Endosurgical management of a large periapical lesion in maxillary anterior region – a case report

Author: 
Kapil Jadiya., Meghana Nahata., Varun Reddy K., Ajay Saxena., Pradnya Nikhade and Bhaghyashree Karwa

Introduction: Clinic success in endodontic treatment, rarely exhibits 66%, if debridation is the only criterion of evaluation. Contamination of the pulpal and periradicular tissues with microorganisms generates infections.
Aim: The aim of this work was the evaluation of the healing of chronic perirapical lesion using MTA.

Material & method: A multi-visit endodontic therapy was done with the affected tooth. Root canal preparation and Obturation was carried out uneventfully. Eventually a backfill was done using thermoplasticized gutta-percha followed bySurgical management of the cyst was done, which included cyst enucleation and apicectomy and MTA placement.
Results: Patients were evaluated with radiographs in the first appointment, at 3 and 6 months after MTA was placed in the canal.

Conclusion: MTA allows complete apical bone healing

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DOI: 
http://dx.doi.org/10.24327/ijcar.2018.14234.2759
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