Abstract | BACKGROUND: CASE PRESENTATION: This case report relates to a 76-year-old male patient, whose symptomatic acute apical periodontitis was treated nonsurgically by root canal treatment. However, overtime both roots of tooth 46 were associated with asymptomatic apical lesions. Despite progression of the lesions, due to a painless situation, the patient refrained from proceeding with any further treatment options after explaining the pathological pathway with all its consequences. A few years later the patient was prescribed 2.5 mg glucocorticoid prednisone daily for long-term therapy due to an AIP Type 1. Six years later under strict glucocorticoid therapy the apical lesions healed nearly completely and the patient remained free of symptoms without any further interventions. CONCLUSIONS: These observations suggest that prospective clinical studies are required to further elucidate the potential healing effect of systemic long-term low-dose glucocorticoid medication on lesions of endodontic origin.
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Authors | Sohar Flisfisch, Edgar Schäfer |
Journal | Head & face medicine
(Head Face Med)
Vol. 19
Issue 1
Pg. 22
(Jun 07 2023)
ISSN: 1746-160X [Electronic] England |
PMID | 37287065
(Publication Type: Case Reports, Journal Article)
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Copyright | © 2023. The Author(s). |
Chemical References |
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Topics |
- Male
- Humans
- Aged
- Glucocorticoids
(therapeutic use)
- Autoimmune Pancreatitis
- Prospective Studies
- Root Canal Therapy
- Root Canal Obturation
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