Abstract
The infected pulp, microorganisms toxins, metabolic products, chemical agents, mechanical irritations, foreign substances, trauma and host defense plays a role in the periapical tissue diseases. Options for the treatment of large periapical lesions range from non-surgical root canal treatment and/or apical surgery to extraction. Although apical surgery may be a treatment option in these cases, conventional root canal treatment should be the first choice. The aim of this case report is to report that the large size of a periapical lesion does not always need a surgical approach and even large periapical lesions heal following a conservative endodontic therapy.
References
- 1. Sundqvist G. Taxonomy, ecology, and pathogenicity of the root canal flora. Oral Surgery, Oral Medicine, Oral Pathology 1994; 78: 522-30.
- 2. Nair PR. Apical periodontitis: a dynamic encounter between root canal infection and host response. Periodontology 2000 1997; 13: 121-48.
- 3. Barbakow F, Cleaton-Jones P, Friedman D. Endodontic treatment of teeth with periapical radiolucent areas in a general dental practice. Oral Surgery, Oral Medicine, Oral Pathology 1981; 51: 552-9.
- 4. Shteyer A, Rozovsky E. Periapical lesions--types, incidence and clinical features. Refu'at ha-peh veha-shinayim (Tel Aviv, Israel: 1969) 1972; 21: 100.
- 5. Önay EO, Üngör M, Gülşahı K. Kist benzeri geniş periapikal lezyonlu dişin endodontik tedavisi: vaka raporu. ADO Journal of Clinic Sciences 2008; 2: 131.
- 6. Gupta A, Duhan J, Hans S, Goyal V, Bala S. Non surgical management of large periapical lesions of endodontic origin: a case series. Journal of Oral Health & Community Dentistry 2014; 8: 172-5.
- 7. Saatchi M. Healing of large periapical lesion: A non‐surgical endodontic treatment approach. Australian Endodontic Journal 2007; 33: 136-40.
- 8. Foreman P, Barnes I. A review of calcium hydroxide. International endodontic journal 1990; 23: 283-97.
- 9. Broon NJ, Bortoluzzi EA, Bramante CM. Repair of large periapical radiolucent lesions of endodontic origin without surgical treatment. Australian Endodontic Journal 2007; 33: 36-41.
- 10. Hoen MM, LaBounty GL, Strittmatter EJ. Conservative treatment of persistent periradicular lesions using aspiration and irrigation. Journal of Endodontics 1990; 16: 182-6. 11. Sundqvist G. Bacteriological studies of necrotic dental pulps. Umeå University Odontological Dissertations 1976; 7: 1-91.
- 12. Mirković S, Tadić A, Đurđević-Mirković T, Levakov A. Comparative analysis of accuracy of diagnosis of chronic periapical lesions made by clinical and histopatological examination. Medicinski pregled 2012; 65: 277-80.
- 13. Matsumoto T, Nagai T, Ida K, Ito M, Kawai Y, Horiba N, Sato R, Nakamura H. Factors affecting successful prognosis of root canal treatment. Journal of endodontics 1987; 13: 239-42. 14. Strindberg LZ. The dependence of the results of pulp therapy on certain factors-an analytical study based on radiographic and clinical follow-up examination. Acta Odontol Scand 1956; 14: 1-175.
- 15. Sjögren U, Hägglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. Journal of endodontics 1990; 16: 498-504.
- 16. Çalışkan M. Prognosis of large cyst‐like periapical lesions following nonsurgical root canal treatment: a clinical review. International endodontic journal 2004; 37: 408-16.
- 17. Shah N. Nonsurgical management of periapical lesions: a prospective study. Oral Surgery, Oral Medicine, Oral Pathology 1988; 66: 365-71.
- 18. Öztan M. Endodontic treatment of teeth associated with a large periapical lesion. International Endodontic Journal 2002; 35: 73-8.
- 19. Paredes-Vieyra J, Enriquez FJJ. Success rate of single-versus two-visit root canal treatment of teeth with apical periodontitis: a randomized controlled trial. Journal of endodontics 2012; 38: 1164-9.
- 20. Farhad A, Mohammadi Z. Calcium hydroxide: a review. International dental journal 2005; 55: 293-301.
Abstract
References
- 1. Sundqvist G. Taxonomy, ecology, and pathogenicity of the root canal flora. Oral Surgery, Oral Medicine, Oral Pathology 1994; 78: 522-30.
- 2. Nair PR. Apical periodontitis: a dynamic encounter between root canal infection and host response. Periodontology 2000 1997; 13: 121-48.
- 3. Barbakow F, Cleaton-Jones P, Friedman D. Endodontic treatment of teeth with periapical radiolucent areas in a general dental practice. Oral Surgery, Oral Medicine, Oral Pathology 1981; 51: 552-9.
- 4. Shteyer A, Rozovsky E. Periapical lesions--types, incidence and clinical features. Refu'at ha-peh veha-shinayim (Tel Aviv, Israel: 1969) 1972; 21: 100.
- 5. Önay EO, Üngör M, Gülşahı K. Kist benzeri geniş periapikal lezyonlu dişin endodontik tedavisi: vaka raporu. ADO Journal of Clinic Sciences 2008; 2: 131.
- 6. Gupta A, Duhan J, Hans S, Goyal V, Bala S. Non surgical management of large periapical lesions of endodontic origin: a case series. Journal of Oral Health & Community Dentistry 2014; 8: 172-5.
- 7. Saatchi M. Healing of large periapical lesion: A non‐surgical endodontic treatment approach. Australian Endodontic Journal 2007; 33: 136-40.
- 8. Foreman P, Barnes I. A review of calcium hydroxide. International endodontic journal 1990; 23: 283-97.
- 9. Broon NJ, Bortoluzzi EA, Bramante CM. Repair of large periapical radiolucent lesions of endodontic origin without surgical treatment. Australian Endodontic Journal 2007; 33: 36-41.
- 10. Hoen MM, LaBounty GL, Strittmatter EJ. Conservative treatment of persistent periradicular lesions using aspiration and irrigation. Journal of Endodontics 1990; 16: 182-6. 11. Sundqvist G. Bacteriological studies of necrotic dental pulps. Umeå University Odontological Dissertations 1976; 7: 1-91.
- 12. Mirković S, Tadić A, Đurđević-Mirković T, Levakov A. Comparative analysis of accuracy of diagnosis of chronic periapical lesions made by clinical and histopatological examination. Medicinski pregled 2012; 65: 277-80.
- 13. Matsumoto T, Nagai T, Ida K, Ito M, Kawai Y, Horiba N, Sato R, Nakamura H. Factors affecting successful prognosis of root canal treatment. Journal of endodontics 1987; 13: 239-42. 14. Strindberg LZ. The dependence of the results of pulp therapy on certain factors-an analytical study based on radiographic and clinical follow-up examination. Acta Odontol Scand 1956; 14: 1-175.
- 15. Sjögren U, Hägglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. Journal of endodontics 1990; 16: 498-504.
- 16. Çalışkan M. Prognosis of large cyst‐like periapical lesions following nonsurgical root canal treatment: a clinical review. International endodontic journal 2004; 37: 408-16.
- 17. Shah N. Nonsurgical management of periapical lesions: a prospective study. Oral Surgery, Oral Medicine, Oral Pathology 1988; 66: 365-71.
- 18. Öztan M. Endodontic treatment of teeth associated with a large periapical lesion. International Endodontic Journal 2002; 35: 73-8.
- 19. Paredes-Vieyra J, Enriquez FJJ. Success rate of single-versus two-visit root canal treatment of teeth with apical periodontitis: a randomized controlled trial. Journal of endodontics 2012; 38: 1164-9.
- 20. Farhad A, Mohammadi Z. Calcium hydroxide: a review. International dental journal 2005; 55: 293-301.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | October 5, 2020 |
| Submission Date | March 3, 2020 |
| Published in Issue | Year 2020Volume: 23 Issue: 3 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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