Main Article Content

Abstract

Periapical lesions develop from non-vital teeth. In teeth with non-hermetic root canal filling, the presence of microleakage bacteria will invade the root canal and reach the periradicular area and cause inflammation so that it develops into periapical lesions as a form of failure of root canal treatment. Periapical lesions should be treated with a non-surgical endodontic procedure with a fair success rate. The purpose of this case report was to evaluate conventional endodontics as non-surgical management of teeth with a periapical lesion in previously treated teeth.


Case: A 25-year-old female patient came to a private practice with a complaint of cavity in her lower left molar. One month ago, she had a throbbing tooth pain for which she took analgesic medication. The tooth was treated by root canal treatment about 6 years ago. The patient had no history of systemic disease.


Case Management: Occlusal Adjustment, non-vital root canal treatment, the core build-up (fibre reinforced composite) and full coverage direct composite restoration.


Conclusion: Adequate root canal treatment affects the success of endodontic treatment, in this case, there was very good progress in healing of the periapical lesion.


Periapical lesions develop from non-vital teeth. In teeth with non-hermetic root canal filling, the presence of microleakage bacteria will invade the root canal and reach the periradicular area and cause inflammation so that it develops into periapical lesions as a form of failure of root canal treatment. Periapical tissue develops in response to microbial assumption and their by-products that infiltrate the periradicular tissues and activate the host's immune reaction. A dynamic encounter between the host's immune response and microbial infective factors at the interface of the periodontal membrane and infected pulpal tissue results in various periapical lesions.[1,2,3]


Periapical lesions should be treated with a non-surgical endodontic procedure with a fair success rate. Microbial elimination or minimization from the pulp system using efficient chemo mechanical preparation can lead to a successful treatment.[1,4,5] The aim of this case report is to evaluate conventional endodontics as non-surgical management of teeth with a periapical lesion.

Article Details

How to Cite
Nelmi Wahyuni, & Widi Prasetia. (2022). Nonsurgical Management of Periapical Lesions of Mandibular First Molar - Case Report. Journal of Evolution of Medical and Dental Sciences, 11(6), 661–664. https://doi.org/10.14260/jemds.v11i6.135

References

  1. Berman L, Hargreaves K. Cohen's pathways of the pulp. 12th edn. Canada: Elsevier 2020.
  2. Tabassum S, Khan FR. Failure of endodontic treatment: the usual suspects. Eur J Dent 2016;10(1):144-7.
  3. Moshari A, Vatanpour M, Ashari EE, et al. Nonsurgical management of an extensive endodontic. Periapical lesion: a case report. Iran Endod J 2017;12(1):116-9.
  4. Broon NJ, Bortoluzzi EA, Bramante CM. Repair of large periapical radiolucent lesions of endodontic oarigin without surgical treatment. Aust Endod J 2007;33(1):36-41.
  5. Donnermeyer D, Bunne C, Schäfer E, et al. Retreatability of three calcium silicate-containing sealers and one epoxy resin-based root canal sealer with four different root canal instruments. Clin Oral Investig 2018;22(2):811-7.
  6. Torabinejad M, Walton RE. Endodontics principles and practice. 5th edn. St. Louis: Saunders Elsevier 2015.
  7. Mohammadi Z, Dummer PMH. Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J 2011;44(8):697-730.
  8. Fernandes M, de Ataide I. Nonsurgical management of periapical lesions. J Conserv Dent 2010;13(4):240-5.
  9. Basavanna RS, Shivanna V, Chhillar K. Nonsurgical healing of periapical lesion using single cone with bioceramic sealer. Int J Oral Health Sci 2019;9(1):49-52.
  10. Metzger Z, Kfir A. Disinfection of root canal systems the treatment of apical periodontitis. 1st edn. Willey Blackwell 2014:303-10.