Citation Information :
Sood N, Maheshwari N, Gothi R, Sood N. Treatment of Large Periapical Cyst Like Lesion: A Noninvasive Approach: A Report of Two Cases. Int J Clin Pediatr Dent 2015; 8 (2):133-137.
Periapical lesions develop as sequelae to pulp disease. Periapical radiolucent areas are generally diagnosed either during routine dental radiographic examination or following acute toothache. Various methods can be used in the nonsurgical management of periapical lesions: the conservative root canal treatment, decompression technique, active nonsurgical decompression technique, aspiration-irrigation technique, method using calcium hydroxide, lesion sterilization and repair therapy and the apexum procedure. Monitoring the healing of periapical lesions is essential through periodic follow-up examinations. The ultimate goal of endodontic therapy should be to return the involved teeth to a state of health and function without surgical intervention. All inflammatory periapical lesions should be initially treated with conservative nonsurgical procedures. Surgical intervention is recommended only after nonsurgical techniques have failed. Besides, surgery has many drawbacks, which limit its use in the management of periapical lesions.
How to cite this article: Sood N, Maheshwari N, Gothi R, Sood N. Treatment of Large Periapical Cyst Like Lesion: A Noninvasive Approach: A Report of Two Cases. Int J Clin Pediatr Dent 2015;8(2):133-137.
Nair PNR. Apical periodontitis: a dynamic encounter between root canal infection and host response. Periodontology 2000, 1997;13(1):121-148.
Nair PNR. Pathogenesis of apical periodontitis and the cause of endodontic failures. Crit Rev Oral Biol Med 2004;15(6): 348-381.
Simon JHS, Enciso R, Malfaz JM, Roges R, Perry MB, Patel A. Differential diagnosis of large periapical lesions using conebeam computed tomography measurements and biopsy. JOE 2006;32(9):833-837.
Bhaskar SN. Periapical lesions-types, incidence, and clinical features. Oral Surg Oral Med Oral Pathol 1966;21(5):657-671.
Natkin E, Oswald RJ, Carnes LI. The relationship of lesion size to diagnosis, incidence and treatment of periapical cysts and granulomas. Oral Surg Oral Med Oral Pathol 1984;57(1):82-94.
Eversole LR. Clinical outline of oral pathology: diagnosis and treatment, 2nd ed. Philadelphia: Lea and Febiger 1984;203-259.
Meija JL, Donado JE, Basrani B. Active nonsurgical decompression of large periapical lesions-3 case reports. J Can Dent Assoc 2004;70(10):691-694.
Kandari AM, Quoud OA, Gnansekhar JD. Healing of large periapical lesions following non surgically endodontic therapy: case reports. Quintessences International 1994;25(2):115-119.
Toller PA. Newer concepts of odontogenic cysts. Int J Oral Surg 1972;1(1):3-16.
Caliskan MK. Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment: a clinical review. Int Endod J 2004;37(6):408-416.
Cwikla SJ, Bélanger M, Giguère S, Fox AP. Dentinal tubule disinfection using three calcium hydroxide formulations. J Endod 2005;31(1):50-52.
Fava LR, Saunders WP. Calcium hydroxide pastes: classification and clinical indications. Int Endod J 1999;32(4):257-282.
Pacios MG, de la Casa ML, de los Angeles Bulacio M, Lopez ME. Calcium hydroxide's association with different vehicles: in vitro action on some dentinal components. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96(1):96-101.
Soares JA, Leonardo MR, Tanomaru Filho M, Silva LAB, Ito IY. Effect of biomechanical preparation and calcium hydroxide pastes on the anti-sepsis of root canal systems in dogs. J Appl Oral Sci 2005;13(1):93(1)-100.
Fernandes M, Ataide I. Non-surgical management of a large periapical lesion using a simple aspiration technique: a case report. Int Endod J 2010;43(6):536-542.