The aim of this study is to present a case in which after the endodontic treatment failed, a cystic lesion was observed in periapical area. The present case concerns a 39 years old female patient without relevant medical history, attended SERODU dental clinic, on clinical examination during the palpation the presence of a soft consistency tumefaction that would be affecting the integrity bone tissue, without symptomatology. The pulp vitality tests turned out to be negative. A radiolucidal shadow compatible with chronic periapical lesion affecting 11 and 12 teeth was observed during the radiographic examination. So it was decided to perform periapical surgery with apicectomy, apical retrograde filling and cystic injury enucleation, followed by guided bone regeneration. At three months of control, radiographically a radiopaque area compatible with bone regeneration was found with a radiolu...

The aim of this study is to present a case in which after the endodontic treatment failed, a cystic lesion was observed in periapical area. The present case concerns a 39 years old female patient without relevant medical history, attended SERODU dental clinic, on clinical examination during the palpation the presence of a soft consistency tumefaction that would be affecting the integrity bone tissue, without symptomatology. The pulp vitality tests turned out to be negative. A radiolucidal shadow compatible with chronic periapical lesion affecting 11 and 12 teeth was observed during the radiographic examination. So it was decided to perform periapical surgery with apicectomy, apical retrograde filling and cystic injury enucleation, followed by guided bone regeneration. At three months of control, radiographically a radiopaque area compatible with bone regeneration was found with a radiolu...

The aim of this study is to explain and demonstrate the surgical exodoncy of the lower thir molar in the inverted position. The present case concerns a 30 years old male patient without relevant medical history, attended SERODU dental clinic. The radiographic and tomographic examination showed that part # 38 is in an inverted position, so it was decided to carry out the extraction of the inverted third lower molar since they were free of pathology and by orthodontic indications. indications of orthodontics. At 8 days after the surgical procedure, the stitches are removed and soft tissue healing, absence of pain, edema and infection are clinically observed. The impact of the lower third molars inverted up to the present has been very little evidenced by finding very few cases on this subject, for this reason we believe that our clinical case would be an important help on the diagnosis and...

The objective of this case report is to assess the use of autologous bone graft and platelet-rich fibrin (FRP), as guided bone regeneration, after the extraction of a retained canine. A 42-year-old female patient, with a history of controlled hypertension, attended the SERODU dental clinic (Ecuador), due to the presence of prominence in the left nasolabial region. A Computerized Axial Tomography (CT) was performed, in which tooth 1.3 included in the maxilla was observed, in a horizontal position, the crown mesially and the root distally. It was decided to carry out the extraction of the retained canine and the placement of regenerative biomaterials based on FRP and an autologous bone graft, obtained from the right maxillary tuberosity. Clinical and radiographic controls were carried out after surgery. Six months later, adequate healing and images compatible with bone regeneration were ob...

  The objective of this article is to present the management of a patient diagnosed with a mandibular dentigerous cyst. The present case deals with a 14-year-old male patient, without relevant antecedents who attended the SERODU dental clinic, a radiolucent shadow between the dental pieces 42, 44 and 45 was included in the computerized axial tomography with the part piece No. 43 included in the symphysis of the mandibular region, horizontal position of the dental piece, the crown towards the distal and its root towards the medial with complete formation. At the crown level, a well-defined radiolucent shadow can be observed with a radiopaque halo, compatible with a dentigerous cyst. Therefore, it was decided to carry  out the endodontic treatment in the dental pieces 43,44,45, subsequently the enucleation of the lesion, elimination of the dental piece, curettage and rigid bone fixation...

 The present case is about a 25-year-old male patient, with no relevant medical history, who attended the SERODU dental clinic. On clinical examination, it is observed that the patient presents sensitivity when making a light tapping of the lateral wall of the left maxillary sinus externally on the cheekbones and intraoral palpation on the lateral surface of the maxilla between the canine and zygomatic fossa. In the tomographic study, a hypodense image compatible with an infectious process and a hyperdense image related to a root remnant belonging to a dental organ No. 2.6 is observed. The objective of this study is to describe the clinical case of a patient with sinusitis of odontogenic origin due to displacement of a radicular remainder towards the left maxillary sinus, in which clinical and surgical procedures were performed through trepanation in the post maxilla, which obtained gre...