Laura-Diana Apăvăloaie, Teodora Bârlescu, Ruxandra Prisacariu, Agop-Forna Doriana, Tibeica Andreea, Forna Norina
Abstract
Aim of the study: This review article aims to explore the management strategies for patients with periapical pathology affecting teeth that serve as abutments for fixed or removable prostheses.
Materials and methods: A comprehensive analysis of literature concerning periapical pathology in abutment teeth, including its diagnosis, impact on prosthetic treatment, and contemporary management approaches. Key studies were reviewed from peer-reviewed journals addressing endodontic, prosthodontic, and periodontal perspectives.
Results: The review outlines the biomechanical and clinical challenges posed by periapical lesions in abutment teeth. Various treatment modalities, such as endodontic therapy, periapical surgery, hemisection, and strategic extraction with implant placement, are discussed. Considerations for fixed and removable prosthodontic rehabilitation are emphasized, along with emerging techniques such as fiber posts, biomaterials, and guided endodontics for enhanced restoration. Additionally, the impact of different prosthetic designs and occlusal forces on the long-term success of these teeth is highlighted.
Conclusions: The long-term prognosis of fixed and removable prostheses depends on proper endodontic and periodontal management of abutment teeth with periapical pathology. A multidisciplinary approach integrating endodontics, prosthodontics, and periodontology ensures optimal treatment outcomes. Preventive strategies, including regular follow-ups and patient education, play a crucial role in minimizing complications.
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