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KMID : 1004520130290040418
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Journal of Dental Rehabilitation and Applied Science
2013 Volume.29 No. 4 p.418 ~ p.425
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Recurrent Herpetic Stomatitis Mimicking Post-Root Resection Complication
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Hong Sung-Ok
Lee Jae-Kwan
Chang Hoon-Sang
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Abstract
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This case report describes about recurrent herpetic stomatitis mimicking post-root resection complication. A 49 yearold
male patient was diagnosed vertical root fracture of the mesiobuccal root of his left maxillary first molar (#26). The
mesiobuccal root was resected following root canal treatment of the same tooth. 19 months later, the patient presented
with pain on left hard palate after a barbecue party. Intra oral examination revealed a gum boil-like blister at the hard
palate corresponding to the apex of the palatal root of #26. On clinical examination, there was bleeding on probing and
the periodontal pocket depth was measured less than 5 mm with no tooth mobility. On a periapical radiograph,
periodontal ligament space widening was observed. Tracing the sinus tract with gutta percha cone was attempted,
however, it was impossible. Extending the field of vision, small multiple round ulcerations were observed at the palate
front which caused pain to the patient. Therefore, the pain was considered a non odontogenic and the patient was referred
to the department of oral medicine. The patient was diagnosed recurrent herpetic stomatitis and after 3 days of antiviral
medication, the pain and ulceration were subsided.
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KEYWORD
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Root resection, Recurrent herpetic stomatitis, Herpes simplex virus, Sinus tract, Non-odontogenic pain
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