Non-invasive endodontic treatment of large periapical lesions

• Main Author: Harry Huiz Peeters
• Format: Article
• Language: English
• Published: Universitas Airlangga 2008-09-01
• Series: Dental Journal: Majalah Kedokteran Gigi
• Subjects: invasive treatment; periapical lesions
• Online Access: http://e-journal.unair.ac.id/index.php/MKG/article/view/1000
• ISSN: 1978-3728; 2442-9740

<span style="font-family: Tribune-Bold; font-size: 10pt; color: #201d1e; font-style: normal; font-variant: normal;"><strong>Background</strong><span style="font-family: Tribune-Italic; font-size: 9pt; color: #201d1e; font-style: normal; font-variant: normal;"><em>: </em><span style="font-family: Tribune-Italic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>In most cases of large periapical radiolucent lesions of pulpal origin, we often encounter a dilemmatic situation, such </em><span style="font-family: Tribune-Italic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>as whether to either treat these cases endodontically or surgically. Development of techniques, instruments and root medicaments as </em><span style="font-family: Tribune-Italic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>well as the tendency toward minimally invasive treatment, all support dentists to treat those cases using the minimal invasive principle </em><span style="font-family: Tribune-Italic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>(i.e. endodontically instead of surgically). </em><span style="font-family: Tribune-Bold; font-size: 10pt; color: #201d1e; font-style: normal; font-variant: normal;"><strong>Purpose</strong><span style="font-family: Tribune-Italic; font-size: 9pt; color: #201d1e; font-style: normal; font-variant: normal;"><em>: </em><span style="font-family: Tribune-Italic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>The purpose of this paper is to report and discuss the managing of periapical </em><span style="font-family: Tribune-Italic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>lesions by endodontic no invasive treatment. </em><span style="font-family: Tribune-Bold; font-size: 10pt; color: #201d1e; font-style: normal; font-variant: normal;"><strong>Case management</strong><span style="font-family: Tribune-Italic; font-size: 9pt; color: #201d1e; font-style: normal; font-variant: normal;"><em>: </em><span style="font-family: Tribune-Italic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>The patient with large periapical lesions were treated with noninvasive endodontic treatment. After 6 months, patients in this report were asymptomatic and radiolucencies had disappeared. When </em><span style="font-family: Tribune-Italic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>the root canal treatment is done according to accepted clinical principles and under aseptic condition, including cleaning, shaping, </em><span style="font-family: Tribune-Italic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>abturating as well as proper diagnosis, the healing process of the infected area will occur. </em><span style="font-family: Tribune-Bold; font-size: 10pt; color: #201d1e; font-style: normal; font-variant: normal;"><strong>Conclusion</strong><span style="font-family: Tribune-Italic; font-size: 9pt; color: #201d1e; font-style: normal; font-variant: normal;"><em>: </em><span style="font-family: Tribune-Italic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>Some lesions, however, may </em><span style="font-family: Tribune-Italic; font-size: 9pt; color: #231f20; font-style: normal; font-variant: normal;"><em>not be treated conservatively and may require surgical treatment for total elimination of the lesions.</em></span></span></span></span></span></span></span><br style="font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px;" /></span></span></span></span></span></span></span></span></span></span></span></span>