Sankkesh Jain

Abstract

This case report describes the non-surgical management of a large cyst-like periapical lesion involving 12,13,14 in a 20 years old female patient who came with a chief complaint of swelling and pus discharge with no history of pain and traumatic accident in that area. Root canal therapy was done in the same with use of calcium hydroxide intracanal medicament and obturation using bioceramic sealer. Clinical and radiographic re-evaluations at 2, 6 and 12 months revealed progressing bone healing. This case report shows that appropriate diagnosis in combination with root canal treatment and use of bioceramic sealers as a conservative non-surgical approach can lead to complete healing of large lesions without invasive treatments.   Keywords: Non­surgical endodontic therapy, Periapical cyst, Bioceramic sealer, Calcium hydroxide

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Abstract

Predictable endodontic therapy begins with good access preparation, which allows for the accurate location of any given orifice, facilitating the negotiating, securing, and shaping of the canal, as well as 3D disinfection and filling of the root canal system. Missed, unfilled, and untreated root canals have been identified as one of the leading causes of endodontic therapy failure in several investigations. With the advent of CBCT, magnification, ultrasonics and other diagnostic and treatment adjuvants, searching for and treating root canals has become easier and more predictable.   Keywords: Hidden/missed root canals, Radiographs, CBCT, Magnification, Ultrasonics

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