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Treatment of Large Periapical Cyst Like Lesion: A Noninvasive Approach: A Report of Two Cases.

Sood N, Maheshwari N, Gothi R, Sood N - Int J Clin Pediatr Dent (2015)

Bottom Line: How to cite this article: Sood N, Maheshwari N, Gothi R, Sood N.Treatment of Large Periapical Cyst Like Lesion: A Noninvasive Approach: A Report of Two Cases.Int J Clin Pediatr Dent 2015;8(2):133-137.

View Article: PubMed Central - PubMed

Affiliation: Reader, Department of Conservative Dentistry and Endodontics Vananchal Dental College, Garhwa, Jharkhand, India.

ABSTRACT
Periapical lesions develop as sequelae to pulp disease. Periapical radiolucent areas are generally diagnosed either during routine dental radiographic examination or following acute toothache. Various methods can be used in the nonsurgical management of periapical lesions: the conservative root canal treatment, decompression technique, active nonsurgical decompression technique, aspiration-irrigation technique, method using calcium hydroxide, lesion sterilization and repair therapy and the apexum procedure. Monitoring the healing of periapical lesions is essential through periodic follow-up examinations. The ultimate goal of endodontic therapy should be to return the involved teeth to a state of health and function without surgical intervention. All inflammatory periapical lesions should be initially treated with conservative nonsurgical procedures. Surgical intervention is recommended only after nonsurgical techniques have failed. Besides, surgery has many drawbacks, which limit its use in the management of periapical lesions. How to cite this article: Sood N, Maheshwari N, Gothi R, Sood N. Treatment of Large Periapical Cyst Like Lesion: A Noninvasive Approach: A Report of Two Cases. Int J Clin Pediatr Dent 2015;8(2):133-137.

No MeSH data available.


Related in: MedlinePlus

Eighteen months postoperative photograph
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Figure 14: Eighteen months postoperative photograph

Mentions: An 18 years old female patient reported to the dental clinic with the chief complaint of pain and in the upper right tooth region and a palatal swelling. Patient gave a medical history of asthma. Patient gave a dental history of incomplete root canal 10 years back i.r.t. 21. At that time patient did not seek any further treatment. On examination severe tenderness was seen w.r.t. 21, 22. Palatal swelling was seen in the rugae area with a profound stoma present (Fig. 9). Discoloration was seen w.r.t. 21. Vitality tests were done and 21 was found to be nonvital and delayed response was seen in 22. Hot and cold test were also done in which 21 was negative and 22 gave a delayed response. Lymph nodes were non palpable. Radiograph was done in which a large periapical radio-lucency was seen w.r.t. 21, 22 (Fig. 10). Emergency access opening was done without the rubber dam as the patient was asthmatic. A thick purulent discharge followed. Similar irrigation protocol and positive aspiration was followed for this patient as well. Calcium hydroxide was given as intracanal medicament for next 8 weeks (Fig. 11). The dressing was changed regularly. Metapex dressing was removed and then the teeth were obturated after 6 months (Fig. 12). Further the patient was followed for 18 months postoperatively and radiographically good healing was seen (Fig. 13). On clinical examination after 18 months, no palatal swelling was seen and no discomfort was reported by the patient (Fig. 14).


Treatment of Large Periapical Cyst Like Lesion: A Noninvasive Approach: A Report of Two Cases.

Sood N, Maheshwari N, Gothi R, Sood N - Int J Clin Pediatr Dent (2015)

Eighteen months postoperative photograph
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4562047&req=5

Figure 14: Eighteen months postoperative photograph
Mentions: An 18 years old female patient reported to the dental clinic with the chief complaint of pain and in the upper right tooth region and a palatal swelling. Patient gave a medical history of asthma. Patient gave a dental history of incomplete root canal 10 years back i.r.t. 21. At that time patient did not seek any further treatment. On examination severe tenderness was seen w.r.t. 21, 22. Palatal swelling was seen in the rugae area with a profound stoma present (Fig. 9). Discoloration was seen w.r.t. 21. Vitality tests were done and 21 was found to be nonvital and delayed response was seen in 22. Hot and cold test were also done in which 21 was negative and 22 gave a delayed response. Lymph nodes were non palpable. Radiograph was done in which a large periapical radio-lucency was seen w.r.t. 21, 22 (Fig. 10). Emergency access opening was done without the rubber dam as the patient was asthmatic. A thick purulent discharge followed. Similar irrigation protocol and positive aspiration was followed for this patient as well. Calcium hydroxide was given as intracanal medicament for next 8 weeks (Fig. 11). The dressing was changed regularly. Metapex dressing was removed and then the teeth were obturated after 6 months (Fig. 12). Further the patient was followed for 18 months postoperatively and radiographically good healing was seen (Fig. 13). On clinical examination after 18 months, no palatal swelling was seen and no discomfort was reported by the patient (Fig. 14).

Bottom Line: How to cite this article: Sood N, Maheshwari N, Gothi R, Sood N.Treatment of Large Periapical Cyst Like Lesion: A Noninvasive Approach: A Report of Two Cases.Int J Clin Pediatr Dent 2015;8(2):133-137.

View Article: PubMed Central - PubMed

Affiliation: Reader, Department of Conservative Dentistry and Endodontics Vananchal Dental College, Garhwa, Jharkhand, India.

ABSTRACT
Periapical lesions develop as sequelae to pulp disease. Periapical radiolucent areas are generally diagnosed either during routine dental radiographic examination or following acute toothache. Various methods can be used in the nonsurgical management of periapical lesions: the conservative root canal treatment, decompression technique, active nonsurgical decompression technique, aspiration-irrigation technique, method using calcium hydroxide, lesion sterilization and repair therapy and the apexum procedure. Monitoring the healing of periapical lesions is essential through periodic follow-up examinations. The ultimate goal of endodontic therapy should be to return the involved teeth to a state of health and function without surgical intervention. All inflammatory periapical lesions should be initially treated with conservative nonsurgical procedures. Surgical intervention is recommended only after nonsurgical techniques have failed. Besides, surgery has many drawbacks, which limit its use in the management of periapical lesions. How to cite this article: Sood N, Maheshwari N, Gothi R, Sood N. Treatment of Large Periapical Cyst Like Lesion: A Noninvasive Approach: A Report of Two Cases. Int J Clin Pediatr Dent 2015;8(2):133-137.

No MeSH data available.


Related in: MedlinePlus