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 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 Perawatan endodontik konvensional pada gigi molar pertama kanan rahang bawah dengan kista radikuler Conventional endodontic treatment in lower right first molar with radicular cyst

2012 ◽  
Vol 11 (1) ◽  
pp. 18
Author(s):  
Badi Soerachman ◽  
Moch. Richata Fadil ◽  
Endang Sukartini ◽  
Milly Armilia
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Healing Process ◽  
Poor Quality ◽  
Endodontic Treatment ◽  
Hard Tissue ◽  
Periapical Lesions ◽  
Gutta Percha ◽  
Periapical Cyst

Abnormalities of the teeth that have had periapical endodontic treatment generally due to recurrent infections of root canal. Infection of the root canal is caused by leakage due to poor quality of coronal restoration and iatrogenicfactors. Root canal treatment of the tooth with periapical cyst generally do conventionally. Medication materialsused for healing of periapical lesions is calcium hydroxide, since it has properties not irritating, alkaline pH andantibacterial capabilities, so it is a biological stimulator for the formation of hard tissue in the area of damage andis expected to accelerate the healing process. It was reported the case of a 23-year-old student came to the Dentalclinic of Conservation Specialist RSGM Sekeloa with complaints lower right back teeth has restored with amalgam,no pain, but less comfortable when chewing. The results obtained after treatment with calcium hydroxide andmedikamen gutta percha filling with resin-based root canal cement. Approximately 4 months later, the periapicalradiolucent area had thinned. So it was concluded that conventional endodontic treatment proved to heal periapicallesions including cysts, as long as the treatment is taken adequately.

scholarly journals Treatment of extensive cystic lesion in the maxilla associated with dens in dente

2016 ◽  
Vol 19 (3) ◽  
pp. 117
Author(s):  
Aline Lie Ishida ◽  
Marcos Sergio Endo ◽  
Alfredo Franco Queiroz ◽  
Willian Pecin Jacomacci ◽  
Gustavo Zanna Ferreira ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Sodium Hypochlorite ◽  
Dental Care ◽  
Cystic Lesion ◽  
Surgical Intervention ◽  
Integrated Approach ◽  
Dental Development ◽  
Type Ii ◽  
Periapical Lesions ◽  
Dens In Dente

<p class="Normal1">Dens in dente is a dental development malformation that involves more commonly the upper lateral incisors. Infection of the canal of these teeth can cause the formation of chronic periapical lesions. The present study aimed to describe an integrated approach between the endodontic therapy and surgical intervention in an upper lateral incisor with dens in dente type II. A female patient, 14 years old, looked for dental care complaining of left palatal and paranasal bulging. Clinical, radiological and histopathological findings suggested periradicular cyst. First, marsupialization was performed to reduce the size of the lesion and to favor its enucleation, with less risk of injuring the tooth and vital structures. After diagnosis of pulp necrosis and in attempt to reduce the infection via canal, we used the reciprocating instrumentation associated with irrigation with sodium hypochlorite, intracanal medication based on calcium hydroxide and filled with a thermoplastic filling. After a year of marsupialization, fistulectomy and complete enucleation of the lesion were performed. Proservation was performed 1, 3, 6 and 12 months following marsupialization. Six months after enucleation, we observed the periradicular repair and remission of symptoms. The extensive apical lesion associated with dens in dente type II can be treated with a combination of surgical and endodontic therapy.</p>

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.

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 Nonsurgical management of complex endodontic cases with several periapical lesions: a case series

2016 ◽  
Vol 30 (2) ◽  
pp. 101-110 ◽  
Author(s):  
Alfredo Iandolo ◽  
Giuseppe Pantaleo ◽  
Mariano Malvano ◽  
Michele Simeone ◽  
Massimo Amato
Keyword(s):  
Case Series ◽  
Periapical Lesions ◽  
Nonsurgical Management

scholarly journals Structural Evaluation on Sugarcane Bagasse Treated Using Sodium and Calcium Hydroxide

2019 ◽  
Vol 130 ◽  
pp. 01018
Author(s):  
Juliana Anggono ◽  
Hariyati Purwaningsih ◽  
Suwandi Sugondo ◽  
Steven Henrico ◽  
Sanjaya Sewucipto ◽  
...  
Keyword(s):  
Weight Loss ◽  
Calcium Hydroxide ◽  
Structural Changes ◽  
Natural Fiber ◽  
Treatment Time ◽  
Alkali Treatment ◽  
Natural Fibers ◽  
Additional Treatment ◽  
Structural Evaluation ◽  
By Products

Greater interest in recent years to the increase demand in using natural fiber reinforcement of polymers is to comply with the increasing stringent international protocols related to climate change and environmental awareness. Many studies have reported the development of renewable and biodegradable agricultural by-products as reinforcement fibers for biocomposites. One of the essential factors in producing strong biocomposites is the properties prepared from the natural fibers which results from the alkalitreatment given. This research aims to evaluate the effect of different treatment duration on structural changes on sugarcane after alkali treatment using sodium hydroxide (NaOH) and calcium hydroxide (Ca(OH)2) solutions. Calcium hydroxide was used as comparative solution in search for milder and more environmental friendly alkali solution as an alternative solution of NaOH. Fourier Transform Infrared (FTIR) confirmed the major removal of lignin and minor of hemicellulose. It shows that the structure did not change considerably with the additional treatment time. The weight loss measurement after each treatmentshows a higher weight loss with the treatment with NaOH (40.5 % to 57.75 %) than the weight loss after Ca(OH)2 treatment (25 % to 46 %). Scanning electron microscope (SEM) observed the morphology changes onthe fiber from both treatments.

Local Drug Delivery as an Adjunct to Surgical Intervention in the Management of Periapical Cyst

2017 ◽  
Vol 2 (1) ◽  
pp. 28-31 ◽  
Author(s):  
Anulekh Babu ◽  
P Sajith Chandran ◽  
CU Vivekchand ◽  
Lija I Parackal ◽  
Susan Jacob ◽  
...  
Keyword(s):  
Drug Delivery ◽  
Root Canal ◽  
Antimicrobial Agents ◽  
Surgical Intervention ◽  
Treatment Options ◽  
Local Drug Delivery ◽  
Prolonged Release ◽  
Present Case Report ◽  
Periapical Lesions ◽  
Periapical Cyst

ABSTRACT Radicular cysts are the most common cystic lesions affecting the jaws. They arise from the epithelial remnants in the periodontal ligament as a result of the stimulus from periapical infection following pulpal necrosis. Treatment options to manage large periapical lesions range from nonsurgical root canal treatment or apical surgery to extraction. New approaches involve the use of local drug delivery systems based on microparticles/nanoparticles made from biocompatible polymers along with surgical intervention. Such devices enable the introduction of antimicrobial agents or other drugs directly in the periradicular area or inside the root canal, and the prolonged release of constant concentrations of these agents for fast and better healing. The present case report illustrates the combined endodontic and surgical management of a large periapical cyst with local drug delivery as an adjunct. How to cite this article Chandran PS, Babu A, Vivekchand CU, Parackal LI, Jacob S, Simon D. Local Drug Delivery as an Adjunct to Surgical Intervention in the Management of Periapical Cyst. Cons Dent Endod J 2017;2(1):28-31.

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