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Restor Dent Endod.  2012 May;37(2):123-126.

Vital tooth with periapical lesion: spontaneous healing after conservative treatment

Affiliations
  • 1Department of Conservative Dentistry, Yonsei University College of Dentistry, Seoul, Korea. sunghopark@yuhs.ac

Abstract

It is often presumed that apical periodontitis follows total pulp necrosis, and consequently root canal treatment is commonly performed. Periapical lesion development is usually caused by bacteria and its byproduct which irritate pulp, develop pulpitis, and result in necrosis through an irreversible process. Afterwards, apical periodontitis occurs. This phenomenon is observed as an apical radiolucency in radiographic view. However, this unusual case presents a spontaneous healing of periapical lesion, which has developed without pulp necrosis in a vital tooth, through conservative treatment.

Keyword

Neurogenic inflammation; Periapical lesion; Vital tooth

MeSH Terms

Bacteria
Dental Pulp Cavity
Dental Pulp Necrosis
Necrosis
Neurogenic Inflammation
Periapical Periodontitis
Pulpitis
Tooth
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