Endodontic Management of Hypercementosis in Conjunction with Asymptomatic Apical Periodontitis: A Case Report
Gabriela E. Idrovo-Heredia1, *, Santiago H. Mejía-Morales1, Juan C. Munévar-Niño1, James L. Gutmann2
Identifiers and Pagination:Year: 2019
First Page: 296
Last Page: 300
Publisher ID: TODENTJ-13-296
Article History:Received Date: 21/11/2018
Revision Received Date: 04/07/2019
Acceptance Date: 14/08/2019
Electronic publication date: 30/08/2019
Collection year: 2019
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Hypercementosis is characterized by an excessive deposit of dental cementum. While it is considered a benign pathology, it can sometimes be associated with a chronic pulpal or periapical infection. Furthermore, its management is complex, because establishing an accurate apical limit for a root canal procedure is not always possible.
When a periapical lesion is present, a conservative, surgical approach to remove the inflammatory tissue from the periapical lesion can be considered as a treatment option.
This paper reports on the management of a tooth with hypercementosis accompanied by an asymptomatic apical periodontitis affecting a left mandibular second molar.