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- W2995804889 abstract "Actinomycosis is caused by gram-positive, branching, filamentous, anaerobic bacteria of the genus Actinomyces. This case report describes treatment of a 35-year-old woman who had a progressive apical lesion after nonsurgical endodontic retreatment of her maxillary left lateral incisor. The area had localized soft tissue swelling, and the tooth was sensitive to percussion. Radiographic evaluation showed a large apical lesion with a clear margin. After treatment options, including extraction, were discussed, the patient chose to preserve the tooth through endodontic surgery. Root-end resection, canal preparation, and filling with calcium-enriched mixture cement were performed. Histopathologic examination of surgical specimens revealed a radicular cyst associated with actinomycosis. At an 18-month follow-up, the patient was symptom free and bone healing was almost completed. Periradicular actinomycosis is one of the most common reasons for the failure of nonsurgical endodontic treatment and retreatment. If a tooth is nonresponsive to nonsurgical endodontic treatments, apical actinomycotic infection should be suspected and a surgical approach should be planned to obtain a successful outcome." @default.
- W2995804889 created "2019-12-26" @default.
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- W2995804889 date "2019-12-21" @default.
- W2995804889 modified "2023-09-23" @default.
- W2995804889 title "Surgical endodontics for management of progressive actinomycosis." @default.
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