Non Surgical Management of Large Periapical Lesions Using Calcium Hydroxide - A Report of Two Cases

2016 ◽  
Vol 4 (1) ◽  
pp. 24-29
Author(s):  
Nidambur Ballal ◽  
◽  
Isha Jain
Keyword(s):  
Calcium Hydroxide ◽  
Surgical Management ◽  
Periapical Lesions

scholarly journals Non-surgical Management of Large Periapical Lesions with the Agreement Evaluation of the Methods

2019 ◽  
pp. 1-11
Author(s):  
B. G. M. Lakmali ◽  
Lakshika S. Nawarathna ◽  
M. C. N. Fonseka
Keyword(s):  
Calcium Hydroxide ◽  
Surgical Management ◽  
Restorative Dentistry ◽  
Concordance Correlation ◽  
Periapical Lesions ◽  
Treatment Type ◽  
Before And After ◽  
Heteroscedastic Model ◽  
Management Techniques ◽  
Strong Agreement

Aim: The aim of this study is to evaluate the agreement between three routinely used non-surgical management techniques for large periapical lesions namely the treatments with Calcium hydroxide, Mineralo-Trioxide Aggregate and Bio-dentine. Methods: Data was collected from 60 patients at the Department of Restorative Dentistry, Faculty of Dental Sciences, University of Peradeniya. The variables age, gender and area of the infected                 region before and after the treatment and the treatment type were considered. Two homoscedastic               and heteroscedastic Mixed-effects models were fitted and the agreement between three                     treatments were assessed using Concordance Correlation Coefficient (CCC) and Total Deviation Index (TDI). Results: CCC value calculated for treatment types 1 & 2, 1 & 3 and 2 & 3 are (0.905, 0.909, 0.874) for homoscedastic model and (0.989, 0.990, 0.975) for heteroscedastic model. Further, corresponding TDI values for homoscedastic and heteroscedastic models are (3.148, 4.390, 1.647) and (2.963, 4.388, 1.457) respectively. Conclusions: Since all the CCC values are close to 1 and TDI values are low, there is a strong agreement between all three treatments and hence they be used interchangeably. Moreover, the agreement between Treatments with Calcium hydroxide and Bio-dentine is higher compared to the agreements between the other treatments. (i.e., Calcium hydroxide with Mineralo-Trioxide Aggregate and Biodentine with Mineralo-Trioxide Aggregate).

scholarly journals Abordagem endodôntica não cirúrgica em extensa lesão periapical: relato de caso

2020 ◽  
Vol 9 (6) ◽  
pp. 513-516
Author(s):  
Mailon Cury Carneiro ◽  
Fernanda Angelio Da Costa ◽  
Paula Gabriela Vieira Chicora ◽  
Marcos Sergio Endo ◽  
Vanessa Cristina Veltrini
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Surgical Management ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Periapical Lesion ◽  
Periapical Lesions ◽  
Periapical Cyst

O objetivo deste trabalho é relatar um caso clínico de uma extensa lesão periapical em maxila, tratada somente por uma abordagem endodôntica não cirúrgica, com expressivo reparo periapical. Paciente do sexo feminino, 52 anos, compareceu à clínica odontológica, com a queixa principal de “cisto crescendo na boca”. Os dentes 13, 14 e 15 apresentavam-se sem vitalidade pulpar. Os exames radiográficos mostraram duas áreas radiolúcidas, uniloculares, envolvendo os ápices dos dentes 13 e 15, ambos sem sinais de intervenção endodôntica. As áreas eram sugestivas de granuloma periapical e cisto periapical inflamatório, respectivamente. Realizou-se tratamento endodôntico dos dentes 13, 14 e 15. Após 11 meses, notou-se regressão significativa da rarefação óssea periapical, não sendo necessária qualquer intervenção cirúrgica. A paciente continuará em proservação até a remissão completa da lesão. O preparo químico-mecânico, associado ao emprego de medicação intracanal, pode ser suficiente para o reparo de lesões periapicais extensas. Sugere-se que o tratamento conservador seja sempre a primeira opção em casos semelhantes, de forma a se evitar cirurgias parendodônticas invasivas desnecessárias. Descritores: Endodontia; Cisto Radicular; Tratamento Conservador. Referências Hammouti J, Chhoul H, Ramdi H. Non-surgical management of large periapical cyst like lesion: case report and litterature review. J Oral Heal Dent Sci. 2019;3(1):1–7. Mitra A, Adhikari C. Management of large periapical lesions by non surgical endodontic approach - two case reports. 2017;2(5):97–104. Al Khasawnah Q, Hassan F, Malhan D, Engelhardt M, Daghma DES, Obidat D, et al. Nonsurgical clinical management of periapical lesions using calcium hydroxide-iodoform-silicon-oil paste. Biomed Res Int. 2018;2018:1-8. Schulz M, von Arx T, Altermatt HJ, Bosshardt D. Histology of periapical lesions obtained during apical surgery. 2009;35(5):634-42. Ramachandran Nair PN, Pajarola G, Schroeder HE. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81(1):93-102. Gutmann JL, Baumgartner JC, Gluskin AH, Hartwell GR, Walton RE. Identify and define all diagnostic terms for periapical/periradicular health and disease states. JOE. 2009;35(12):1658-74. Antoh M, Hasegawa H, Kawakami T, Kage T, Chino T, Eda S. Hyperkeratosis and atypical proliferation appearing in the lining epithelium of a radicular cyst. Report of a case. J Cranio-Maxillo-Facial Surg. 1983;21(5):210-13. Natkin E, Oswald RJ, Carries LI. The relationship of lesion size to diagnosis, incidence, and treatment of periapical cysts and granulomas. Oral Surg. 1984;57(1):82-94. Rathod DM, Mulay SA. Non-surgical treatment of large periapical lesion using various formulations of calcium hydroxide & nd: yag laser. Int J Curr Res. 2017;9(8):56668-72. Rosenberg PA, Frisbie J, Lee J, Lee K, Frommer H, Kottal S, et al. Evaluation of pathologists (histopathology) and radiologists (cone beam computed tomography) differentiating radicular cysts from granulomas. J Endod. 2010;36(3):423-28. Sant’ana Filho M, Rados PV. Lesões apicais. In: Silveira JOL, Beltrão GC. Exodontia. 1Porto Alegre: Missau; 1998. cap. 22, p. 275-85. Sood N, Maheshwari N, Gothi R, Sood N. Treatment of large periapical cyst like lesion: a noninvasive approach: a report of two cases. Int J Clin Pediatr Dent. 2015;8(2):133-37. Singh U, Nagpal R, Sinha D, Tuhin, Tyagi N. Iodoform based calcium hydroxide paste (metapex):an aid for the healing of chronic periapical lesion. J Adv Res Biol Sci. 2013;6(1):63-7. Dandotikar D, Peddi R, Lakhani B, Lata K, Mathur A, Chowdary UK. Nonsurgical management of a periapical cyst: a case report. J Int Oral Health. 2013;5(3):79-84. Calişkan MK. Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment: a clinical review. Int Endod J. 2004;37(6):408-16.  Kanmaz F, Altunbaş D, Zan R, Akpınar KE. Nonsurgical endodontic treatment of a large periradicular lesion. Turk Endod J. 2017;2(1):21–4. Öztan MD. Endodontic treatment of teeth associated with a large periapical lesion. Int Endod J. 2002;35(1):73–8. Barroso JAY, Uchimura JYT, Endo MS, Pavan NNO, Queiroz AF. Avaliação in vitro da influência da lima patência na manutenção do comprimento de trabalho. Rev Odontol UNESP. 2017;46(2):72-6. Madhusudhana K, Surada R, Kumar CS, Lavanya A. Non-surgical management of a large periapical lesion: a case report. Ann Essences Dent. 2017;9(2):22-5. Soares J, Santos S, Silveira F, Nunes E. Nonsurgical treatment of extensive cyst-like periapical lesion of endodontic origin. Int Endod J. 2006;39(7):566-75. Mohammadi Z, Shalavi S, Yazdizadeh M. Antimicrobial activity of calcium hydroxide in endodontics: a review. Chonnam Med J. 2013;48(3):133-40. Estrela C, Bammann LL, Pimenta FC, Pécora JD. Control of microorganisms in vitro by calcium hydroxide pastes. Int Endod J. 2001;34(5):341-45. Soares JA, Brito-Júnior M, Silveira FF, Nunes E, Santos SMC. Favorable response of an extensive periapical lesion to root canal treatment. J Oral Sci. 2008;50(1):107-11.

Surgical management of damaged inferior alveolar nerve caused by endodontic overfilling of calcium hydroxide paste

2015 ◽  
Vol 49 (11) ◽  
pp. 1020-1029 ◽  
Author(s):  
S.-H. Byun ◽  
S.-S. Kim ◽  
H.-J. Chung ◽  
H.-K. Lim ◽  
W.-H. Hei ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Surgical Management ◽  
Inferior Alveolar Nerve

Effect of triple antibiotic paste and calcium hydroxide on the rate of healing of periapical lesions: A systematic review

2021 ◽  
Vol 24 (4) ◽  
pp. 307
Author(s):  
NKiran Kumar ◽  
Biji Brigit ◽  
BS Annapoorna ◽  
SavithaB Naik ◽  
Seema Merwade ◽  
...  
Keyword(s):  
Systematic Review ◽  
Calcium Hydroxide ◽  
Periapical Lesions ◽  
Triple Antibiotic Paste

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

2012 ◽  
Vol 13 (6) ◽  
pp. 897-901 ◽  
Author(s):  
Kunjamma Thomas ◽  
T Prasanth Dhanapal ◽  
Elsy P Simon
Keyword(s):  
Calcium Hydroxide ◽  
Cystic Lesion ◽  
Additional Treatment ◽  
Radiographic Evaluation ◽  
Treatment Protocols ◽  
Maxillary Central Incisor ◽  
Periapical Lesions ◽  
Nonsurgical Management ◽  
Complications Of Surgery ◽  
Periapical Cyst

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.

scholarly journals Non-Surgical Management of Iatrogenic Extrusion of Calcium Hydroxide Based Intracanal Medicament in Clinical Endodontics – A Case Report

2021 ◽  
Vol 10 (33) ◽  
pp. 2863-2866
Author(s):  
Akshay Khandelwal
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Surgical Management ◽  
Case Reports ◽  
Barium Sulphate ◽  
The Past ◽  
Nonsurgical Management ◽  
System 2 ◽  
Periapical Healing ◽  
Periapical Diseases

Calcium hydroxide is used as an intracanal medicament in endodontics as it reduces intracanal microbial load and exudate discharge from infected teeth. Reports have shown that extrusion of calcium hydroxide periapically leads to an increased incidence of swelling, delayed periapical healing, nerve paraesthesia and other complications. Teeth with immature apex or those undergoing apical resorption are prone to higher chances of periapical medicament extrusion, especially under high pressure delivery systems. This case report discusses nonsurgical management of periapically extruded non-setting calcium hydroxide by an innovative technique which is less invasive and comfortable both for the clinician and the patient. Calcium hydroxide is widely used as an intracanal medicament for the treatment of pulpal and periapical diseases.1 The intracanal placement of calcium hydroxide can be done with a lentulospiral or a syringe-based delivery system.2 If extruded periapically, there is an increased incidence of swelling, delayed periapical healing, nerve paraesthesia and other complications.3 Case reports in the past have suggested surgical management of periapically extruded calcium hydroxide. The purpose of this case report is to discuss an orthograde nonsurgical management of periapically extruded calcium hydroxide based intracanal medicament containing barium sulphate during endodontic treatment.

scholarly journals The Use of Calcium Hydroxide as an Intracanal Medicament in the Treatment of Large Periapical Lesions. A Review

2020 ◽  
Vol 25 (2) ◽  
pp. 58-60
Author(s):  
Timea Dako ◽  
Mihai Pop ◽  
Julia Fulop ◽  
Janos Kantor ◽  
Monica Monea
Keyword(s):  
Conservative Treatment ◽  
Adverse Effects ◽  
Calcium Hydroxide ◽  
Antimicrobial Effect ◽  
Apical Periodontitis ◽  
Crucial Step ◽  
Periapical Lesions ◽  
Nonsurgical Management ◽  
Extra Step

AbstractCalcium hydroxide is a slow-acting antiseptic substance used in several forms for the last century in various fields of dentistry. Its applications in endodontics are by far the most meaningful including the treatment of root resorptions and perforations, inducing the apexification process, and most importantly as intracanal medicaments representing a crucial step in the nonsurgical management of large periapical lesions. The aim of this article is to conduct a review of the properties, antimicrobial effect, combination with adjuvant substances, biocompatibility, cytotoxicity, and adverse effects of calcium hydroxide-based dressings as an additional manoeuvre in the conservative treatment of chronic apical periodontitis and to draw attention on the importance of this extra step.

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

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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