Periapical lesions accidentally filled with calcium hydroxide

2002 ◽  
Vol 35 (11) ◽  
pp. 946-958 ◽  
Author(s):  
R. J. G. De Moor ◽  
A. M. J. C. De Witte
2021 ◽  
Vol 24 (4) ◽  
pp. 307
Author(s):  
NKiran Kumar ◽  
Biji Brigit ◽  
BS Annapoorna ◽  
SavithaB Naik ◽  
Seema Merwade ◽  
...  

2012 ◽  
Vol 13 (6) ◽  
pp. 897-901 ◽  
Author(s):  
Kunjamma Thomas ◽  
T Prasanth Dhanapal ◽  
Elsy P Simon

ABSTRACT Aim To report a case of conservative nonsurgical management of periapical lesions. Background Small periapical lesions of endodontic origin usually heal by conventional endodontic therapy alone. Larger periapical lesions presumed to be cystic may require additional treatment protocols to aid in regression. Conservative nonsurgical management of such lesions eliminates the possible complications of surgery and has wider patient compliance and acceptance. Case description A periapical cystic lesion associated with maxillary central incisor and lateral incisor was treated conservatively using buccal aspiration decompression followed by conventional endodontic therapy employing calcium hydroxide iodoform paste as intracanal medicament is reported. Clinical significance The treatment was successful as evidenced by relief of symptoms and radiographic evaluation. Conclusion Large periapical cyst-like lesions can resolve by nonsurgical endodontic therapy employing calcium hydroxide intracanal interappointment medicament. How to cite this article Thomas K, Dhanapal PT, Simon EP. Management of Large Periapical Cystic Lesion by Aspiration and Nonsurgical Endodontic Therapy using Calcium Hydroxide Paste. J Contemp Dent Pract 2012;13(6):897-901.


2020 ◽  
Vol 25 (2) ◽  
pp. 58-60
Author(s):  
Timea Dako ◽  
Mihai Pop ◽  
Julia Fulop ◽  
Janos Kantor ◽  
Monica Monea

AbstractCalcium hydroxide is a slow-acting antiseptic substance used in several forms for the last century in various fields of dentistry. Its applications in endodontics are by far the most meaningful including the treatment of root resorptions and perforations, inducing the apexification process, and most importantly as intracanal medicaments representing a crucial step in the nonsurgical management of large periapical lesions. The aim of this article is to conduct a review of the properties, antimicrobial effect, combination with adjuvant substances, biocompatibility, cytotoxicity, and adverse effects of calcium hydroxide-based dressings as an additional manoeuvre in the conservative treatment of chronic apical periodontitis and to draw attention on the importance of this extra step.


2014 ◽  
pp. 67-72
Author(s):  
Van Thai Nguyen ◽  
Thi Bac Hai Vu

Introduction: Periapical lesions could be granulomas or periapical cysts. All periapical lesions should be initially treated with endodontic therapy as an accurate diagnosis cannot be made through clinical assessment alone. Calcium hydroxide, introduced by Hermann in 1920, has been considered to be a very effective intracanal dressing, especially in necrotic teeth with periapical lesions. This study aims to evaluate clinical outcomes of Calcium hydroxide in treatment of periapical lesions in permanent incisors. Methodology: Descriptive study, interventional study. A total of 21 patients with 30 teeth in Department of Endodontics – Periodontics at Hue Odonto - Stomatology Hospital were included in this study. Results: - In total, after 3 months: healed 16.7%; healing 16.7%; not healed 66.6%. After 6 months: healed 43.3%; healing 30%; not healed 26.7%. Group 1: after 3 months: healed 19.2%; healing 15.4%; not healed 65.4%. After 6 months: healed 46.2%; healing 34.6%; not healed 19.2%. Group 2: after 3 months: healed 0%; healing 25%; not healed 75%. After 6 months: healed 25%; healing 0%; not healed 75%. Conclusions: The use of Calcium hydroxide as an intracanal treatment appeared to facilitate healing in periapical lesions associated with chronic apical periodontitis. This is a cheap and simple therapy associated with a high rate of success. Keywords: Periapical lesions, permanent incisors, Calcium hydroxide


2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Qusai Al Khasawnah ◽  
Fathi Hassan ◽  
Deeksha Malhan ◽  
Markus Engelhardt ◽  
Diaa Eldin S. Daghma ◽  
...  

Background. The study aim is to avoid tooth extraction by nonsurgical treatment of periapical lesion. It assesses healing progress in response to calcium hydroxide-iodoform-silicon oil paste (CHISP). Numeric Pain Rating Scale was used to validate the approach. Furthermore, CHISP was used to treat cystic lesions secondary to posttraumatic avulsion of permanent teeth. Materials and Methods. Over 200 patients with radicular cysts were treated with CHISP through the root canal. Radiographs were used to verify lesion size and position, ensure correct delivery to the site, and monitor the progress of bone healing in the lesion area. Ten males and 10 females were randomly selected for statistical assessment. Results. No severe pain, complications, or failure in cyst healing was reported. Complete healing was achieved in an average of 75 days. Furthermore, healing of radicular cyst secondary to posttraumatic tooth avulsion was successful. Conclusion. CHISP indicated an antiseptic effect, which enhanced and shortened healing time of periapical lesions. The less invasive procedure avoids tooth extraction and reduces bone resorption. Cyst management with CHISP can remedy failed root canal treatments. The results show a bone regenerative capacity of CHISP suggested in first rapid phase and a second slow phase.


2012 ◽  
Vol 06 (04) ◽  
pp. 385-388 ◽  
Author(s):  
Ronaldo Araújo Souza ◽  
João Costa Pinto Dantas ◽  
Paula Maciel Brandão ◽  
Suely Colombo ◽  
Maurício Lago ◽  
...  

ABSTRACTObjective: The purpose of this study was to evaluate if the apical third enlargement of root canal is the determinant factor for the repair of periapical lesions in endodontic treatment.Methods: Eighty upper and lower incisors, canines and premolars with periapical lesions were randomly divided in 2 groups and were treated by undergraduate students. Canals were instrumented with up to 3 files in group I (n = 40) and up to 4 files in group II (n = 40) 1 mm short of the apex and were filled with a calcium hydroxide dressing. After removing calcium hydroxide 14 days later, both groups were filled using the lateral condensation technique. In the 2-year follow-up, a few patients did not return, and some cases did not present conditions for accurate comparisons. Therefore, only 43 patients (24 in group I and 19 in group II) presented conditions for radiographic comparisons. Data were statistically analyzed using Fisher's exact test.Results: Comparison of the initial and follow-up radiographs showed that 22 out of 24 (91.67%) patients in group I and 17 out of 19 patients (89.47%) in group II showed repair. Statistical analysis revealed no significant differences between the groups (P>.05).Conclusion: The results of this study show that the apical third enlargement did not alter the outcome of endodontic treatment of teeth with periapical lesion performed by undergraduate students. (Eur J Dent 2012;6:385-388)


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