Outcomes of nonsurgical endodontic treatment in teeth with large periapical lesion

Outcomes of nonsurgical endodontic treatment in teeth with large periapical lesion

Aim: Present study aimed to evaluate the long-term clinical and radiographical outcomes of non-surgical root canal therapy usingcalcium hydroxide in anterior teeth with large periapical lesions.Material and Methods: Clinical and radiographical records of 57 mandibular and 32 maxillary anterior teeth of 74 patients were includedin the study. A total of 89 anterior teeth with large periapical lesions ranging in size from 6 to 20 mm were treated endodonticallywith calcium hydroxide as the intracanal medicament. Teeth were evaluated in two parts as lesion diameters between 6-10 mm and11-20 mm. All cases were followed up for 24 months and assessed in three categories as complete healing, incomplete healing orno healing (failure).Results: Complete healing was observed in 74 (83.1%), incomplete healing in 7 (7.9%) and failure in 8 (9%) teeth in all cases at theend of 24-month assessment. There was no positive correlation between the outcome of the therapy and the size of the periapicallesions (p>0.05).Conclusion: Obtained results suggested that non-surgical endodontic treatment was greatly successful in the treatment of teethwith large periapical lesions and it should be considered before surgical procedure.

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  • 1. Sundqvist G. Bacteriological studies of necrotic dental pulps. (Odontological Dissertations no. 7) 1976 Umea, Sweden: Umea University.
  • 2. Nair PNR. Pathogenesis of Apical Periodontitis and the Causes of Endodontic Failures. Crit Rev Oral Biol Med 2004;15:348–81.
  • 3. Bhaskar SN. Periapical lesion-types, incidence and clinical features. Oral Surgery, Oral Med Oral Pathol 1966;21:657–71.
  • 4. Lalonde ER, Luebke RG. The frequency and distribution of periapical cysts and granulomas: An evaluation of 800 specimens. Oral Surg Oral Med Oral Pathol 1968;25:861–8.
  • 5. 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;57:82–94.
  • 6. Lalonde ER. A new rationale for the management of periapical granulomas and cysts: an evaluation of histopathological and radiographic findings. J Am Dent Assoc 1970;80:1056–9.
  • 7. Nair PN. New perspectives on radicular cysts: do they heal? Int Endod J 1998;31:155–60.
  • 8. Bhaskar SN. Nonsurgical resolution of radicular cysts. Oral Surg Oral Med Oral Pathol 1972;34:458–68.
  • 9. Morse DR, Wolfson E, Schacterle GR. Nonsurgical repair of electrophoretically diagnosed radicular cysts. J Endod 1975;1:158–63.
  • 10. Oztan MD. Endodontic treatment of teeth associated with a large periapical lesion. Int Endod J 2002;35:73– 8.
  • 11. Çalışkan MK. Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment: a clinical review. Int Endod J 2004;37:408–16.
  • 12. Torabinejad M, Anderson P, Bader J, et al. Outcomes of root canal treatment and restoration, implant supported single crowns, fixed partial dentures, and extraction without replacement: A systematic review. J Prosthet Dent 2007;98:285–311.
  • 13. Salehrabi R, Rotstein I. Endodontic Treatment Outcomes in a Large Patient Population in the USA: An Epidemiological Study. J Endod 2004;30:846–50.
  • 14. Sjögren U, Hägglund B, Sundqvist G, et al. Factors affecting the long-term results of endodontic treatment. J Endod 1990;16:498–504.
  • 15. Çalıskan MK, Şen BH. Endodontic treatment of teeth with apical periodontitis using calcium hydroide: a long-term study. Dent Traumatol 1996;12:215–21.
  • 16. Huumonen S, Orstavik D. Radiological aspects of apical periodontitis. Endod Top 2002;1:3–25.
  • 17. Van der Borden WG, Wang X, Wu M-K et al. Area and 3-dimensional Volumetric Changes of Periapical Lesions after Root Canal Treatments. J Endod 2013;39:1245–9.
  • 18. 18. Weiger R, Rosendahl R, Lost C. Influence of calcium hydroxide intracanal dressings on the prognosis of teeth with endodontically induced periapical lesions. Int Endod J 2000;33:219–26.
  • 19. Mirković S, Tadić A, Đurđević-Mirković T et al. Comparative analysis of accuracy of diagnosis of chronic periapical lesions made by clinical and histopatological examination. Med Pregl 2012;65:277–80.
  • 20. Peters OA, Schonenberger K, Laib A. Effects of four Ni-Ti preparation techniques on root canal geometry assessed by micro computed tomography. Int Endod J 2001;34:221–30.
  • 21. Dutner J, Mines P, Anderson A. Irrigation Trends among American Association of Endodontists Members: A Web-based Survey. J Endod 2012;38:37–40.
  • 22. Fujii H, Machida Y. Histological study of therapy for infected nonvital permanent teeth with incompletely formed apices. Bull Tokyo Dent Coll 1991;32:35–45.
  • 23. Strindberg L. The dependence of the results of pulp therapy on certain factors-an analytical study based on radiographic and clinical follow-up examination. Acta Odontol Scand 1956;14:1–175.
  • 24. Friedman S, Abitbol S, Lawrence HP. Treatment Outcome in Endodontics: The Toronto Study. Phase 1: Initial Treatment. J Endod 2003;29:787–93.
  • 25. Ghose LJ, Baghdady VS, Hikmat YM. Apexification of immature apices of pulpless permanent anterior teeth with calcium hydroxide. J Endod 1987;13:285–90.
  • 26. Çalışkan MK, Türkün M. Periapical repair and apical closure of a pulpless tooth using calcium hydroxide. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:683–7.
  • 27. Matsumoto T, Nagai T, Ida K et al. Factors affecting successful prognosis of root canal treatment. J Endod 1987;13:239–42.
  • 28. Verma N, Sangwan P, Tewari S et al. Effect of Different Concentrations of Sodium Hypochlorite on Outcome of Primary Root Canal Treatment: A Randomized Controlled Trial. J Endod 2019;45:357–63.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
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