Abordagem endodôntica não cirúrgica em extensa lesão periapical: relato de caso

O objetivo deste trabalho e relatar um caso clinico de uma extensa lesao periapical em maxila, tratada somente por uma abordagem endodontica nao cirurgica, com expressivo reparo periapical. Paciente do sexo feminino, 52 anos, compareceu a clinica odontologica, com a queixa principal de “cisto crescendo na boca”. Os dentes 13, 14 e 15 apresentavam-se sem vitalidade pulpar. Os exames radiograficos mostraram duas areas radiolucidas, uniloculares, envolvendo os apices dos dentes 13 e 15, ambos sem sinais de intervencao endodontica. As areas eram sugestivas de granuloma periapical e cisto periapical inflamatorio, respectivamente. Realizou-se tratamento endodontico dos dentes 13, 14 e 15. Apos 11 meses, notou-se regressao significativa da rarefacao ossea periapical, nao sendo necessaria qualquer intervencao cirurgica. A paciente continuara em proservacao ate a remissao completa da lesao. 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