Lorida O. DVM, PhD Student, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece | Papadimitriou S. DVM, DDS, ssociate Professor, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Introduction
The aim of this study is to present the appropriate therapeutic decision-making for the management of endodontic disease when extensive periapical lesions are present.
Clinical Cases
Three adult dogs were presented to the Companion Animal Clinic. One dog displayed altered pigmentation of the maxillary left canine (204), while the others had a complicated old fracture of the mandibular right canine (404). Following intraoral radiography, all three dogs were found to have extensive periapical lesions. Due to the extent of the lesions, surgical endodontic treatment was chosen. In all three animals, after a full-thickness flap was created, the apical area was accessed, endodontic treatment was completed, curettage and flushing of the lesion cavity was performed, and an allogenic bone graft was placed before suturing the flap.
Results
Six months after surgery, radiographic examination was performed and periapical increase in bone density was observed in all three cases.
Discussion
Conventional endodontic treatment is the treatment of choice in teeth with endodontic disease, with high success rates. However, in chronic cases with extensive periapical lesions, the chances of failure of the conventional technique increased. Therefore, surgical endodontic treatment is the appropriate treatment option in these cases.
