{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T20:09:58Z","timestamp":1773000598809,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"vor","delay-in-days":313,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Dentistry"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>A 22\u2010year\u2010old female patient consulted the Odontology Department of the Mohammed V Military Hospital in Rabat, Morocco, for a recurrent abscess in relation to the left maxillary central incisor (#21). The dental history of the tooth began with necrosis following trauma a few years before. A conventional endodontic root canal treatment was performed, but several infectious episodes occurred, treated only with antibiotics. The radiographic examination showed an adequate root filling and a large apical lesion in Tooth #21. Tooth #21 was diagnosed as chronic apical periodontitis. After orthograde retreatment, clinical signs have not resolved, and the patient has consulted for a recurrent abscess. Given this atypical clinical situation, an extraradicular infection was suspected and the decision for endodontic surgery was made. The histopathological diagnosis revealed actinomycotic infection. The aim of this case report is to draw practitioners\u2019 attention to this rare infectious etiology, which does not respond to conventional endodontic treatment, and to expose the diagnostic and therapeutic approach required to treat apical actinomycosis.<\/jats:p>","DOI":"10.1155\/crid\/3573454","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T05:30:15Z","timestamp":1762839015000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endodontic Surgery Management of a Large Periradicular Actinomycosis Lesion"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5592-5957","authenticated-orcid":false,"given":"Rahhali","family":"Mohamed","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belhaj","family":"Khalifa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6324-6273","authenticated-orcid":false,"given":"Sakout","family":"Majid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,10]]},"reference":[{"key":"e_1_2_7_1_2","first-page":"213","article-title":"Avanc\u00e9es technologiques en chirurgie endodontique","volume":"12","author":"Castellucci A.","year":"2001","journal-title":"R\u00e9alit\u00e9s Cliniques"},{"key":"e_1_2_7_2_2","first-page":"141","article-title":"L\u2019endodontie fond\u00e9e sur la preuve au quotidien: est-ce possible?","volume":"22","author":"Medioni E.","year":"2011","journal-title":"R\u00e9alit\u00e9s Cliniques"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2014.200"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0099-2399(84)80102-8"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1067\/moe.2003.87"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.2147\/IDR.S39601"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.14833"},{"key":"e_1_2_7_8_2","first-page":"119","article-title":"Endodontie chirurgicale une chance suppl\u00e9mentaire","volume":"22","author":"Khayat B.","year":"2010","journal-title":"L\u2019Information Dentaire"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2591.2001.00396.x"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-1546.2003.00037.x"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2591.1998.t01-1-00088.x"}],"container-title":["Case Reports in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crid\/3573454","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crid\/3573454","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crid\/3573454","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:41:28Z","timestamp":1772991688000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crid\/3573454"}},"subtitle":[],"editor":[{"given":"Jamil Awad","family":"Shibli","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1155\/crid\/3573454"],"URL":"https:\/\/doi.org\/10.1155\/crid\/3573454","archive":["Portico"],"relation":{},"ISSN":["2090-6447","2090-6455"],"issn-type":[{"value":"2090-6447","type":"print"},{"value":"2090-6455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-10-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"3573454"}}