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A case of apical fenestration misdiagnosed as persistent apical periodontitis.

Abstract

We report a case of apical fenestration misdiagnosed as persistent apical periodontitis. The patient was a 55-year-old woman who presented with persistent tooth pain at the right maxillary canine, despite repeated root canal treatment by a general practitioner. When the patient visited Tokyo Dental College Suidobashi Hospital, a CT examination was performed and apical fenestration diagnosed. The patient received an apicoectomy after which the symptoms disappeared. This suggests that dentists should consider the possibility of apical fenestration when examining patients with persistent tooth pain after repeated root canal treatment.

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  • Publisher Full Text
  • Authors

    Furusawa M, Hayakawa H, Ida A, Ichinohe T

    Institution

    Department of Clinical Oral Health Science, Tokyo Dental College, Tokyo, Japan. mfurusaw@tdc.ac.jp

    Source

    The Bulletin of Tokyo Dental College 53:1 2012 pg 23-6

    MeSH

    Apicoectomy
    Diagnostic Errors
    Female
    Humans
    Incisor
    Middle Aged
    Periapical Periodontitis
    Root Canal Therapy
    Tooth Apex

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    22452888