Abstract

  Infected pulp tissue is the major cause of periapical lesions, a majority of which are granulomas, radicular cysts or abscess. These lesions can only be diagnosed histologically. Root canal treatment or non surgical endodontic treatment is the treatment of choice in these cases without surgical intervention. Healing after the non surgical treatment takes place in about one year. In non surgical treatment emphasis is laid on thorough debridement, disinfection of the root canal system and obturation of canals. There are higher rate of healing in the anterior segment as compared to the posterior segment. The periapical index (PAI) is widely used measure to know the status of the periapical tissues. Thus, conventional endodontic therapy in combination with calcium hydroxide as an intracanal medicament contributed effectively in healing of periapical lesions in these cases.

Keywords: Periapical Lesions; Non Surgical Endodontic Treatment; Periapical Index

References

1. Bhaskar SN. “Periapical lesion-types, incidence and clinical features”. Oral Surgery, Oral Medicine and Oral Pathology 21 (1966): 657-671.
2. Marending M., et al. “Factors affecting the outcome of orthograde root canal therapy in a general dentistry hospital practice”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology 99 (2005): 119-124.
3. Farzaneh Mahsa., et al. “Treatment outcome in endodontics-the Toronto Study. Phase II: initial treatment”. Journal of Endodontics5 (2004): 302-309.
4. Fernandes M and Ataide Id. “Nonsurgical management of periapical lesions”. Journal of Conservative Dentistry 13 (2010): 240-245.
5. Mirkoviç S., et al. “Comparative analysis of accuracy of diagnosis of chronic periapical lesions made by clinical and histopatological examination”. Medicinski Pregled 65 (2012): 277-280.
6. Broon NJ., et al. “Repair of large periapical radiolucent lesions of endodontic origin without surgical treatment”. Australian Endodontic Journal 33 (2007): 36-41.
7. Paredes-Vieyra J and Enriquez FJ. “Success Rate of Single- versus Two-visit Root Canal Treatment of Teeth with Apical Periodontitis: A Randomized Controlled Trial”. Journal of Endodontics 38 (2012): 1164-1169.
8. Strindberg LZ. “The dependence of the result of pulp therapy on certain factors. An analytic study based on radiographic and clinical follow-up examinations”. Acta Odontologica Scandinavian21 (1956): 1-175.
9. Sjogren U., et al. “Factors affecting the long-term results of endodontic treatment”. Journal of Endodontics 16 (1990): 31-37.
10. Saatchi M. “Healing of large periapical lesion: a nonsurgical endodontic treatment approach”. Australian Endodontic Journal 33 (2007): 136-140.

Citation

Citation: Nayantara Sud. “Healing of Periapical Lesions with Conventional Root Canal Treatment: A Case Report". Acta Scientific Dental Sciences 4.12 (2020): 53-56.

Copyright

Copyright: © 2020 Nayantara Sud. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.