of endodontic-periodontal disease followed by the expansion of periapical inflammation for the orbit. Case description: The patient was a 52-year-old male manifesting with gingival abscess and swelling of the lower eyelid. We diagnosed that the maxillary left lateral incisor was acute purulent apical periodontitis and endodontic-periodontal lesion on the basis of subjective and objective clinical symptoms and CT imaging. In addition, it was speculated that fenestration in the vicinity of the root apex might have been involved in the expansion of periapical inflammation for the orbit. We therefore performed infected root canal treatment of this tooth using 3D-images of CBCT. After 3 months, the patient was clinically asymptomatic, and a periapical radiolucent area was not observed. Conclusion: The use of CBCT was extremely effective in the diagnosis and treatment of endodontic-periodontal disease showing gingival abscess and extraoral swelling.

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