Single visit nonsurgical endodontic therapy for periapical cysts: A clinical study

Maity, Ipsita; Meena, N; Kumari, R Anitha

doi:10.4103/0976-237x.132321

Cited by 7 publications

(5 citation statements)

References 28 publications

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“…Inflammatory periapical cysts are currently treated by shaping and obturating the root canal instead of performing urgent surgery. Inflammatory periapical cysts are currently treated by shaping and obturating the root canal instead of performing urgent surgery (78). Some inflammatory periapical cysts can only be treated with endodontics (79).…”

Section: Periapical Cyst (Lateral Radicular Cyst)mentioning

confidence: 99%

Types, Complications, and Prognosis of Inflammatory and Developmental Odontogenic Cyst

Alsaadi¹,

Alqahtani²,

Alamer³

et al. 2023

JOHS

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In general, odontogenic cysts might have an inflammatory or developmental origin. The review study aims to increase understanding of the various categories of odontogenic cysts by describing their primary characteristics, consequences, treatments, and prognoses of lesions. Different types of developmental odontogenic cysts are the dentigerous cyst, eruption cyst, odontogenic keratocyst (OKC), orthokeratinized odontogenic cyst (OOC), gingival cyst (adult and new-born), lateral periodontal cyst (LPC), glandular odontogenic cyst, and calcifying odontogenic cyst (COC). Periapical or lateral radicular cysts, residual cysts, and paradental cysts are forms of inflammatory odontogenic cysts. The mandible and maxilla are affected by these inflammatory lesions. The most prevalent developmental odontogenic cysts were dentigerous cysts and OKC. Most developmental cysts reported rare recurrence and excellent prognosis except for glandular odontogenic cysts (30 to 55% recurrence) and OKC (30%). Glandular odontogenic cysts, OKC, and COC have the propensity to behave aggressively and recur frequently compared to others. Although most inflammatory cysts are asymptomatic and benign, because of their continuous growth, these lesions have the potential to become destructive because they damage and infect the nearby bone. Malignant transformation has been reported in periapical and residual inflammatory cysts. As a result, they should be properly diagnosed and treated. All inflammatory cysts have a favorable prognosis.

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Section: Periapical Cyst (Lateral Radicular Cyst)mentioning

confidence: 99%

Types, Complications, and Prognosis of Inflammatory and Developmental Odontogenic Cyst

Alsaadi¹,

Alqahtani²,

Alamer³

et al. 2023

JOHS

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“…NaOCl was used as an irrigant because of its broad-spectrum antimicrobial activity as well as its capacity to dissolve necrotic tissue remnants [46].…”

Section: Healing Of the Decayed Tissue Either By Regeneration Or By R...mentioning

confidence: 99%

Healing Assessment of Osseous Defects after Surgical Removal of Periapical Lesions in the Presence of Hydroxyapatite, Nanohydroxyapatite, and a Combination of Nanohydroxyapatite and Platelet-rich Fibrin: A Clinical Study

ElKholly

Negm²,

Hassan³

et al. 2022

Open Access Maced J Med Sci

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Abstract: Aim: to evaluate the bone healing in failed endodontically treated teeth after surgical removal of periapical lesions and placement of hydroxyapatite (HA), nanohydroxyapatite (nHA) and a combination of nanohydroxyapatite with platelet rich fibrin (PRF) periapically. Subjects and methods: the study was conducted on twenty-four patients having periapical radiolucency in single rooted teeth. The selected teeth were divided into three groups: Group A, Group B, and Group C; of 8 teeth each. All the teeth were retreated in two visits. In the first visit the old filling was removed using Protaper retreatment files (Dentsply Sirona®) then irrigation with sodium hypochlorite 2.5% was done. All canals were dried and filled with Di-antibiotic paste (metronidazole and ciprofloxacin). In the second visit the canals were obturated with Pro Taper gutta-percha points and root canal sealer (Adseal resin sealer) followed by surgical intervention in the same day. A periapical curettage along with apicoectomy were established. In all the groups, root end cavity was prepared and filled with MTA (ProRoot MTA; DENTSPLY Tulsa Dental Specialties). In Group A, hydroxyapatite powder was packed in the curetted periapical defect. In Group B, nanohydroxyapatite powder was packed in the curetted periapical defect. In Group C, nanohydroxyapatite with PRF were mixed and packed in the curetted periapical defect. In all groups, patients recall visits were scheduled at 1, 3, and 6 months’ time intervals for clinical and radiological evaluation. Results: after one month; there was a statistically significant difference between the median percentage changes in lesions size in the three groups. Pair-wise comparisons between groups revealed that there was no statistically significant difference between group B (nHA) and group C (PRF and nHA) groups. Both showed statistically significantly higher median percentage reduction in lesions size than group A (HA group). After three as well as six months; there was no statistically significant difference between the median percentage decreases in lesions size in the three groups. Conclusion: It was concluded that nHA combination with PRF produced faster periapical healing (bone regeneration) in the first three months than nHA alone. However, HA produce periapical healing (bone regeneration) after six months.

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“…NaOCl was used as an irrigant because of its broad-spectrum antimicrobial activity as well as its capacity to dissolve necrotic tissue remnants 33 .…”

Section: A Comparison Of Osseous Defects Healing After Surgical Enucl...mentioning

confidence: 99%

A Comparison of Osseous Defects Healing After Surgical Enucleation of Periapical Lesions in The Presence of Hydroxyapatite and Nanohydroxyapatite (A Clinical Study)

ElKholly

Negm

Hassan

et al. 2022

Al-Azhar Assiut Dental Journal

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Aim: to evaluate the bone healing in failed endodontically treated teeth after surgical enucleation of periapical lesions and packing of hydroxyapatite, and nanohydroxyapatite powder periapically. Subjects and methods: the study was established on sixteen patients having periapical radiolucency in single rooted teeth. The selected teeth were divided into two groups: Group A and Group B; of 8 teeth each. All the teeth were retreated in two visits. In the first visit the old filling was removed then irrigation with sodium hypochlorite was done. Di-antibiotic paste (ciprofloxacin and metronidazole) was used to fill the canals for 10 days. In the second visit the canals were obturated with Pro Taper gutta-percha points and root canal sealer followed by surgical intervention in the same day. Apicoectomy and periapical curettage were established. In both the groups, after preparation of root end cavity, it was filled with MTA followed by placement of regeneration material in the curetted periapical defect (hydroxyapatite (group A) and nanohydroxyapatite (group B)). In both groups, patients recall visits were scheduled at 1, 3, and 6 months time intervals for clinical and radiological evaluation. Results: after one month; there was a statistically significant difference between the median percentage changes in lesions size in the two groups. After three and six months; there was no statistically significant difference between the two groups. Conclusion: It was concluded that nanohydroxyapatite produced faster bone regeneration in the first three months than hydroxyapatite. However, hydroxyapatites produce bone regeneration after six months.Most of the time periapical lesions may achieve successful healing after non-surgical root canal treatment 4 . However, some cases with persisting symptoms or recurrent infection requires periradicular

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Single visit nonsurgical endodontic therapy for periapical cysts: A clinical study

Cited by 7 publications

References 28 publications

Types, Complications, and Prognosis of Inflammatory and Developmental Odontogenic Cyst

Types, Complications, and Prognosis of Inflammatory and Developmental Odontogenic Cyst

Healing Assessment of Osseous Defects after Surgical Removal of Periapical Lesions in the Presence of Hydroxyapatite, Nanohydroxyapatite, and a Combination of Nanohydroxyapatite and Platelet-rich Fibrin: A Clinical Study

A Comparison of Osseous Defects Healing After Surgical Enucleation of Periapical Lesions in The Presence of Hydroxyapatite and Nanohydroxyapatite (A Clinical Study)

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