Non-surgical management of a large periapical lesion in relation to a mandibular second molar and concomitant external root resorption of the mandibular first molar

M. Fernandes, I. Ataide
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Abstract

Periapical lesions associated with endodontically treated teeth can be managed by nonsurgical retreatment, periapical surgery, or extraction. Various demerits of periapical surgery favor a nonsurgical retreatment approach. This case report presents the nonsurgical management of a large periapical lesion in relation to a mandibular second molar along with concomitant external root resorption of the mandibular first molar. Aspiration of fluid from the periapical lesion was carried out through the root canals of tooth #37, followed by calcium hydroxide therapy. The external root resorption in relation to the distal root of tooth #36 was managed with calcium hydroxide therapy. The follow-up radiographs revealed progressive healing of the periapical lesion and restoration of the root architecture of the distal root of tooth #36. This case report highlights that large periapical lesions in relation to mandibular molars can heal nonsurgically. first molar. Int J Med Dent Case Rep 2021;7:1-3.
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与下颌第二磨牙及伴随的下颌第一磨牙外根吸收有关的大根尖周围病变的非手术治疗
根尖周围病变相关的牙髓治疗可以通过非手术治疗,根尖周围手术,或拔牙。根尖周围手术的各种缺点有利于非手术再治疗方法。这个病例报告提出了一个大的根尖周围病变的非手术治疗与下颌第二磨牙,并伴有下颌第一磨牙的外根吸收。通过37号牙的根管从根尖周围病变处吸出液体,然后进行氢氧化钙治疗。36号牙远端根外根吸收采用氢氧化钙治疗。随访x线片显示36号牙远端根的根尖周围病变逐渐愈合,根结构恢复。本病例报告强调,与下颌磨牙有关的大的根尖周围病变可以非手术治疗。第一个摩尔。国际医学病例报告2021;7:1-3。
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