Case Report
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PERİAPİKAL LEZYONLU DİŞLERİN CERRAHİ OLMAYAN TEK SEANS ENDODONTİK TEDAVİSİ: OLGU SERİSİ

Year 2025, Volume: 5 Issue: 2, 100 - 104, 29.08.2025
https://doi.org/10.61139/ijdor.1598012
https://izlik.org/JA24HC48XF

Abstract

References

  • 1. Kahler B, Taha NA, Lu J, Saoud TM. Vital pulp therapy for permanent teeth with diagnosis of irreversible pulpitis: biological basis and outcome. Aust Dent J 2023; 68:110-122.
  • 2. Sağlam BC, Karatekin C, Erol F. Nonsurgical Endodontic Treatment of Teeth with Extensive Periapical Lesions: Case Report Series. J Int Dent Sci 2019; 5(3):66-70.
  • 3. 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.
  • 4. Connert T, Truckenmüller M, ElAyouti A, Eggmann F, Krastl G, Löst C et al. Changes in periapical status, quality of root fillings and estimated endodontic treatment need in a similar urban German population 20 years later. Clin Oral Investig 2019; 23:1373–1382.
  • 5. Wang W, Wang PL, Xie NN, Wu C, Liu ZX. Outcome of one-visit and multiple-visit root canal treatment for cracked tooth with pulpitis: a meta-analysis. Shanghai Kou Qiang Yi Xue 2017; 26(6):672-679.
  • 6. Wong AW, Zhang C, Chu CH. A systematic review of nonsurgical single-visit and multiple-visit endodontic treatment. Clin Cosmet Investigator Dent 2014; 8:6:45-56.
  • 7. Abd Rahman FB, Ramakrishnan M, Niveditha MS. Single visit versus multiple visit root canal. Bioinformation. 2020; 16(12):1100-1104.
  • 8. Mergoni G, Ganim M, Lodi G, Figini L, Gagliani M, Manfredi M. Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database Syst Rev. 2022; 12(12):CD005296.
  • 9. Mohammadi Z, Farhad A, Tabrizizadeh M. One-visit versus multiple-visit endodontic therapy-a review. Int Dent J 2006; 56(5):289-93
  • 10. Saatchi M. Healing of large periapical lesion: a non-surgical endodontic treatment approach. Aust Endod J 2007; 33(3):136-40
  • 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. Gulabivala K, Ng YL. Factors that affect the outcomes of root canal treatment and retreatment-A reframing of the principles. Int Endod J 2023; 56(2):82-115
  • 13. Manfredi M, Figini L, Gagliani M, Lodi G. Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database Syst Rev. 2016; 1;12(12):CD005296
  • 14. Schwendicke F, Göstemeyer G. Single-visit or multiple-visit root canal treatment: systematic review, meta-analysis and trial sequential analysis. BMJ Open. 2017; 1;7(2):e013115.

Nonsurgical Single-Visit Endodontic Treatment Approach to Periapical Lesions: Case Series

Year 2025, Volume: 5 Issue: 2, 100 - 104, 29.08.2025
https://doi.org/10.61139/ijdor.1598012
https://izlik.org/JA24HC48XF

Abstract

This article presents the healing process of four cases with periapical lesions following endodontic treatment without surgical intervention, accompanied by radiographic evaluations. In the first case, a 29-year-old female patient presented with intense percussion sensitivity and a periapical lesion in the left upper second premolar tooth. The second case involved a 45-year-old female patient with an extensive periapical lesion originating from the left lower premolar tooth beneath a bridge. The third case concerned a 17-year-old female patient with a fluctuant acute apical lesion associated with the left upper lateral incisor tooth. In the fourth case, a 16-year-old male patient exhibited a fluctuant abscess and a large lesion visible on radiography, originating from the right lower first molar tooth. Following root canal instrumentation, the canals were sequentially irrigated with 2.5 milliliters (ml) of 2.5% NaOCl (Imıcryl) and 2.5 ml of 17% EDTA (Imıcryl), followed by sonic activation (EndoActivator). The root canals were obturated with AH Plus (Dentsply Sirona) and gutta-percha (Cerkamed). Clinical and radiographic examination after 6 months of follow-up revealed improvement. Following successful single-session endodontic treatment performed without surgical intervention, periapical lesions may heal, and teeth can function asymptomatically in the oral cavity.

Ethical Statement

All patients were asked to read and sign an informed consent form before treatment.

Supporting Institution

none

Thanks

none

References

  • 1. Kahler B, Taha NA, Lu J, Saoud TM. Vital pulp therapy for permanent teeth with diagnosis of irreversible pulpitis: biological basis and outcome. Aust Dent J 2023; 68:110-122.
  • 2. Sağlam BC, Karatekin C, Erol F. Nonsurgical Endodontic Treatment of Teeth with Extensive Periapical Lesions: Case Report Series. J Int Dent Sci 2019; 5(3):66-70.
  • 3. 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.
  • 4. Connert T, Truckenmüller M, ElAyouti A, Eggmann F, Krastl G, Löst C et al. Changes in periapical status, quality of root fillings and estimated endodontic treatment need in a similar urban German population 20 years later. Clin Oral Investig 2019; 23:1373–1382.
  • 5. Wang W, Wang PL, Xie NN, Wu C, Liu ZX. Outcome of one-visit and multiple-visit root canal treatment for cracked tooth with pulpitis: a meta-analysis. Shanghai Kou Qiang Yi Xue 2017; 26(6):672-679.
  • 6. Wong AW, Zhang C, Chu CH. A systematic review of nonsurgical single-visit and multiple-visit endodontic treatment. Clin Cosmet Investigator Dent 2014; 8:6:45-56.
  • 7. Abd Rahman FB, Ramakrishnan M, Niveditha MS. Single visit versus multiple visit root canal. Bioinformation. 2020; 16(12):1100-1104.
  • 8. Mergoni G, Ganim M, Lodi G, Figini L, Gagliani M, Manfredi M. Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database Syst Rev. 2022; 12(12):CD005296.
  • 9. Mohammadi Z, Farhad A, Tabrizizadeh M. One-visit versus multiple-visit endodontic therapy-a review. Int Dent J 2006; 56(5):289-93
  • 10. Saatchi M. Healing of large periapical lesion: a non-surgical endodontic treatment approach. Aust Endod J 2007; 33(3):136-40
  • 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. Gulabivala K, Ng YL. Factors that affect the outcomes of root canal treatment and retreatment-A reframing of the principles. Int Endod J 2023; 56(2):82-115
  • 13. Manfredi M, Figini L, Gagliani M, Lodi G. Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database Syst Rev. 2016; 1;12(12):CD005296
  • 14. Schwendicke F, Göstemeyer G. Single-visit or multiple-visit root canal treatment: systematic review, meta-analysis and trial sequential analysis. BMJ Open. 2017; 1;7(2):e013115.
There are 14 citations in total.

Details

Primary Language English
Subjects Endodontics
Journal Section Case Report
Authors

Berkcan Güner 0009-0006-4931-6606

Esra Balkanlıoğlu 0009-0009-0903-7129

Aliye Kamalak 0000-0003-2103-0826

Submission Date December 7, 2024
Acceptance Date February 27, 2025
Early Pub Date August 26, 2025
Publication Date August 29, 2025
DOI https://doi.org/10.61139/ijdor.1598012
IZ https://izlik.org/JA24HC48XF
Published in Issue Year 2025 Volume: 5 Issue: 2

Cite

APA Güner, B., Balkanlıoğlu, E., & Kamalak, A. (2025). Nonsurgical Single-Visit Endodontic Treatment Approach to Periapical Lesions: Case Series. HRU International Journal of Dentistry and Oral Research, 5(2), 100-104. https://doi.org/10.61139/ijdor.1598012
AMA 1.Güner B, Balkanlıoğlu E, Kamalak A. Nonsurgical Single-Visit Endodontic Treatment Approach to Periapical Lesions: Case Series. HRU Int J Dent Oral Res. 2025;5(2):100-104. doi:10.61139/ijdor.1598012
Chicago Güner, Berkcan, Esra Balkanlıoğlu, and Aliye Kamalak. 2025. “Nonsurgical Single-Visit Endodontic Treatment Approach to Periapical Lesions: Case Series”. HRU International Journal of Dentistry and Oral Research 5 (2): 100-104. https://doi.org/10.61139/ijdor.1598012.
EndNote Güner B, Balkanlıoğlu E, Kamalak A (August 1, 2025) Nonsurgical Single-Visit Endodontic Treatment Approach to Periapical Lesions: Case Series. HRU International Journal of Dentistry and Oral Research 5 2 100–104.
IEEE [1]B. Güner, E. Balkanlıoğlu, and A. Kamalak, “Nonsurgical Single-Visit Endodontic Treatment Approach to Periapical Lesions: Case Series”, HRU Int J Dent Oral Res, vol. 5, no. 2, pp. 100–104, Aug. 2025, doi: 10.61139/ijdor.1598012.
ISNAD Güner, Berkcan - Balkanlıoğlu, Esra - Kamalak, Aliye. “Nonsurgical Single-Visit Endodontic Treatment Approach to Periapical Lesions: Case Series”. HRU International Journal of Dentistry and Oral Research 5/2 (August 1, 2025): 100-104. https://doi.org/10.61139/ijdor.1598012.
JAMA 1.Güner B, Balkanlıoğlu E, Kamalak A. Nonsurgical Single-Visit Endodontic Treatment Approach to Periapical Lesions: Case Series. HRU Int J Dent Oral Res. 2025;5:100–104.
MLA Güner, Berkcan, et al. “Nonsurgical Single-Visit Endodontic Treatment Approach to Periapical Lesions: Case Series”. HRU International Journal of Dentistry and Oral Research, vol. 5, no. 2, Aug. 2025, pp. 100-4, doi:10.61139/ijdor.1598012.
Vancouver 1.Güner B, Balkanlıoğlu E, Kamalak A. Nonsurgical Single-Visit Endodontic Treatment Approach to Periapical Lesions: Case Series. HRU Int J Dent Oral Res [Internet]. 2025 Aug. 1;5(2):100-4. Available from: https://izlik.org/JA24HC48XF