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Nonsurgical management of complex endodontic cases with several periapical lesions: a case series

Nonsurgical management of complex endodontic cases with several periapical lesions: a case series

Authors :
Mariano Malvano
Giuseppe Pantaleo
Massimo Amato
Michele Simeone
Alfredo Iandolo
Source :
Giornale Italiano di Endodonzia. 30:101-110
Publication Year :
2016
Publisher :
PAGEPress Publications, 2016.

Abstract

Aim Today, thanks to modern technologies as operative microscope, ultrasonic tips, devices to activate irrigation and tridimensional obturation performed with thermo plasticized gutta-percha, excellent results could be obtained. Materials and methods In this study, we present 5 patients with the presence of periapical lesions in molars and incisors with history of pain. Modern endodontic technologies were used. The rationale of using these technologies was to obtain a chemo-mechanical cleansing and obturation of the entire endodontic system and to gain the lesion resolution with a non-surgical approach. Results A success rate of 100% was obtained. Radiographs and clinical examinations were done until 10 years. All the cases highlighted the success achieved in the short and long term through the complete resolution of the lesions and therefore the reconstitution of the lamina dura. Conclusions The positive results highlighted by these clinical cases demonstrate how the use of modern technologies is essential to avoid iatrogenic damage and to gain safe and reproducible results.

Details

ISSN :
11214171
Volume :
30
Database :
OpenAIRE
Journal :
Giornale Italiano di Endodonzia
Accession number :
edsair.doi.dedup.....e7979df7896634d15d7babb25cace333
Full Text :
https://doi.org/10.1016/j.gien.2016.09.005