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KMID : 0355620160420040205
Journal of Korean Association of Oral and Maxillofacial Surgeons
2016 Volume.42 No. 4 p.205 ~ p.208
The treatment of actinomycosis mimicking a retained root tip: a confusing case
Cho Ju-Yeon

Abstract
Actinomycosis is an infection caused by the actinomyces genus and is associated with trauma or previous infection. A 58-year-old male patient was referred from a private dental clinic for root extraction of the lower right molar. The x-ray showed fractured root-like material distal to the distal root of the lower right second molar. A biopsy during extraction of the root-like material was performed, which revealed a sequestrum with actinomycosis by a pathological examination. In this case, the radiopacity of the suspicious lesion was higher than that of the surrounding alveolar bone, which confused it with the root tip. The diagnosis of actinomycosis required long-term antimicrobial therapy, which is very different from simple extraction or removal of sequestrum.
KEYWORD
Actinomycosis, Tooth root, Antimicrobial, Therapy
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