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Management of a Large Periapical Lesion Using Decompression: A Case Report with Three-year Follow-up
Large radicular lesions should be treated initially by orthograde root canal therapy. When the signs and symptoms of the infection (e.g. persistent purulent drainage) do not resolve after this treatment, then surgical approaches should be considered. In the cases of large radicular cysts, total enuc...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Iranian Center for Endodontic Research
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9735255/ https://www.ncbi.nlm.nih.gov/pubmed/36704401 http://dx.doi.org/10.22037/iej.v16i3.33750 |
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author | Niavarzi, Soheil Noori, Faranak Aminsobhani, Mohsen Meraji, Naghmeh |
author_facet | Niavarzi, Soheil Noori, Faranak Aminsobhani, Mohsen Meraji, Naghmeh |
author_sort | Niavarzi, Soheil |
collection | PubMed |
description | Large radicular lesions should be treated initially by orthograde root canal therapy. When the signs and symptoms of the infection (e.g. persistent purulent drainage) do not resolve after this treatment, then surgical approaches should be considered. In the cases of large radicular cysts, total enucleation of the cyst can endanger adjacent structures and teeth. Therefore, decompression or marsupialization techniques are recommended in order to decrease the size of the lesion. In this case report, a 55-year-old woman with previously initiated therapy was referred to endodontic department for management of a sinus tract associated with tooth #7. Root canal treatment was performed and intracanal irrigant (5.25% sodium hypochlorite) activated using passive ultrasonic application, various intracanal medicament (calcium hydroxide, double antibiotic paste) was used in multiple sessions, but intracanal purulent drainage was not resolved. After this, decompression was performed using needle cap to maintain the opening of the cyst and remained for three months. During this period the cavity was kept clean and rinsed by the patient with 0.2% chlorhexidine mouthwash. After three-year follow-up, radiographic examination revealed substantial osseous repair of the defect and clinical signs and symptoms were absent. |
format | Online Article Text |
id | pubmed-9735255 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Iranian Center for Endodontic Research |
record_format | MEDLINE/PubMed |
spelling | pubmed-97352552023-01-25 Management of a Large Periapical Lesion Using Decompression: A Case Report with Three-year Follow-up Niavarzi, Soheil Noori, Faranak Aminsobhani, Mohsen Meraji, Naghmeh Iran Endod J Case Report Large radicular lesions should be treated initially by orthograde root canal therapy. When the signs and symptoms of the infection (e.g. persistent purulent drainage) do not resolve after this treatment, then surgical approaches should be considered. In the cases of large radicular cysts, total enucleation of the cyst can endanger adjacent structures and teeth. Therefore, decompression or marsupialization techniques are recommended in order to decrease the size of the lesion. In this case report, a 55-year-old woman with previously initiated therapy was referred to endodontic department for management of a sinus tract associated with tooth #7. Root canal treatment was performed and intracanal irrigant (5.25% sodium hypochlorite) activated using passive ultrasonic application, various intracanal medicament (calcium hydroxide, double antibiotic paste) was used in multiple sessions, but intracanal purulent drainage was not resolved. After this, decompression was performed using needle cap to maintain the opening of the cyst and remained for three months. During this period the cavity was kept clean and rinsed by the patient with 0.2% chlorhexidine mouthwash. After three-year follow-up, radiographic examination revealed substantial osseous repair of the defect and clinical signs and symptoms were absent. Iranian Center for Endodontic Research 2021 /pmc/articles/PMC9735255/ /pubmed/36704401 http://dx.doi.org/10.22037/iej.v16i3.33750 Text en https://creativecommons.org/licenses/by-nc-sa/4.0/This open-access article has been distributed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0).https://creativecommons.org/licenses/by-nc-sa/4.0/ |
spellingShingle | Case Report Niavarzi, Soheil Noori, Faranak Aminsobhani, Mohsen Meraji, Naghmeh Management of a Large Periapical Lesion Using Decompression: A Case Report with Three-year Follow-up |
title | Management of a Large Periapical Lesion Using Decompression: A Case Report with Three-year Follow-up |
title_full | Management of a Large Periapical Lesion Using Decompression: A Case Report with Three-year Follow-up |
title_fullStr | Management of a Large Periapical Lesion Using Decompression: A Case Report with Three-year Follow-up |
title_full_unstemmed | Management of a Large Periapical Lesion Using Decompression: A Case Report with Three-year Follow-up |
title_short | Management of a Large Periapical Lesion Using Decompression: A Case Report with Three-year Follow-up |
title_sort | management of a large periapical lesion using decompression: a case report with three-year follow-up |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9735255/ https://www.ncbi.nlm.nih.gov/pubmed/36704401 http://dx.doi.org/10.22037/iej.v16i3.33750 |
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