Author(s): Nagaraj. N J, Ravikumar Nesamani, Mahalaxmi Sekar, Pallavi. S

Email(s): dr.njendo1992@gmail.com

DOI: 10.52711/0974-360X.2022.00789   

Address: Nagaraj. N J1*, Ravikumar Nesamani2, Mahalaxmi Sekar2, Pallavi. S1
1Department of Conservative Dentistry and Endodontics, RAJAS Dental College and Hospital, Kavalkinaru, Tirunelveli, Tamilnadu 627105, India.
2Department of Conservative Dentistry and Endodontics, SRM Dental College and Hospital, Ramapuram, Chennai, Tamilnadu 600089, India.
*Corresponding Author

Published In:   Volume - 15,      Issue - 10,     Year - 2022


ABSTRACT:
This case report aims to assess the healing of a large periapical lesion non-surgically using Calcium hydroxide (CH) with the aid of Cone Beam Computed Tomography (CBCT). A 28-year-old female patient presented with pain and swelling in the lower anterior teeth (31, 32, 41, 42) (Federation Dentaire Internationale (FDI) tooth notation system). Patient history and pre-operative radiographic examination revealed incomplete root canal treatment in relation to 31, 32, 41, 42 with periapical abscess. During the first visit, the access cavity was modified, followed by determination of the working length and biomechanical preparation. In the present case report, (CH) intracanal medicament(ICM) was placed in the canals for 2 weeks, and the process was repeated until the canals were dry. Once the canals were dry and the teeth became asymptomatic, obturation was performed. Permanent coronal seal was provided using composite restorative material. One year periodic follow-up was carried out to assess the healing of the periapical lesion, following which, post-operative healing was assessed with the help of CBCT- Periapical Index (CBCT-PAI) and was compared with the pre-operative CBCT-PAI. Regression of the lesion and formation of the trabecular pattern of the bone were noted. Intracanal medication with calcium hydroxide complemented the instrumentation with irrigation and optimal disinfection of the root canal system. In this case report, the use of CBCT as a diagnostic tool helped in the accurate measurement of periapical lesion size.


Cite this article:
Nagaraj. N J, Ravikumar Nesamani, Mahalaxmi Sekar, Pallavi. S. Cone-beam Computed Tomography Evaluation of Non-surgical management of a Large Periapical Lesion using Calcium hydroxide intracanal medicament: A 1-year follow-up case report. Research Journal of Pharmacy and Technology 2022; 15(10):4701-4. doi: 10.52711/0974-360X.2022.00789

Cite(Electronic):
Nagaraj. N J, Ravikumar Nesamani, Mahalaxmi Sekar, Pallavi. S. Cone-beam Computed Tomography Evaluation of Non-surgical management of a Large Periapical Lesion using Calcium hydroxide intracanal medicament: A 1-year follow-up case report. Research Journal of Pharmacy and Technology 2022; 15(10):4701-4. doi: 10.52711/0974-360X.2022.00789   Available on: https://rjptonline.org/AbstractView.aspx?PID=2022-15-10-62


REFERENCES:  
1.    Saha S, Nair R, Asrani H. Comparative Evaluation of Propolis, Metronidazole with Chlorhexidine, Calcium Hydroxide and Curcuma Longa Extract as Intracanal Medicament Against E. faecalis–An Invitro Study. Journal of clinical and diagnostic research: JCDR. 2015 Nov;9(11):ZC19. doi:10.7860/JCDR/2015/14093.6734
2.    Narayanan LL, Vaishnavi C. Endodontic microbiology. Journal of Conservative Dentistry 2010 Oct.;13(4):233-239.doi:10.4103/0972-0707.73386
3.    Neaverth EJ, Burg HA. Decompression of large periapical cystic lesions. Journal of endodontics. 1982 Apr 1;8(4):175-82. doi: 10.1016/S0099-2399(82)80214-8.
4.    Sjögren UL, Hägglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. Journal of endodontics. 1990 Oct 1;16(10):498-504. doi: 10.1016/S0099-2399(07)80180-4.
5.    Murphy WK, Kaugars GE, Collett WK, Dodds RN. Healing of periapical radiolucencies after nonsurgical endodontic therapy. Oral surgery, oral medicine, oral pathology. 1991 May 1;71(5):620-4. doi: 10.1016/0030-4220(91)90374-l.
6.    Lokhasudhan G, Ajitha P. Role of Antibiotics as Intracanal Medicament-A Literature Review. Research Journal of Pharmacy and Technology. 2018;11(4):1691-6. doi:10.5958/0974-360X.2018.00315.3
7.    Chong BS, Ford TP. The role of intracanal medication in root canal treatment. International endodontic journal. 1992 Mar;25(2):97-106. doi: 10.1111/j.1365-2591.1992.tb00743.x.
8.    Divya S, Sujatha S. An insight on the success of various pulpotomy medicaments in pediatric dentistry-A review of literature. Research Journal of Pharmacy and Technology. 2018;11(6):2647-55. doi: 10.5958/0974-360X.2018.00491.2
9.    Özen T, Kamburoğlu K, Cebeci AR, Yüksel SP, Paksoy CS. Interpretation of chemically created periapical lesions using 2 different dental cone-beam computerized tomography units, an intraoral digital sensor, and conventional film. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2009 Mar 1;107(3):426-32. doi:10.1016/j.tripleo.2008.08.017.
10.    Patel S, Wilson R, Dawood A, Mannocci F. The detection of periapical pathosis using periapical radiography and cone beam computed tomography–Part 1: pre‐operative status. International endodontic journal. 2012 Aug;45(8):702-10. doi: 10.1111/j.1365-2591.2011.01989.x.
11.    Maia Filho EM, Calisto AM, Tavarez RR, de Castro Rizzi C, Segato RA, da Silva LA. Correlation between the periapical index and lesion volume in cone-beam computed tomography images. Iranian endodontic journal. 2018;13(2):155. doi:10.22037/iej.v13i2.15040.
12.    Estrela C, Bueno MR, Azevedo BC, Azevedo JR, Pécora JD. A new periapical index based on cone beam computed tomography. Journal of endodontics. 2008 Nov 1;34(11):1325-31. doi: 10.1016/j.joen.2008.08.013.
13.    Toller PA. Newer concepts of odontogenic cysts. International journal of oral surgery. 1972 Jan 1;1(1):3-16. doi: 10.1016/s0300-9785(72)80031-0.
14.    Nair PN, Sjögren U, Sundqvist G. Cholesterol crystals as an etiological factor in non-resolving chronic inflammation: an experimental study in guinea pigs. European journal of oral sciences. 1998 Apr 1;106(2 Pt 1):644-50. doi: 10.1046/j.0909-8836.1998.eos106206.x.
15.    Venskutonis T, Plotino G, Tocci L, Gambarini G, Maminskas J, Juodzbalys G. Periapical and endodontic status scale based on periapical bone lesions and endodontic treatment quality evaluation using cone-beam computed tomography. Journal of endodontics. 2015 Feb 1;41(2):190-6. doi: 10.1016/j.joen.2014.10.017.
16.    Orstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Dental Traumatology. 1986 Feb;2(1):20-34. doi: 10.1111/j.1600-9657.1986.tb00119.x.
17.    Lavanya E, Antony S. Intracanal medicaments in revascularization-A review. Research Journal of Pharmacy and Technology. 2018;11(6):2672-6. doi: 10.5958/0974-360X.2018.00495.x
18.    Sathorn C, Parashos P, Messer H. Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta‐analysis. International endodontic journal. 2007 Jan;40(1):2-10. doi: 10.1111/j.1365-2591.2006.01197.x.
19.    de Souza V, Holland R, Nery MJ, de Mello W, Bernabé PF, Otoboni Filho JA. Root canal treatment of pulpless teeth with Hexocalex. Histological study in dog. Revista da Faculdade de Odontologia de Aracatuba. 1978 Jan 1;7(1):19-24.


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