J Dent Rehabil Appl Sci.  2021 Jun;37(2):95-100. 10.14368/jdras.2021.37.2.95.

The significance of diagnosis and treatment planning in periapical lesion overfilled with calcium hydroxide paste

• Jung KH
• Kwon EY
• Choi YK
• Kim SY
• Jeon HM
• Park JK

• KMID: 2525983
• DOI: http://doi.org/10.14368/jdras.2021.37.2.95

Abstract

Calcium hydroxide has been widely used for root canal dressing material in endodontic treatment. This report describes that when the accurate diagnosis and proper nonsurgical endodontic retreatment is applied to periapical lesion with accidentally extruded calcium hydroxide paste, the lesion can be successfully treated. Overfilled calcium hydroxide can affect the healing process, so the overextension of calcium hydroxide agent should be avoided.

Keyword

calcium hydroxide; periapical lesion

Figure

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  Fig. 1 (A) Preoperative radiograph of mandibular left second premolar, (B) Photograph of dens evaginatus (arrow) on mandibular right second premolar, (C) Photograph showing a discharge of pus through pulp chamber of mandibular left second premolar.

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  Fig. 2 Radiographs during endodontic treatment. (A) Preoperative radiograph, (B) Radiograph of the first visit. (C) Radiograph of the second visit, (D) Radiograph of the third visit, (E) Radiograph of the fourth visit. The canal filling was done.

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  Fig. 3 Radiographs. (A) Preoperative radiograph, (B) 6 months follow up radiograph, (C) 12 months follow up radiograph, (D) 18 months follow up radiograph, (E) 24 months follow up radiograph.

Reference

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