Journal of Scientific Dentistry

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VOLUME 4 , ISSUE 1 ( January-June, 2014 ) > List of Articles

CASE SERIES

Calcium Hydroxide Therapy for Persistent Chronic Apical Periodontitis: A Case Series

Mithun jith K, Jerry J, Sathyanarayanan R

Keywords : Calcium hydroxide, Chroinc apical periododontitis, endodontic therapy, calcium hydroxide therapy

Citation Information : K MJ, J J, R S. Calcium Hydroxide Therapy for Persistent Chronic Apical Periodontitis: A Case Series. 2014; 4 (1):24-37.

DOI: 10.5005/jsd-4-1-24

License: CC BY-NC 4.0

Published Online: 01-06-2014

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

A common sequlae to pulp disease is development of periapical lesions. Chronic periapical lesions mostly occur without any episode of acute pain and are discovered on routine radiographic examination. It's a well accepted fact that all inflammatory periapical lesions should be initially treated with conservative nonsurgical procedures. Studies have reported a success rate of up to 85% after endodontic treatment of teeth with periapical. lesions. With various biologic properties, calcium hydroxide has been widely used in endodontics from its introduction in 1920. Large size of a chronic periapical lesion does not always mandate its surgical removal, and that even cyst-like periapical lesions heal following a conservative endodontic therapy with long term calcium hydroxide therapy. This case series highlights the importance of calcium hydroxide being used as intracanal medicament with standard proctocols and time frame and also on different non surgical treatment strategies for management of chronic apical periododontitis patients.


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