tag:blogger.com,1999:blog-6076433377834065112.post445010614388277883..comments2023-12-08T10:43:08.394-08:00Comments on The Endo Blog: Periapical Cemental DysplasiaThe Endo Bloghttp://www.blogger.com/profile/11190879753218706390noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-6076433377834065112.post-20685082605804315082014-12-12T06:12:19.497-08:002014-12-12T06:12:19.497-08:00Great question! The RCT was done years before by ...Great question! The RCT was done years before by another dentist. I do not know what the diagnosis was at that time.<br /><br />Surgical intervention is recommended for the tooth with suspected periapical cemental dysplasia.<br /><br />I think the apico/retrofill allows you to:<br />1. remove the apical root as possible source of bacteria<br />2. make sure there is not root end fracture<br />3. give you more access for enucleation<br />4. hopefully only access this area one time by addressing the tooth and the periapical tissues<br /><br />That said, I would agree it would be reasonable to enucleate only, and monitor. The Endo Bloghttps://www.blogger.com/profile/11190879753218706390noreply@blogger.comtag:blogger.com,1999:blog-6076433377834065112.post-79196950484269696582014-12-12T03:06:39.368-08:002014-12-12T03:06:39.368-08:00That is the nice case report but I have a few ques...That is the nice case report but I have a few questions. Why this tooth was root canal treated? What was the diagnosis of this tooth before the RCT? And If the lesion is fibro-osseous lesion, the apicoectomy and retrofilling is necessary or not? Surgical enucleation is enough or not?Ake-Punyaweehttps://www.blogger.com/profile/12304313981076347653noreply@blogger.com