NON-SURGICAL ENDODONTIC TREATMENTS OF CYST-LIKE LARGE PERIAPICAL LESIONS: TWO CASE REPORT

Year 2020, Volume: 6 Issue: 1, 15 - 21, 01.04.2020

Safa Kurnaz Gülsen Kiraz

Abstract

Treatment options of teeth with large periapical
lesions include endodontic treatment, surgical
treatments and tooth extraction. This case report
shows the endodontic treatments and the healing
process of two cases with large cyst-like periapical
lesions without surgical treatment. In the first case,
a 20-year-old male patient has a large periapical
lesion between teeth number 21-25, and in the
second case, a 39-year-old male patient has a large
periapical lesion between teeth number 11-15.
Drainage was provided from the root canals of the
teeth associated with the lesion and the root canal
preparations were completed and calcium hydroxide
was applied as an intracanal medicament. After
intracanal medication was applied for 3 weeks, root
canals were obturated and patients were followed
up. As a result of 1.5 and 2-year follow-up, the
clinical and radiographic examination showed a
complete healing of the lesions. This case report
shows that teeth with large cystic-like lesions can be
healed with endodontic treatments without surgical
approach with appropriate treatment approach.

Keywords

Calcium Hydroxide, Cyst, Endodontic Treatment, Periapical Healing, Periapical Lesion

KİST BENZERİ GENİŞ PERİAPİKAL LEZYONLU DİŞLERİN CERRAHİ OLMAYAN ENDODONTİK TEDAVİLERİ: İKİ VAKA RAPORU

Abstract

Büyük periapikal lezyonlu dişlerin tedavi seçenekleri arasında endodontik tedavi, cerrahi tedaviler ve dişin çekimi yer alır. Bu makalede kist benzeri geniş periapikal lezyonlu iki vakanın cerrahi girişim olmadan yapılan endodontik tedavilerini ve iyileşme süreci gösterilmektedir. İlk vakada 20 yaşında erkek hastada 21-25 numaralı dişler arasında izlenen geniş periapikal lezyon, ikinci vakada ise 39 yaşındaki erkek hastada 11-15 numaralı dişler arasında izlenen geniş periapikal lezyon mevcuttur. Lezyonla ilişkili dişlerin kök kanallarından drenaj sağlanmış ve kök kanal preparasyonları tamamlanarak kanal içi medikament olarak kalsiyum hidroksit uygulanmıştır. Kanal içi ilaç 3 hafta uygulandıktan sonra kök kanalları doldurulmuş ve hastalar takibe alınmıştır. 1,5 ve 2 yıllık takipler sonucunda klinik ve radyografik muayenede lezyonlarda tamamen iyileşme gözlenmiştir. Bu olgu sunumu, doğru ve etkili tedavi yaklaşımı ile kist benzeri geniş periapikal lezyonlu dişlerin cerrahi yaklaşım olmadan yapılan endodontik tedaviler ile iyileşebileceğini göstermektedir.

Keywords

Kalsiyum Hidroksit, Kist, Endodontik Tedavi, Periapikal İyileşme, Periapikal Lezyon

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