Non surgical management of a large periapical cyst like lesion using metapex, a three year followup - A case report

Abstract

This case report describes the non - surgical management of a large periapical lesion using Metapex as a intracanal dressing and root canal therapy. Periapical lesions usually develop in non-vital teeth as a result of chronic aggression by the pathogenic microorganisms into the root canal which may appear as radiolucent in periapical radiographs. Treatment of such lesions usually varies from non-surgical and surgical means depending on the individual. In the era of minimally invasive, dentistry, non-surgical endodontic approach has been highly recommended in the periapical healing. This case report shows the healing of large periapical lesion using metapex as intracanal medicament at various time intervals followed by root canal therapy.

Healing of periapical lesion by non-surgical endodontic therapy: A case series

“…11 Regular change of metapex as intracanal dressing and root canal therapy has proven to be very beneficial in complete healing of the periapical lesion. 12 Ultrasonic condensation of gutta percha was done for getting a tightly compacted 3 D condensation. Studies done with dye penetration tests reported that ultrasonically condensed gutta-percha mass was more homogeneous with less voids and resulted in a better obturation.…”

Periapical Lesion: A Single-Sitting Root Canal Treatment

“…Cleaning and shaping with sodium hypochlorite, EDTA, chlorhexidine, warm saline, and Metapex are recommended for infection neutralisation of periapical lesions [ 8 , 9 ]. Metapex is the most successful intracanal medicament for teeth having periapical lesions.…”

“…Ayodhi et al used Metapex for the healing of large periapical lesions. They concluded that Metapex is very beneficial for the healing of periapical lesions [ 8 ].…”