Publication

Abstract :

Aim and objective: The aim of this study is to manage periapical lesions of endodontic origin without invasive surgery. 

Background: Though root canal instrumentation along with irrigation greatly reduces the number of bacteria in the infected canals, it is difficult to obtain complete disinfection in all cases. The use of intracanal medicaments helps in reducing or inhibiting the growth of microbes that are left behind after cleaning and shaping to prevent reinfection. This will ensure lesion reduction or resolution. 

Case descriptions: Four cases have been presented with periapical lesions that were all accessed, cleaned, and shaped in the first visit, followed by Metapex placement in the next visit. After a 3-month interval, when the lesions healed well, obturation was done. 

Clinical significance: For the treatment of periapical lesions, nonsurgical therapy should be considered as first-line treatment option as it proves to be a more conservative approach.