Journal of Conservative Dentistry

INVITED REVIEW
Year
: 2010  |  Volume : 13  |  Issue : 4  |  Page : 240--245

Nonsurgical management of periapical lesions


Marina Fernandes, Ida de Ataide 
 Department of Conservative Dentistry and Endodontics, Goa Dental College and Hospital, Bambolim, Goa - 403 601, India

Correspondence Address:
Marina Fernandes
Department of Conservative Dentistry and Endodontics, Goa Dental College and Hospital, Bambolim, Goa - 403 601
India

Periapical lesions develop as sequelae to pulp disease. They often occur without any episode of acute pain and are discovered on routine radiographic examination. The incidence of cysts within periapical lesions varies between 6 and 55%. The occurrence of periapical granulomas ranges between 9.3 and 87.1%, and of abscesses between 28.7 and 70.07%. It is accepted 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. A review of literature was performed by using electronic and hand searching methods for the nonsurgical management of periapical lesions. Various methods can be used in the nonsurgical management of periapical lesions: the conservative root canal treatment, decompression technique, active nonsurgical decompression technique, aspiration-irrigation technique, method using calcium hydroxide, Lesion Sterilization and Repair Therapy, and the Apexum procedure. Monitoring the healing of periapical lesions is essential through periodic follow-up examinations.


How to cite this article:
Fernandes M, Ataide Id. Nonsurgical management of periapical lesions.J Conserv Dent 2010;13:240-245


How to cite this URL:
Fernandes M, Ataide Id. Nonsurgical management of periapical lesions. J Conserv Dent [serial online] 2010 [cited 2023 Dec 7 ];13:240-245
Available from: https://www.jcd.org.in/article.asp?issn=0972-0707;year=2010;volume=13;issue=4;spage=240;epage=245;aulast=Fernandes;type=0