Treatment of Large Periapical Lesions without Surgical Approach: Report of Three Cases

Abstract

The aim of this paper is to present the non-surgical management of three cases with large periapical lesions. Surgical treatment of large periapical lesions is often subject to various complications. Therefore, a non-surgical approach should be considered for the management of these lesions. The first was a maxillary lateral incisor with a periapical lesion of endodontic origin in a 19-year-old female patient, the second affected a maxillary central incisor in a 21-year-old female patient and the third was a mandibular molar in a 36-year-old male patient. The canals were prepared using crown down technique. During root canal treatment, sodium hypochlorite was used for irrigation and calcium hydroxide was used for the intra-canal dressing. Clinical evaluation was performed after 10 days. The teeth were asymptomatic and the root canals were obturated using lateral compaction technique. The patients were recalled at 3, 6 and 12 months. These radiolucent periapical lesions were treated successfully without surgical approach. 

How to cite this article: Arslan H, Karataş E, Barutcugil Ç, Topçuoğlu HS, Aladağ H. Treatment of Large Periapical Lesions without Surgical Approach: Report of Three Cases. Int Dent Res 2012;2:17-22

Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.