Abstract
Periapical disease may occur through an inflammatory response in a non-vital tooth. The treatment of choice for most of these periapical lesions may be a conservative non-surgical approach. An accurate diagnosis of the periapical lesion whether it is of endodontic or nonendodontic origin has to be made. Non- surgical endodontic therapy has shown a success rate of 94.4% with complete or partial healing. The present clinical cases show two large periapical lesions in 14 year and 17-year-old male patients respectively which were healed with non- surgical approaches using different formulations of calcium hydroxide. Healing was seen after few months in both the lesion without invasive treatments. As the first case revealed periapical healing within 2 months of calcium hydroxide placement whereas the second case showed a much slower rate of healing over one year.
Highlights
Periapical disease may occur through an inflammatory response in a non-vital tooth
Non- vital tooth leads to an inflammatory response at the root apex which later forms a periapical disease
The periapical lesions can be categorized as a granuloma, radicular cyst or abscesses. 15,16 The diagnosis of the lesion can only be made through the histological nature of the lesion present periapically but a preliminary diagnosis can be made on taking a clinical and radiographic examination
Summary
Periapical lesions are one of the common pathological conditions affecting periradicular tissues. Singh and Wazir / IP Indian Journal of Conservative and Endodontics 2020;5(3):[123–126] than 200mm[2], the lesion is described radiographically as a circumscribed, well defined radiolucent area with a thin radiopaque lining and it produces a pale, brownish, yellow- colored fluid upon aspiration or when drainage is accomplished throughout the accessed root canal system. These case reports here under describes about the management of periapical lesions associated with immature teeth using an aspiration technique followed by placement of different calcium hydroxide formulations to appreciate healing in the periapical lesions
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