Document Detail

Apical actinomycosis as a continuum of intraradicular and extraradicular infection: case report and critical review on its involvement with treatment failure.
MedLine Citation:
PMID:  18718379     Owner:  NLM     Status:  MEDLINE    
This article reports a case of extraradicular actinomycosis that clearly formed a continuum with the intraradicular infection. Histobacteriologic and histopathologic analyses of the root tip and attached apical periodontitis lesion obtained by surgery from a tooth with persistent disease were performed to look for the possible reasons for persistent disease. Although no stainable bacteria were observed in the apparently well-treated main canal, apical ramifications were clogged with dense bacterial biofilms that were contiguous to extraradicular actinomycotic aggregates. A critical review of the literature revealed that there is no clear evidence that apical actinomycosis is indeed an independent entity leading to persistent apical periodontitis lesions.
Domenico Ricucci; José F Siqueira
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2008-07-24
Journal Detail:
Title:  Journal of endodontics     Volume:  34     ISSN:  1878-3554     ISO Abbreviation:  J Endod     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-22     Completed Date:  2009-01-12     Revised Date:  2009-05-21    
Medline Journal Info:
Nlm Unique ID:  7511484     Medline TA:  J Endod     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1124-9     Citation Subset:  D    
Private practice, Rome, Italy.
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MeSH Terms
Actinomycosis, Cervicofacial / complications*,  therapy
Dental Fistula / etiology,  microbiology,  surgery
Dental Pulp Necrosis / complications*,  microbiology,  therapy
Dental Restoration Failure*
Periapical Periodontitis / etiology*,  microbiology,  surgery
Tooth Apex / microbiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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