NONSURGICAL MANAGEMENT OF PERIAPICAL LESION USING CALCIUM SILICATE BASED CEMENTS AND SEALER FOLLOWED BY WALKING BLEACH TO MANAGE INTRINSIC DISCOLORATION OF TOOTH – 2 CASE REPORTS

Author:

Tiwari Shilpi1,Naganath Meena2

Affiliation:

1. PG student, Department Of Conservative Dentistry and Endodontics, Vokkaligara Sangha Dental College & Hospital, Bangalore, India.

2. MDS , Professor , Department Of Conservative Dentistry and Endodontics , Vokkaligara Sangha Dental College & Hospital, Bangalore, India.

Abstract

Microbial infection of pulpal tissues leads to a periapical lesion. The main objective involved in the treatment of these cases is to get rid of microorganisms and its toxins from the root canal as well as from the periapical region followed by the restoration of tooth function. An immature tooth with pulpal necrosis and periapical pathology presents a great challenge to an endodontist. These cases should be treated with conventional apexification procedure with and without apical barriers. Calcium hydroxide is the most commonly used material in apexification procedure, however they have some disadvantages. Hence the use of calcium silicate based cements like mineral trioxide aggregate (MTA) and Biodentine has been proposed in literature.

Publisher

World Wide Journals

Reference9 articles.

1. Mutluay AT, Mutluay M. Management of large periapical lesion due to trauma using triple antibiotic paste. Journal of Oral and Maxillofacial Radiology. 2017 May 1;5(2):58.

2. Varghese LJ, Haridas AK, Mubasheer M, Kurian SD, Naveen OP, Peter CD. Surgical and Non-surgical Intervention for the Management of Radicular Cyst-A Comparative Study.

3. Prasanthi NN, Chittem J, Simpsy GS, Sajjan GS. Surgical management of a large inflammatory periapical lesion with platelet-rich fibrin. Journal of Interdisciplinary Dentistry. 2017 May 1;7(2):76.

4. Narang K, Nayak M, Wahed A, George JV, Mathew S. Management of Non-Vital Teeth with Open Apices using MTA: Two Case Reports. Journal of Dental and Orofacial Research. 2018;14(1):75-9.

5. Vitti RP, Prati C, Silva EJ, Sinhoreti MA, Zanchi CH, e Silva MG, Ogliari FA, Piva E, Gandolfi MG. Physical properties of MTA Fillapex sealer. Journal of endodontics. 2013 Jul 1;39(7):915-8.

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