The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 13 , ISSUE 6 ( November-December, 2012 ) > List of Articles

CASE REPORT

Management of Large Periapical Cystic Lesion by Aspiration and Nonsurgical Endodontic Therapy using Calcium Hydroxide Paste

Kunjamma Thomas, T Prasanth Dhanapal, Elsy P Simon

Citation Information : Thomas K, Prasanth Dhanapal T, Simon EP. Management of Large Periapical Cystic Lesion by Aspiration and Nonsurgical Endodontic Therapy using Calcium Hydroxide Paste. J Contemp Dent Pract 2012; 13 (6):897-901.

DOI: 10.5005/jp-journals-10024-1249

Published Online: 01-12-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

To report a case of conservative nonsurgical management of periapical lesions.

Background

Small periapical lesions of endodontic origin usually heal by conventional endodontic therapy alone. Larger periapical lesions presumed to be cystic may require additional treatment protocols to aid in regression. Conservative nonsurgical management of such lesions eliminates the possible complications of surgery and has wider patient compliance and acceptance.

Case description

A periapical cystic lesion associated with maxillary central incisor and lateral incisor was treated conservatively using buccal aspiration decompression followed by conventional endodontic therapy employing calcium hydroxide iodoform paste as intracanal medicament is reported.

Clinical significance

The treatment was successful as evidenced by relief of symptoms and radiographic evaluation.

Conclusion

Large periapical cyst-like lesions can resolve by nonsurgical endodontic therapy employing calcium hydroxide intracanal interappointment medicament.

How to cite this article

Thomas K, Dhanapal PT, Simon EP. Management of Large Periapical Cystic Lesion by Aspiration and Nonsurgical Endodontic Therapy using Calcium Hydroxide Paste. J Contemp Dent Pract 2012;13(6):897-901.


PDF Share
  1. Oral surgery—oral pathology conference No.17, Walter Reed Army Medical Center. Periapical lesions—types, incidence, and clinical features. Oral Surg Oral Med Oral Pathol 1966 May;21(5):657-71.
  2. The frequency and distribution of periapical cysts and granulomas. Oral Surg Oral Med Oral Pathol 1986;25:861-68.
  3. Clinical outline of oral pathology: Diagnosis and treatment (2nd ed). Philadelphia: Lea and Febiger 1984;203-59.
  4. Proliferation of epithelial cell rests, formation of apical cysts, and regression of apical cysts after periapical wound healing. J Endod 2007;33:908-16.
  5. Endodontics (3rd ed). Bristol: John Wright Sons Ltd 1984. p. 206.
  6. Factors affecting the long-term results of endodontic treatment. J Endod 1990;16:31-37.
  7. Endodontic treatment of teeth with apical periodontitis using calcium hydroxide: A long-term study. Endod Dent Traumatol 1996;12:215-21.
  8. Nonsurgical management of periapical lesions: A prospective study. Oral Surg Oral Med Oral Pathol 1988;66:365-71.
  9. Healing of periapical radiolucencies after nonsurgical endodontic therapy. Oral Surg Oral Med Oral Pathol 1991;71:620-24.
  10. Conservative treatment of persistent periradicular lesions using aspiration and irrigation. J Endod 1990;16:182-86.
  11. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996 Jan;81(1):93-102.
  12. The relationship of lesion size to diagnosis, incidence, and treatment of periapical cysts and granulomas. Oral Surg Oral Med Oral Pathol 1984;57:82-94.
  13. Non-surgical root canal therapy of large cyst-like inflammatory periapical lesions and inflammatory apical cysts. J Endod 2009 May;35(5):607-15.
  14. Active nonsurgical decompression of large periapical lesions—3 case reports. J Can Dent Assoc 2004;70:691-94.
  15. Nonsurgical resolution of radicular cysts. Oral Surg Oral Med Oral Pathol 1972;34:458-68.
  16. Commentary on General Bhaskar's hypothesis. Oral Surg Oral Med Oral Pathol 1972 Sep;34(3):469-76.
  17. A 2-day decompression: A case report of a maxillary first molar. J Endod 1991;17:85-87.
  18. Conservative management of a large maxillary cyst. Int Endod J 1997;30:64-67.
  19. Periapical repair and apical closure of a pulpless tooth using calcium hydroxide. Oral Surg Oral Med Oral Pathol 1997;84:683-87.
  20. Nonsurgical management of a large periapical lesion using a simple aspiration technique: A case report. Int Endod J 2010;43:536-42.
  21. Bacteriologic evaluation of the efficacy of mechanical root canal instrumentation in endodontic therapy. Scandin J Dent Res 1981;89:821-28.
  22. Endodontic infections: Concepts, paradigms, and perspectives. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:281-93.
  23. Inuence of the infection at the time of root filling on the outcome of the endodontic treatment of teeth with apical periodontitis. Int Endod J 1997 Sep;30(5):297-306.
  24. Endodontic treatment of teeth with apical periodontitis: Single vs. multivisit treatment. J Endod 1999 May;25(5):345-50.
  25. Histological periapical repair after obturation of infected root canals in dogs. J Endod 1999;25:364-68.
  26. Effect of irrigating solution and calcium hydroxide root canal dressing on the repair of apical and periapical tissues of teeth with periapical lesion. J Endod 2002 Apr;28(4):295-99.
  27. Effect of calcium hydroxide on bacterial lipopolysaccharide. J Endod 1993 Feb;19(2):76-78.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.