Nonsurgical management of a large periapical lesion using aspiration in combination with a triple antibiotic paste and calcium hydroxide

Nonsurgical management of a large periapical lesion using aspiration in combination with a triple antibiotic paste and calcium hydroxide

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Persistent opi all your dreams in vending machines microorganisms in the root canal are known to cause endodontic treatments failure.Overextended gutta-percha can also act as a periradicular tissue irritant, leading to large periapical lesions.Retrieval of overextended gutta-percha with a nonsurgical approach can prove to be a challenge.This case describes the nonsurgical management of a large periapical lesion associated with overextended gutta-percha.

Retrieval of gutta-percha was attempted but the overextended portion could not be removed.Aspiration of the purulent exudate was done through the root canal followed by use of a triple antibiotic paste.After 2 weeks the antibiotic paste was replaced with calcium hydroxide, to enhance the osseous regeneration.The periapical lesion showed a considerable amount of periapical healing after 15 months.

The results music hall mmf-1.3 turntable of this case demonstrate that aspiration in conjunction with the triple antibiotic paste and calcium hydroxide may possibly be used in managing large periapical lesions associated with overextend gutta-percha.