T he clinician is often confronted with the problem of treating an extensive periapical lesion which may be cystic as a result of pulpal pathosis. Surgical management by curettement and/or apical resection has usually been the accepted procedure for such lesions. However, in cases in which extensive periapical lesions are visualized on the roentgenograms, a surgical approach can create complica...

This study describes the treatment of an immature permanent tooth with periapical lesion which was treated with regenerative approach using platelet rich plasma (PRP). The root canal of immature human permanent tooth with periapical lesion was gently debrided of necrotic tissue and disinfected with 2.5% NaOCl, and then medicated with triple antibiotic paste comprised of ciprofloxacin, metronida...

D entists are repeatedly confronted with the problem of diagnosing and treating periapical lesions. Ordinarily, a nonsurgical cndodontic approach is used in treating lesions that are thnnght to be periapicul granulomas, whereas surgical therapy often is used if the lesion is believed to bc cyst,ic. Thus, choice of treatment usually depends on the clinical assessment of the lesion. Accurate difl...

Objectives. To compare the ability of endodontists to determine the size of apical pathological lesions and select the most appropriate choice of treatment based on lesions' projected image characteristics using 2 D and 3 D images. Study Design. Twenty-four subjects were selected. Radiographic examination of symptomatic study teeth with an intraoral periapical radiograph revealed periapical les...

Calcium hydroxide [Ca(OH)2] has been widely used as short- or long-term intracanal antibacterial dressing material after endodontic treatment. In general when used in endodontics, Ca(OH)2 paste is composed of the powder, a vehicle, and a radiopacifier. To provide radiopacity, barium sulfate (BaSO4) powder is usually added to the paste. In this case report, BaSO4:Ca(OH)2 powders (ratio 1:8) and ...

HEIDI KOHLTFARBER, DDS: A Comparison of 2D versus 3D Radiography in the Diagnosis and Treatment Planning of Root Canal Treated Teeth with Periapical Lesions (Under the direction of Donald Tyndall) Objectives: The aims of the study were to assess diagnostic efficacy in lesion detection, evaluate the effect of cone beam CT on treatment planning and clinician confidence. Methods: Forty digital per...

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-irri...

Long-term success of endodontic treatment is dependent on adequate and appropriate cleaning and shaping of the root canal along with proper and correct obturation of the entire prepared space. This article aims to report an exceptional non-surgical and orthograde endodontic treatment of maxillary right central incisor with an extensive radiolucent lesion in a 17-year-old male. Six and 20-month ...

The case reports describes non surgical healing in periradicular lesions.A conservative approach with 5.25% sodium hypochlorite was used for irrigation, and calcium hydroxide was used for the intra-canal dressing and 2% chlorohexidine as a final irrigant. Periapical healing was observed 1 month after obturation and continued in the 12-month recall. This report confirms that the large size of a ...

With dawn of era of minimal intervention in dentistry, surgical management of periapical lesions become controversial. Non-surgical or conservative management of periapical lesions not only cause less trauma to the tissues, but also promote faster and less eventful healing. This paper presents successful management of a periapical lesion in a 14 year old male child with calcium hydroxide paste ...