Cilde fistülizasyonu olan ve olmayan geniş periradikuler lezyonların cerrahi olmayan endodontic tedavisi: iki olgu sunumu ve derleme

Abstract

The purposes of this report are to report two cases of large periradicular lesions with and without cutaneous sinus tract and to present diagnostic guidelines, treatment guidelines and to summarize other reported cases. The first case was 23 year-old women with a draining cutaneous sinus tract on the chin, which originated from mandibular incisors. The lesion had been present for two years and had been occasionally draining purulent fluid. The second case was 46 year-old women with a large non-demarcated radiolucent lesion located in apical portion of the mandibular left second premolar root. The patient had exhibited slight discomfort in the premolar region. In both cases, the lesions completely resolved following non-surgical endodontic treatment. Recall visits were performed after 3, 6 month and 12-month period. In the first case, the sinus tract completely healed within two weeks with a small dimple-like scar, one-year recall radiography demonstrated completed bony repair. Keywords: large periapical lesion, odontogenic cutaneous sinus tract, non-surgical treatment, extruded kalsiyum hidroksit