Non-surgical healing of persistant periapical lesions by novel modified apexum procedure –Report of cases ( Case Report)

2021 ◽  
Vol 1 (4) ◽  
pp. 137-140
Author(s):  
Sheetal Ghivari ◽  
V.M. Uppin ◽  
Madhu Pujar ◽  
Shruthi Havaldar ◽  
Abhipsha Lahiri
2016 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Zakieh Donyavi ◽  
Elham Khoshbin ◽  
Zeinab Kavandi

2013 ◽  
Vol 2013 ◽  
pp. 1-12
Author(s):  
Vijay Shekhar ◽  
K. Shashikala

The aim of this case report is to present two cases where cone beam computed tomography (CBCT) was used for the diagnosis, treatment planning, and followup of large periapical lesions in relation to maxillary anterior teeth treated by endodontic surgery. Periapical disease may be detected sooner using CBCT, and their true size, extent, nature, and position can be assessed. It allows clinician to select the most relevant views of the area of interest resulting in improved detection of periapical lesions. CBCT scan may provide a better, more accurate, and faster method to differentially diagnose a solid (granuloma) from a fluid-filled lesion or cavity (cyst). In the present case report, endodontic treatment was performed for both the cases followed by endodontic surgery. Biopsy was done to establish the confirmatory histopathological diagnosis of the periapical lesions. Long-term assessment of the periapical healing following surgery was done in all the three dimensions using CBCT and was found to be more accurate than IOPA radiography. It was concluded that CBCT was a useful modality in making the diagnosis and treatment plan and assessing the outcome of endodontic surgery for large periapical lesions.


2020 ◽  
Vol 2 ◽  
pp. 120-123
Author(s):  
Munish Singla ◽  
Iyana Garg ◽  
Vandana Goyal ◽  
Harleen Kaur ◽  
Litik Mittal

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.


2013 ◽  
Vol 4 (3) ◽  
pp. 214-216 ◽  
Author(s):  
Mridula Trehan ◽  
Prateek Agarwal ◽  
Abhishek Vashistha

ABSTRACT Cystic lesions are frequent in the oral cavity. They are defined as a pathologic cavity with or without fluid or semifluid material. Radicular cysts are the most common odontogenic cystic lesions of inflammatory origin affecting the jaws. They are most commonly found at the apices of the involved teeth. This case report presents the successful surgical management of large infected radicular cyst involving entire body region of right side of mandible. We illustrate the possibility of healing of cystic periapical lesions with conservation of vital structures. How to cite this article Agarwal P, Sharma S, Trehan M, Vashistha A. Management of Infected Radicular Cyst by Marsupialization. World J Dent 2013;4(3):214-216.


2017 ◽  
Vol 74 (10) ◽  
pp. 987-991
Author(s):  
Nemanja Vukovic ◽  
Marjan Marjanovic ◽  
Bojan Jovicic ◽  
Ema Aleksic ◽  
Katarina Kalevski ◽  
...  

Introduction. Periapical inflammatory lesions are local bone responses around the apex of a tooth that occur after necrosis of the pulp tissue. The ultimate goal of reconstructive surgical techniques in the treatment of the intra-bone defects is a regeneration of lost bone tissue. The aim of this report was to evaluate clinical and radiographic outcome following the removal of two big, periapical lesions, approximately of the same size, located around maxillary lateral incisors, in the same person at the same time, using two different regenerative approaches. Case report. A healthy, 21-year-old female presented with two large periapical lesions around both upper lateral incisors, and a surgical treatment was indicated. One residual defect (tooth #12) was filled with the mixture of bovinederived hydroxyapatite xenograft and platelet rich fibrin (PRF) gel and covered with PRF membrane, while the other (tooth #22) was filled with bovine-derived hydroxyapatite xenograft only and covered with a resorbable collagen membrane. Clinical and radiographic examinations were performed seven months after the surgery. All clinical and radiographic parameters were significantly improved after the treatment on both sites; however, a newly formed bone around the tooth 12 showed a higher bone density. Conclusion. The use of PRF significantly speeded up filling of the defect compared to bovine- derived hydroxyapatite xenograft.


2019 ◽  
Vol 32 (2) ◽  
pp. 70-75
Author(s):  
Dario Re Cecconi ◽  
Roberto Fornara

Aim: Ludwig’s angina is a rare aggressive infection, often of dental origin, characterized by a rapid spread of cellulitis in the submandibular and sublingual spaces. Ludwig[42TD$DIF]’s angina is potentially fatal, if it obstructs the airways and if it is not treated with appropriate antibiotic therapy. Summary: The case report describes the diagnosis and the management of a Ludwig[42TD$DIF]’s angina caused by an endodontic infection in a 16 years-old female patient. The infection has been caused by a decay of the second lower right molar. After hospitalization and systemic antibiotic therapy, in accordance with the patient and the parents endodontic and restorative treatments of the tooth were performed. After 3 and 5 years, the radiological examination revealed no periapical lesions around right lower second molar and the presence of lamina dura. Key learning points: This aggressive infection may often be undervalued and this may cause dangerous consequences to the patient[43TD$DIF]’s life. The infection can be prevented by periodic dental care and interventions, which can avoid odontogenic infections. In the case of Ludwig’s angina, early diagnosis is fundamental to save the patient’s life. After the initial antibiotic therapy and once the life of the patient is no longer at risk, an appropriate endodontic therapy can be considered a valid therapy for this disease.


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