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Endodontic and surgical treatment of widespread inflammatory lesion in periapical tissues in the anterior maxillary segment in a female patient with insulin dependent diabetes. Case report
Katarzyna Kondziora-Wassilew, Iwona Raczycka, Michał Perkowski, Katarzyna Brus-Sawczuk
Katarzyna Kondziora-Wassilew, Iwona Raczycka, Michał Perkowski, Katarzyna Brus-Sawczuk
Streszczenie
Zaawansowana resorpcja korzenia zęba z towarzyszącymi, rozległymi zmianami zapalnymi tkanek okołowierzchołkowych może być stanem patologii, który bardzo trudno poddaje się leczeniu lub nie poddaje mu się wcale. Zasięg zmian może mieć istotne znaczenie w prognostyce i powodzeniu terapii. Przed powzięciem decyzji o leczeniu oraz sposobie jego przeprowadzenia należy poddać analizie również czynniki ogólnoustrojowe. W przypadku pacjentów obciążonych cukrzycą insulinozależną trzeba brać pod uwagę utrudnione gojenie się ran wynikające m.in. z występowania u tych chorych zaburzeń w metabolizmie komórkowym czy uszkodzeń naczyń krwionośnych. Każdy przypadek należy analizować indywidualnie, a podjęta terapia często wymaga podejścia wielospecjalistycznego i zastosowania zintegrowanego leczenia zachowawczo chirurgiczno protetycznego. Celem pracy był opis przypadku resorpcji korzenia zęba po urazie z rozległymi zmianami w tkankach okołowierzchołkowych i bardzo rozległym zniszczeniem tkanki kostnej szczęki u pacjentki obciążonej cukrzycą typu I oraz przedstawienie zastosowanego warunkowo sposobu postępowania leczniczego.
Hasła indeksowe: resorpcja, przewlekłe zaostrzone zapalenie tkanek okołowierzchołkowych, rozległa osteoliza
Abstract
Advanced resorption of tooth root with associated widespread inflammatory lesion in periapical tissues may be a pathological state very difficult or even impossible to treat. The area of lesion is of significant meaning in the prognosis and successful treatment. Before deciding on treatment and of how to carry it out, it should also be considered what the systemic health is like. In the case of patients burdened with insulin dependence it is necessary to take into account that wound healing is made more difficult due to, among other things, disturbances in cell metabolism, or damaged blood vessels. Each case has to be individually analysed and treatment carried out, often needs to be considered for the multi specialist approach using integrated conservative surgical prosthetic treatment. The aim of the study was to describe a case of tooth root resorption following trauma with widespread inflammatory lesions in the periapical area and very widespread destruction of maxillary bone tissue in a patient with type I diabetes. The course of treatment was described.
Advanced resorption of tooth root with associated widespread inflammatory lesion in periapical tissues may be a pathological state very difficult or even impossible to treat. The area of lesion is of significant meaning in the prognosis and successful treatment. Before deciding on treatment and of how to carry it out, it should also be considered what the systemic health is like. In the case of patients burdened with insulin dependence it is necessary to take into account that wound healing is made more difficult due to, among other things, disturbances in cell metabolism, or damaged blood vessels. Each case has to be individually analysed and treatment carried out, often needs to be considered for the multi specialist approach using integrated conservative surgical prosthetic treatment. The aim of the study was to describe a case of tooth root resorption following trauma with widespread inflammatory lesions in the periapical area and very widespread destruction of maxillary bone tissue in a patient with type I diabetes. The course of treatment was described.
Key words: resorption, chronic acute inflammation of periapical tissues, widespread osteolysis
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