Endodontic treatment of painful periapical lesions using 0.15% benzydamine HCl and 0.12% chlorhexidine gluconate: case reports

Aim: The aim of these case reports is to emphasize the successful healing of large periapical lesions using non surgical endodontic treatment with advanced techniques Background: Periapical lesions of endodontic origin are common pathological conditions affecting the periradicular tissues. The primary objective of root canal treatment is to cure or prevent periradicular periodontitis and to retain natural teeth in function and aesthetics Case description: Two case reports of large periapical lesions are described here which have shown favourable clinical and radiographic outcome following non surgical endodontic therapy Conclusion: Size of a periapical lesion does not necessarily mandate surgical intervention always and has shown the potential to heal following conservative endodontic therapy. Assessment of healing of a large periapical lesion necessitates a long term follow up and has to be done periodically. Clinical significance: The article highlights that present day endodontic treatment has become predictable and highly successful due to the advancements in diagnostic imaging techniques, rotary instruments, irrigants , intracanal medicaments and obturation systems which has in turn led to the fall in root end surgeries

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Non-surgical management of periapical lesions with triple antibiotic paste: A case reports

10.25259/aujmsr_23_2020 ◽

2020 ◽

Vol 2 ◽

pp. 120-123

Author(s):

Munish Singla ◽

Iyana Garg ◽

Vandana Goyal ◽

Harleen Kaur ◽

Litik Mittal

Keyword(s):

Case Report ◽

Surgical Management ◽

Root Canal ◽

Case Reports ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

Periapical Lesion ◽

Present Case Report ◽

Periapical Lesions ◽

Triple Antibiotic Paste

Sterilization of root canal space is foremost for the success of the endodontic treatment which is usually carried out with intracanal irrigants and medicaments. Triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) is used to achieve sterilization and healing of periradicular area. In the present case report, the triple antibiotic paste was used for non-surgical management of periapical lesion for 3 weeks. After 3 weeks, the tooth became asymptomatic that was then obturated. Hence, it is confirmed that conventional root canal treatment, along with intracanal medicaments (triple antibiotic paste), can non-surgically manage the periapical lesions and further promotes healing.

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Radiographic characteristics in the periapical healing post endodontic treatment in patients of the Autonomous University of Yucatan, School of Dentistry

Nova Scientia ◽

10.21640/ns.v10i21.1592 ◽

2018 ◽

Vol 10 (21) ◽

pp. 379-390

Author(s):

Oscar David Jurado Patrón ◽

Andrés Vargas López ◽

Elma María Vega Lizama ◽

Gabriel Alvarado Cárdenas ◽

María Eugenia López Villanueva ◽

...

Keyword(s):

Longitudinal Study ◽

Sinus Tract ◽

Complete Healing ◽

Endodontic Treatment ◽

Periapical Lesions ◽

Periapical Healing ◽

School Of Dentistry ◽

One Year ◽

Causes Of Failure

Introduction: The radiographic control of the root canal treatment can evaluate the healing of the periapical lesions. The objective of this study was to determinate the characteristics of the radiographic healing that was observed after one year, during follow-up sessions; so, the healing of the lesions according to the periapical pathology at the beginning of the treatment and the causes of failure of the endodontic treatments were recorded.Method: This is a prospective, observational, descriptive and longitudinal study, carried out in patients who attended control one year after endodontic treatment through the Periapical Index (PAI).Results: A total of 395 teeth of patients who underwent endodontic treatment one year prior to data collection, 87 presented radiogaphically observable periapical lesions; of these, 40 (45.97%) attended the control at one year. The frequency of cases in which some degree of radiographic healing was observed one year after treatment was 97.46%. The pathology with more cases of complete healing was periodontitis with sinus tract. In general, 84.61% of the cases decreased two levels in their PAI after one year. The 100% of the cases of failure presented vertical root fractures.Conclusion: The frequency of periapical healing after endodontic treatment is high. The main cause for the failure of the treatments documented in this study was the lack of coronal restoration that caused vertical fractures.

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Digital imaging analysis with mathematical morphology and fractal dimension for evaluation of periapical lesions following endodontic treatment

Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology ◽

10.1016/j.tripleo.2005.05.075 ◽

2005 ◽

Vol 100 (4) ◽

pp. 467-472 ◽

Cited By ~ 33

Author(s):

Ssu-Kuang Chen ◽

Tiina Oviir ◽

Chi-Hao Lin ◽

Liang-Jenq Leu ◽

Bong-Hae Cho ◽

...

Keyword(s):

Fractal Dimension ◽

Mathematical Morphology ◽

Digital Imaging ◽

Endodontic Treatment ◽

Imaging Analysis ◽

Periapical Lesions

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Continued Root-End Growth and Apexification Using a Calcium Hydroxide and Iodoform Paste (Metapex®): Three Case Reports

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-11-5-63 ◽

2010 ◽

Vol 11 (5) ◽

pp. 63-70 ◽

Cited By ~ 4

Author(s):

Shobha Tandon ◽

N. Sridhar

Keyword(s):

South Korea ◽

Root Growth ◽

Calcium Hydroxide ◽

Clinical Significance ◽

Case Reports ◽

Endodontic Treatment ◽

Permanent Teeth ◽

Root Canals ◽

Disposable Plastic ◽

Clinical Cases

Abstract Aim The aim of these case reports is to present a treatment to promote root-end growth and apexification in nonvital immature permanent teeth in children. Methods and Materials Three cases were presented where the calcium hydroxide and iodoform paste Metapex® was placed in the root canals of immature permanent teeth using disposable plastic tips. The teeth involved were evaluated radiographically at regular intervals for the first 12 months after placement of the paste. At the end of 12 months all the cases showed continued root growth and apical closure (apexification) with no evidence of periapical pathology. Conventional endodontic treatment was then performed. Results In all three of the clinical cases presented, a combination of calcium hydroxide and iodoform paste (Metapex®) was used and showed promising results in inducing root-end growth and closure after 12 months. Conclusion In these three clinical cases, the calcium hydroxide and iodoform paste Metapex® (Meta Biomed Co. Ltd., South Korea) was found to induce apical closure when assessed radiographically. Over a period of 12 months all the cases showed continued root growth. Clinical Significance The calcium hydroxide and iodoform paste Metapex® promoted continued root-end growth with apexification in the nonvital immature permanent teeth treated. Citation Sridhar N, Tandon S. Continued Root-Growth and Apexification Using a Calcium Hydroxide and Iodoform Paste (Metapex®): Three Case Reports. J Contemp Dent Pract [Internet]. 2010 October; 11(5):063-070. Available from: http://www.thejcdp.com/journal/view/volume11- issue5-sridhar

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Clinical features and endodontic treatment of two-rooted mandibular canines: Report of four cases

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1410592s ◽

2014 ◽

Vol 142 (9-10) ◽

pp. 592-596 ◽

Cited By ~ 2

Author(s):

Igor Stojanac ◽

Milica Premovic ◽

Milan Drobac ◽

Bojana Ramic ◽

Ljubomir Petrovic

Keyword(s):

Root Canal ◽

Case Reports ◽

Anatomical Variation ◽

Anatomical Variations ◽

Endodontic Treatment ◽

Careful Examination ◽

Root Canals ◽

Working Length ◽

Canal Systems ◽

Root Canal Morphology

Introduction. Predictable endodontic treatment depends on the dentist?s knowledge about root canal morphology and its possible anatomic variations. The majority of mandibular canines have one root and root canal, but 15% may have two canals and a smaller number may have two distinct roots. The following clinical reports describe endodontic treatment of mandibular canines with two roots and two root canals. Outline of Cases. Four clinical case reports are presented to exemplify anatomical variation in the human mandibular canine. Detailed analysis of the preoperative radiographs and careful examination of the pulp chamber floor detected the presence of two root canal orifices in all canines. Working length was determined with an electronic apex locator and biomechanical preparation was carried out by using engine driven BioRaCe Ni-Ti rotary instruments in a crown-down manner, followed by copious irrigation with 1% sodium hypochlorite. Definitive obturation was performed using cold lateral condensation with gutta-percha cones and Top Seal paste. The treatment outcome was evaluated using postoperative radiographs. Conclusion. Endodontists should be aware of anatomical variations of the treated teeth, and should never presume that canal systems are simple.

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