Suspected Endodontic Failure in a Patient with Cleidocranial Dysplasia: A Case Report



Kasperek, Dariusz, Ali, Rahat and Jarad, Fadi ORCID: 0000-0002-5485-2706
(2023) Suspected Endodontic Failure in a Patient with Cleidocranial Dysplasia: A Case Report. JOURNAL OF ENDODONTICS, 49 (4). pp. 445-449.

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Abstract

A patient's medical history and related dental manifestations can significantly contribute to confounding signs and symptoms leading to a diagnostic challenge. An 18-year-old female patient presented with persistent radiographic radiolucency associated with the apex of a previously treated tooth (tooth 9); asymptomatic apical periodontitis and endodontic failure were suspected. This report presents how a patient's condition of cleidocranial dysplasia had a profound effect on her dental history, which included the presence of multiple supernumerary teeth. Extensive surgical intervention during the patient's childhood was required to remove the supernumerary teeth, which resulted in an endodontic misdiagnosis in her adult life. After clinical and radiographic examination, the patient was diagnosed with a periapical scar. Periapical fibrous scars have a prevalence of between 2.5% and 12% and are a rare healing process with fibrous tissue after surgical and nonsurgical interventions. This report describes the diagnosis and pathophysiology of fibrous scars, including their risk factors and long-term monitoring approaches.

Item Type: Article
Uncontrolled Keywords: Apical scar, case report, diagnosis, pathology
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences > School of Dentistry
Faculty of Health and Life Sciences > Clinical Directorate
Depositing User: Symplectic Admin
Date Deposited: 02 Mar 2023 11:36
Last Modified: 03 May 2023 22:45
DOI: 10.1016/j.joen.2023.01.008
Open Access URL: https://doi.org/10.1016/j.joen.2023.01.008
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3168704