Saatchi Masoud
Department of Endodontics, School of Dentistry, Isfahan Medical University, Isfahan, Iran.
Aust Endod J. 2007 Dec;33(3):136-40. doi: 10.1111/j.1747-4477.2007.00061.x.
A patient with a large periapical lesion around the apices of her mandibular incisors is presented. During the conservative non-surgical endodontic treatment, sodium hypochlorite was used for irrigation, and calcium hydroxide was used for the intra-canal dressing. Periapical healing was observed 1 month after obturation and continued in the 12-month recall. This report confirms that the large size of a periapical lesion does not mandate its surgical removal, and that even cyst-like periapical lesions heal following a conservative endodontic therapy.
本文介绍了一位下颌切牙根尖周围存在大面积根尖周病变的患者。在保守性非手术根管治疗过程中，使用次氯酸钠进行冲洗，并使用氢氧化钙进行根管内封药。根管充填1个月后观察到根尖周愈合情况，在12个月的复查中愈合仍在持续。本报告证实，根尖周病变面积较大并不一定需要手术切除，即使是囊肿样根尖周病变在保守性根管治疗后也可愈合。
