NON-SURGICAL ENDODONTIC TREATMENT OF TEETH ASSOCIATED WITH LARGE PERIAPICAL LESION: A REPORT OF THREE CLINICAL CASES

Trọng Hiếu Đỗ, Thị Thu Hiền Phạm, Thị Ngọc Anh Trần, Diệu Hồng Đinh

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Abstract

CLINICAL CASES


Apical periodontitis is a common clinical disease caused by the interaction of many factors, in which bacteria play a dominant role. This pathology is characterized by an inflammatory response of the periapical tissues to stimuli of relatively low intensity and for a long duration from inflamed pulp tissue, necrotic pulp tissue, or failure of endodontic treatment. Years ago, surgical endodontic treatment was indicated for teeth with periapical lesions >5mm, even extraction. However, advancements in scientific knowledge of genesis, pathologic nature and clinical behaviors, a lot of evidences have shown that conventional endodontic treatment can favor the healing of large-sized periapical lesions without surgery or extraction. Therefore, this report of three successful clinical cases confirms that the large-sized periapical lesions do not mandate to be removed by surgical intervention.

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References

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