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Year : 2017  |  Volume : 29  |  Issue : 1  |  Page : 78-81

Nonsurgical retreatment of a very large periapical lesion using triple antibiotic paste, calcium hydroxide and intracanal aspiration technique

1 Department of Conservative Dentistry and Endodontics, Seema Dental College, Rishikesh, Uttarakhand, India
2 Department of Periodontics, Seema Dental College, Rishikesh, Uttarakhand, India

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/endo.endo_111_16

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This article presents a case with a very large periapical lesion in relation to mandibular right first and second molars. A nonsurgical approach was taken into consideration for the management of the lesion. The treatment included nonsurgical root canal treatment with the aspiration of fluid through the root canal and placement of triple antibiotic paste for 2 weeks followed by metapex for 3 months. Complete periapical healing was observed at 2 years recall. This report suggests that surgical removal of the large periapical lesion is not mandatory and that irrespective of the size of the lesion, every effort should be made to treat such lesion by conservative means.

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