A case report of periapical Actinomycosis of maxilla

Actinomycosis is a chronic and less common infectious process that established by Actinomyces israilii. Involvement of faciocervical region is more common than thoracic and visceral types and typically involves the angle of mandible and with less occurrence rate the upper jaw may also be involved. Periapical lesions of maxilla and involved in this process by Actinomyces israilii are rare and common site of them is the periapical area of central incisors of maxilla. A subject is a 31 year old woman who after multiple effort of endodontic and surgical procedures eventually with meticolous surgical debridement and pathologic examination with diagnosis of periapical actinomycosis was treated with penicillin for 10 weeks and after that showed no sign and symptom in involved area.