Conservation treatment of chronic granular apical periodontitis in children

Abstract

Introduction: Nowadays the treatment of periapical pathologies has a fundamental importance. Their treatment is essential for the healing process of periapical area. The frequency and complications of chronic periapical processes in children, especially the primary teeth have important problems at pediatric dentistry. Evaluating carefully all the treatment methods of chronic periapical process, will lead to the prevention of many complications. The quality and success depends on the proper materials and methods used. Purpose: To analyze the efficacy of conservation methods treatment for chronic granular apical peri­odontitis in the temporary teeth and the increased or decreased percent in the number of patients with post-treatment complications. Materials and methods: The study was based on the clinical assessment examinations and dental radiographs in 53 patients of 5-11 years old and we estimated only the treatment of temporary teeth, which are treated for one year period. Then we made statistic analysis related to clinical forms of chronic granular apical periodontitis, to the method of treatment and its results. Results: We have treated 13 temporary teeth with chronic apical periodontitis using the conservative method. According to our analyses 3 teeth were considered failures; teeth were extracted because they remained less than two years before the eruption of permanent teeth. In 9 cases we observed regeneration bone, in one case tooth bud damages due to periodontal abscess. Conclusions: The main objective in treatment of temporary teeth with chronic apical periodontitis is keeping the tooth from preventing dental migrations and prevention with orthodontic treatment. Apical periodontitis results suggest that successful therapy in children with deciduous teeth is due to root canal treatment and effective materials.