Successful nonsurgical management of periapical lesions of endodontic origin: A conservative orthograde approach

Karunakaran, Jeyaraman Venkataraman; Abraham, Chris Susan; Karthik, A Kaneesh; Jayaprakash, Nalini

doi:10.4103/jpbs.jpbs_100_17

Cited by 25 publications

(25 citation statements)

References 28 publications

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“…Regular periodic review and assessment of the healing process of periapical lesions are essential. The progression of this lesion results in local inflammation, resorption of hard tissues, and destruction of other periapical tissues [28]. In the current study, the AT or PT with or with no previous RCT with apical periodontitis, the results from Graphs 1 and 2, dentists, interns and both gender were nearly significant with P-values .077 and .063, respectively, which means that most of the respondents preferred RCT for a single or multiple rooted teeth even in the presence of PA periodontitis.…”

Section: Discussionmentioning

confidence: 99%

Dentists and Dental Intern’s Preferences of Root Canal Treatment with Restoration Versus Extraction then Implant-Supported Crown Treatment Plan

Alwadani¹,

Mashyakhy²,

Jali³

et al. 2019

TODENTJ

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Objectives: The intent of this study was to evaluate and compare the preferences and treatment choices between dentists and dental interns with regard to the following different treatment modalities: Root Canal Treatment (RCT) with restoration versus extraction with Implant-Supported Crown (ISC) or surgical treatment in relation to the given case scenarios. Methods: The questionnaire was presented as an online survey with a case scenario. The total number of the respondents were 165. The four clinical case scenarios included an anterior and posterior tooth having apical periodontitis, with and without previous RCT. The treatment options were as follows: RCT with restoration, extraction then implant, and surgical treatment. Results: A total of 165 dentists and dental interns were included in this study. A hundred and three 62.4% respondents were dentists, 60; 36.3% were males and 105; 63.7% were females. Most of the respondents graduated from the College of Dentistry, Jazan University (93.9%). The highest percentages and numbers for Anterior Teeth (AT) were selected in related to the RCT and restorations in the four scenarios among gender, dentists, and interns, with no considerable differences. A high percentage of RCT and restoration option was recorded for Posterior Teeth (PT) with no previous restoration and around 50% for the same treatment modality to posterior teeth with previous restorations. For Future Planning Postgraduate Studies (FPPS), it was obvious that most of the selected specialties agreed with the RCT and restorations choice. Conclusion: All dentists and interns in both genders preferred RCT with restorations over extraction, and then ISC in the AT with and without previous RCTs. In the PT with no previous RCT, the participants agreed that RCT with restorations is superior to other choices. Among the FPPS, the respondents demonstrated an absolute agreement to RCT and restorations as a treatment of choice for different scenarios. Clinical Significance: Dentists should preserve the natural teeth by RCT with restoration as the first treatment choice followed by other choices. The nonsurgical approach should always be adopted as a routine measure in PA lesions of endodontic origin. Conservative orthograde endodontic therapy demonstrates favorable outcomes with a regular periodic review and assessment of the healing process of PA lesions.

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Section: Discussionmentioning

confidence: 99%

Dentists and Dental Intern’s Preferences of Root Canal Treatment with Restoration Versus Extraction then Implant-Supported Crown Treatment Plan

Alwadani¹,

Mashyakhy²,

Jali³

et al. 2019

TODENTJ

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“…Various methods can be used to assess the healing by periodic radiographic recalls (59). Using the periapical index, CBCT-imaging techniques and color ultrasound Doppler are methods that have been used to assess the healing process (1,(60)(61)(62).…”

Section: Discussionmentioning

confidence: 99%

“…One of the most common pathological conditions affecting the periradicular tissues are periapical lesions (1). Periapical lesions develop due to untreated pulp diseases.…”

Section: Introductionmentioning

confidence: 99%

Conservative management of periapical lesions of endodontic origin - a review of the different techniques

Borisova-Papancheva

Svetlozarova

2018

Scripta Scientifica Medicinae Dentalis

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INTRODUCTION: Periapical lesions of endodontic origin are common pathological conditions affecting the periradicular tissues. Mainly responsible for the initiation and progression of apical periodontitis is the microbial infection of pulpal tissues. There are different conservative techniques that can be applied in order to establish a healing process of periapical lesions of endodontic origin. MATERIALS AND METHODS: We have conducted a research that covers related articles and publications, in order to review the different conservative management treatment techniques for lesions affecting the periradicular tissues. RESULTS: Different non-surgical management techniques have been described, namely: conservative root canal therapy, decompression technique, a method using calcium hydroxide, aspiration-irrigation technique, lesion sterilization and repair therapy, active non-surgical decompression technique, and the apexum procedure. CONCLUSION: All of the described management techniques present with advantages, disadvantages and specific indications that should be taken into consideration when managing the treatment plan of every specific clinical case.

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“…Bu nedenle, kökteki enfeksiyon cerrahi olmayan kök kanal tedavisi ile elimine edildiğinde, lezyon iyileşebilmektedir. Benzer durum gerçek kistler için de geçerlidir [4,7] . Her ne kadar kök kanal sistemi ile ilişkili olmasa da kist epitelinde veya fibröz bağ doku kapsülünde inflamatuar hücre infiltrasyonu her zaman bulunmaktadır.…”

Section: öZetunclassified

“…Bu da kanal sisteminde veya kist lümeninde bulunan irritanların, inflamatuar hücreleri kist yapısına yönlendirebildiğini göstermektedir [4] . Bu nedenle apikal kistler de dahil olmak üzere enfeksiyonun neden olduğu herhangi bir hastalık, etken ortadan kaldırıldığında iyileşebilmektedir [4,7] . Cerrahi olmayan kök kanal tedavisi sonrası apoptozis mekanizması ile cep kistlerinin gerileyebildiği gibi aynı mekanizma ile gerçek kistlerin de hiperplastik epitelyal hücrelerinin de gerilediği bildirilmiştir [4] .…”

Section: öZetunclassified

Geni̇ş Peri̇api̇kal Lezyonlu Di̇şleri̇n Cerrahi̇ Olmayan Endodonti̇k Tedavi̇si̇: Olgu Sunumu

Elmas

Odabaş

2020

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Pulp infections leading to total pulp necrosis occur as a result of caries, dental procedures and trauma. The tooth may remain asymptomatic until inflammation spreads to the periradicular tissues; spontaneous pain and percussion can be seen when spread. Radiographic changes may occur, ranging from a thickening of the periodontal ligament space to the appearance of a periapical radiolucent lesion. Treatment options for large periapical lesions range from nonsurgical root canal treatment and apical surgery to tooth extraction. This case report describes a nonsurgical management of a large mandibular cyst-like periapical lesion involving mandibular incisors. The patient returned for clinical and radiographic controls every 3 months during the first year, radiographic evidence of lesion healing was observed at the 12months follow-up. Tomography showed that the lesion was filled with bone like tissue. With appropriate treatment planning under ideal conditions, no matter how large the lesion is, improvement can be achieved without the need of surgical intervention.

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Successful nonsurgical management of periapical lesions of endodontic origin: A conservative orthograde approach

Cited by 25 publications

References 28 publications

Dentists and Dental Intern’s Preferences of Root Canal Treatment with Restoration Versus Extraction then Implant-Supported Crown Treatment Plan

Dentists and Dental Intern’s Preferences of Root Canal Treatment with Restoration Versus Extraction then Implant-Supported Crown Treatment Plan

Conservative management of periapical lesions of endodontic origin - a review of the different techniques

Geni̇ş Peri̇api̇kal Lezyonlu Di̇şleri̇n Cerrahi̇ Olmayan Endodonti̇k Tedavi̇si̇: Olgu Sunumu

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