Periapical Pathologies Treated with Conservative Approach

Abstract

Periapical pathologies are encountered routinely on an endodontically compromised tooth which may or may not be painful. The lesions resulting from few millimeters to centimeters can be a cyst, granuloma or an abscess combinedly comprising up to more than 90% of all periapical lesions. Various methods can be used for the treatment of the periapical lesions using modern endodontic techniques including endodontic microscopes, ultrasonic irrigation tips, intra canal calcium hydroxide medicaments, advanced cleaning and shaping endodontic files and advanced obturation techniques. The goal of the endodontic treatment is to provide a complete aseptic environment with complete sealing of root canal and coronal restoration with absolute eradication of any microbial growth for successful resolution of the lesions. We are reporting here multiple cases where we used calcium hydroxide as an intra-canal medicament for its antibacterial properties and intra-canal medicament for the treatment of periapical lesions.