NON-SURGICAL ENDODONTIC TREATMENT APPROACH TO LARGE PERIAPICAL LESION: TWO CASE REPORTS

Abstract

In this article, the healing process of two cases with large periapical lesions after endodontic treatment without surgical approach is presented to get her with radiographic evaluations. In the first case, a large periapical lesion originating from the upper left lateral tooth with extraoral swelling was observed in a 17-year-old female patient, and in the second case, a periapical lesion originating from the lower right molar tooth was observed in a 15-year-old female patient. After the preparation of the root canals, the canals were filled with calcium hydroxide. The root canal filling was finished with AH Plus and gutta-percha. Complete recovery was observed in the clinical and radiographic examination 1 year later. In this case report, it is explained that large periapical lesions can heal after successful endodontic treatments without the need for surgical intervention.

Keywords

• Calcium hydroxide
• endodontic treatment
• periapical healing
• periapical lesion

BÜYÜK PERİAPİKAL LEZYONLARA CERRAHİ OLMAYAN ENDODONTİK TEDAVİ YAKLAŞIMI: İKİ OLGU SUNUMU

Abstract

Bu makalede cerrahi yaklaşım olmaksızın endodontik tedavi sonrası iki geniş periapikal lezyonlu vakanın iyileşme süreci radyografik değerlendirmeler ile birlikte verilmiştir. İlk olguda 17 yaşında kadın hastada ekstra oral şişlikle seyreden sol üst lateral diş kaynaklı geniş bir periapikal lezyon, ikinci olguda ise 15 yaşında kadın hastada sağ alt molar diş kaynaklı periapikal lezyon görülmektedir. Kök kanallarının preparasyonu yapıldıktan sonra kanallar kalsiyum hidroksit ile dolduruldu. Kök kanal dolgusu, AH Plus ve güta perkayla bitirildi. Bir sene sonraki klinik ve radyografik muayenede tamamen iyileşme gözlendi. Bu olgu raporunda cerrahi müdahaleye gerek kalmadan başarılı bir şekilde yapılan endodontik tedaviler sonrasında geniş periapikal lezyonların iyileşebileceği anlatılmıştır.

Keywords

• Kalsiyum hidroksit
• endodontik tedavi
• periapikal iyileşme
• periapikal lezyon

Supporting Institution

yok

Ethical Statement

The informed consent form was read to the patient and the parents and consent was obtained.

Thanks

yok

References

1. 1. Çırakoğlu NY. Mandibulada Kist Benzeri Geniş Periapikal Lezyonun Cerrahi Olmayan Endodontik Tedavisi. Unika Sağlık Bilimleri Dergisi. 2022;2(2):289-95.
2. 2. Sağlam BC, Karatekin C, Erol F. Geniş Periapikal Lezyonlu Dişlerin Cerrahi Olmayan Endodontik Tedavisi: Olgu Sunumu Serisi. J Int Dent Sci. 2019;5(3):66-70.
3. 3. Harty F, Parkins B, Wengraf A. The success rate of apicectomy: A retrospective study of 1, 016 cases. Br Dent J. 1970;129(9):407-13.
4. 4. Çalışkan M. Prognosis of large cyst‐like periapical lesions following nonsurgical root canal treatment: a clinical review. Int Endod J. 2004;37(6):408-16.
5. 5. Vier‐Pelisser FV, Pelisser A, Recuero LC, Só MVR, Borba MG, Figueiredo JAPd. Use of cone beam computed tomography in the diagnosis, planning and follow up of a type III dens invaginatus case. Int Endod J. 2012;45(2):198-208.
6. 6. Fregnani E, Spinola L, Sônego J, Bueno C, De Martin A. Complex endodontic treatment of an immature type III dens invaginatus. A case report. Int Endod J. 2008;41(10):913-9.
7. 7. Bayram E, Eren H. Endodontik Tedavisi yapilmiş geniş periapikal lezyonlu dişlerin uzun dönem radyografik takibi: 2 olgu sunumu. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2015;25:39-43.
8. 8. Çelenk S, Ayna Be, Bolgül Bs, Atakul F. Geniş Çapli Periapikal Lezyonun Tedavisi (3 Yıllık Takip Çalışması): Olgu Sunumu. J Dent Sci. 2005;11(3):69-72.

9. 9. Shadmehr E, Farhad AR. Clinical management of dens invaginatus type 3: a case report. Iran Endod J. 2011;6(3):129.
10. 10. Saatchi M. Healing of large periapical lesion: A non‐surgical endodontic treatment approach. Aust Endod J. 2007;33(3):136-40.
11. 11. Riccitiello F, Stabile P, Amato M, Rengo S, D'Ambrosio C. The treatment of the large periradicular endodontic injury. Minerva Stomatologica. 2011;60(9):417-26.
12. 12. GB S. Reduction of intracanal bacteria using nickel-titanium rotary instrumentation and various medications. J Endod. 2000;26:751-5.
13. 13. Öztan M. Endodontic treatment of teeth associated with a large periapical lesion. Int Endod J. 2002;35(1):73-8.
14. 14. Çalışkan MK, Türkün M. Periapical repair and apical closure of a pulpless tooth using calcium hydroxide. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, and Endodontol. 1997;84(6):683-7.
15. 15. Çelik K, Belli S. Periapical Cysts and Relationships with Root Canal Therapy. Turkiye Klinikleri Dishekimligi Bilimleri Dergisi. 2012;18(1):64.
16. 16. Smith EA, Marshall JG, Selph SS, Barker DR, Sedgley CM. Nonsteroidal anti-inflammatory drugs for managing postoperative endodontic pain in patients who present with preoperative pain: a systematic review and meta-analysis. J Endod. 2017;43(1):7-15.
17. 17. Ather A, Patel B, Ruparel NB, Diogenes A, Hargreaves KM. Coronavirus disease 19 (COVID-19): implications for clinical dental care. J Endod. 2020;46(5):584-95.
18. 18. Mohammadi Z, Jafarzadeh H, Shalavi S. Antimicrobial efficacy of chlorhexidine as a root canal irrigant: a literature review. J Oral Sci. 2014;56(2):99-103.
19. 19. Gomes BP, Vianna ME, Zaia AA, Almeida JFA, Souza-Filho FJ, Ferraz CC. Chlorhexidine in endodontics. Brazil Dent J. 2013;24(2):89-102.
20. 20. Bernardi A, Teixeira CS. The properties of chlorhexidine and undesired effects of its use in endodontics. Quintessence Int. 2015;46(7).