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
{"title":"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","authors":"M. Fernandes, I. Ataide","doi":"10.15713/INS.IJMDCR.158","DOIUrl":null,"url":null,"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.","PeriodicalId":335352,"journal":{"name":"International Journal of Medical and Dental Case Reports","volume":"290 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Medical and Dental Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15713/INS.IJMDCR.158","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
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.