Turk Endod J. 2017; 2(1): 21-24 | DOI: 10.14744/TEJ.2017.30074

Nonsurgical endodontic treatment of a large periradicular lesion

Fatma Kanmaz, Demet Altunbaş, Recai Zan, Kerem Engin Akpınar
Department of Endodontics, Cumhuriyet University Faculty of Dentistry, Sivas, Turkey

In Endodontic, one of the most crucial problem that can result in the loss of teeth is periapical lesion. In the development of periapical lesion in periapical tissues, not only the presence of infected pulp but also the toxins, metabolic products, chemical agents, mechanical irritations, foreign substances, trauma and host defense of existing microorganisms also play a role. Radiographic findings, clinical oral examination and differential diagnosis are used in the diagnosis of periapical lesion. Even though endodontic treatment option combined with apical surgery could be an option for treatments of large periapical lesions, conventional root canal treatment should be the first choice that combined with long-term follow-up after treatment. The aim of this case report is to present a complete clinical and radiological healing of teeth relation with a large cyst-like periradicular lesion treated only with root canal treatment and without the need for a surgical treatment.

Keywords: Healing, large periapical lesion, non-surgical endodontic treatment.

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Geniş Bir Periradiküler Lezyonun Cerrahi Olmayan Endodontik Tedavisi

Fatma Kanmaz, Demet Altunbaş, Recai Zan, Kerem Engin Akpınar
Cumhuriyet Üniversitesi, Diş Hekimliği Fakültesi, Endodonti Anabilim Dalı, Sivas, Türkiye

In Endodontic, one of the most crucial problem that can result in the loss of teeth is periapical lesion. In the development of periapical lesion in periapical tissues, not only the presence of infected pulp but also the toxins, metabolic products, chemical agents, mechanical irritations, foreign substances, trauma and host defense of existing microorganisms also play a role. Radiographic findings, clinical oral examination and differential diagnosis are used in the diagnosis of periapical lesion. Even though endodontic treatment option combined with apical surgery could be an option for treatments of large periapical lesions, conventional root canal treatment should be the first choice that combined with long-term follow-up after treatment. The aim of this case report is to present a complete clinical and radiological healing of teeth relation with a large cyst-like periradicular lesion treated only with root canal treatment and without the need for a surgical treatment.

Anahtar Kelimeler: Healing, large periapical lesion, non-surgical endodontic treatment.

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