Non-Surgical Management of Periapical Lesion in Mandibular Incisor using Calcium Hydroxide Intracanal Medication
A Case Report
Keywords:
Calcium hydroxide, Intracanal medicament, Non surgical management, Periapical lesionAbstract
Sterilization of the root canal space is necessary for the success of endodontic therapy. Medications and intracanal irrigants are frequently used for this. Numerous intracanal medications and irrigation methods have been studied for improved treatment results in order to achieve sterilisation and healing of periapical region. This case report discusses the non-surgical treatment of an extensive periapical lesion in the mandibular anterior teeth of a 34-year-old male who complained of occasional swelling and pain following a traumatic accident. During the first appointment, access was opened, followed by biomechanical preparation and disinfection, and the root canal was filled with calcium hydroxide. After two weeks, the patient was found to be asymptomatic, therefore obturation was performed. After 12 months, clinical and radiographic evaluations revealed that bone repair was evident. This case report demonstrates how a precise diagnosis combined with root canal treatment, as a conservative non-surgical strategy, can result in complete healing of big lesions without the need for invasive therapies.
Downloads
References
Bhaskar, S.N. (1972) Nonsurgical resolution of radicular cysts. Oral Surgery, Oral Medicine, and Oral Pathology, 34, 458–468. DOI: https://doi.org/10.1016/0030-4220(72)90325-8, PubMed: https://www.ncbi.nlm.nih.gov/pubmed/4505760
Dhillon, J.S., Amita, S.S.K., Saini, S.K., Bedi, H.S., Ratol, S.S. & Gill, B. (2014) Healing of a large periapical lesion using Triple Antibiotic paste and intracanal aspiration in nonsurgical endodontic retreatment. Indian Journal of Dentistry, 5, 161–165. DOI: https://doi.org/10.4103/0975-962X.140843, PubMed: https://www.ncbi.nlm.nih.gov/pubmed/25565747
Er, K., Kuştarci, A., Ozan, U. & Taşdemir, T. (2007) Nonsurgical endodontic treatment of dens invaginatus in a mandibular premolar with large periradicular lesion: A case report. Journal of Endodontics, 33, 322–324. DOI: https://doi.org/10.1016/j.joen.2006.09.001, PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17320725
Fava, L.R.G. & Saunders, W.P. (1999) Calcium hydroxide pastes: Classification and clinical indications. International Endodontic Journal, 32, 257–282. DOI: https://doi.org/10.1046/j.1365-2591.1999.00232.x, PubMed: https://www.ncbi.nlm.nih.gov/pubmed/10551118
Fernandes, M. & de Ataide, I. (2010) Nonsurgical management of periapical lesions. Journal of Conservative Dentistry, 13, 240–245. DOI: https://doi.org/10.4103/0972-0707.73384, PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21217952
Kawashima, N., Wadachi, R., Suda, H., Yeng, T. & Parashos, P. (2009) Root canal medicaments. International Dental Journal, 59, 5–11. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19323305
Kumar, N.K., Brigit, B., Annapoorna, B.S., Naik, S.B., Merwade, S. & Rashmi, K. (2021) Effect of Triple Antibiotic paste and calcium hydroxide on the rate of healing of periapical lesions: A systematic review. Journal of Conservative Dentistry, 24, 307–313. DOI: https://doi.org/10.4103/jcd.jcd_637_20, PubMed: https://www.ncbi.nlm.nih.gov/pubmed/35282591
Lin, L.M., Huang, G.T.J. & Rosenberg, P.A. (2007) Proliferation of epithelial cell rests, formation of apical cysts, and regression of apical cysts after periapical wound healing. Journal of Endodontics, 33, 908–916. DOI: https://doi.org/10.1016/j.joen.2007.02.006, PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17878074
Robert, G.H., Liewehr, F.R., Buxton, T.B. & McPherson, J.C. (2005) Apical diffusion of calcium hydroxide in an in vitro model. Journal of Endodontics, 31, 57–60. DOI: https://doi.org/10.1097/01.don.0000134211.85578.38, PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15614009
Soares, J., Santos, S., Silveira, F. & Nunes, E. (2006) Nonsurgical treatment of extensive cyst-like periapical lesion of endodontic origin. International Endodontic Journal, 39, 566–575. DOI: https://doi.org/10.1111/j.1365-2591.2006.01109.x, PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16776761
Tronstad, L., Andreasen, J.O., Hasselgren, G., Kristerson, L. & Riis, I. (1981) pH changes in dental tissue after root canal filling with calcium hydroxide. Journal of Endodontics, 7, 17–21. DOI: https://doi.org/10.1016/S0099-2399(81)80262-2, PubMed: https://www.ncbi.nlm.nih.gov/pubmed/6938618
Zanza, A., Reda, R. & Testarelli, L. (2023) Endodontic orthograde retreatments: Challenges and solutions. Clinical, Cosmetic and Investigational Dentistry, 15, 245–265. DOI: https://doi.org/10.2147/CCIDE.S397835, PubMed: https://www.ncbi.nlm.nih.gov/pubmed/37899987
Downloads
-
Download PDF
Abstract Views: 10, 
Download PDF: 5
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Inventum Biologicum: An International Journal of Biological Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
