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CASE REPORT
Year : 2016  |  Volume : 8  |  Issue : 8  |  Page : 879-882

Successful Treatment of Persistent/Refractory Chronic Periapical Abscess following Multiple Endodontic Treatment Due to Failure in Detecting Foreign Body in Root Canal


1 Professor, Department of Conservative Dentistry & Endodontics, DAMPRV Dental College & Hospital, Bengaluru, Karnataka, India
2 Post-graduate Student, Department of Pedodontics, Himachal Pradesh Government Dental College, Shimla, Himachal Pradesh, India
3 Senior Lecturer, Department of Pedodontics, Himachal Pradesh Government Dental College, Shimla, Himachal Pradesh, India
4 Senior Lecturer, Department of Conservative Dentistry & Endodontics, College of Dental Sciences & Hospital, Davengere, Karnataka, India

Correspondence Address:
Murali H Rao
Department of Conservative Dentistry & Endodontics, DAMPRV Dental College & Hospital, Bengaluru, Karnataka, India

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Source of Support: None, Conflict of Interest: None


DOI: 10.2047/jioh-08-08-09

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Refractory periapical periodontitis is a condition of the persistent periapical pathology of endodontic origin even after completion of root canal therapy. Although a plethora of reasons exists for failure, improper diagnosis of pulpal etiology is one of the primary causes for endodontic failures. Inability to diagnose the presence of foreign body can have risk on the success of endodontic treatment. Discovery of foreign bodies is always almost accidental in root canals of tooth. Foreign bodies lodged in pulp chambers or canals can often act as a nidus of infection. In the present case, we report a case of persistent/refractory chronic periapical abscess even after orthograde root canal treatment and retrograde periapical surgery (apicoectomy) and several regimens of multiple antibiotic therapies.


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