Dandotikar Deepakraj, Peddi Ravigna, Lakhani Bharvi, Lata Kamini, Mathur Aditi, Chowdary Uday Kumar
Department of Pedodontics & Preventive Dentistry, SVS Institute of Dental Sciences, Mahabubnagar, Andhra Pradesh, India.
J Int Oral Health. 2013 Jun;5(3):79-84. Epub 2013 Jun 23.
Large periapical lesions, regardless of whether they are granulomas, abscesses or cysts, are primarily caused by root canal infection. Thus the treatment protocol should be elimination of etiological factors in the root canal system rather than their product, apical true cyst. A 10 year old female patient reported to the Department of Pedodontics and Preventive Dentistry, Dr R Ahmed Dental College & Hospital, Kolkata, with the chief complaint of pain and swelling in relation to upper front fractured teeth. Clinical and radiological findings were suggestive of periapical radicular cyst. Non-surgical endodontic therapy was performed using 1% sodium hypochlorite solution irrigant and Calcium hydroxide intra canal medicament. A 12 months follow-up radiographic examination revealed progressive involution of periapical radiolucency without any clinical symptoms. Periapical cysts respond favorably to non-surgical endodontic treatment and should be considered as primary treatment modality. How to cite this article: Dandotikar D, Peddi R, Lakhani B, Lata K, Mathur A, Chowdary U K. Nonsurgical Management of a Periapical Cyst: A Case Report. J Int Oral Health 2013; 5(3):79-84.
大型根尖周病变，无论其是肉芽肿、脓肿还是囊肿，主要由根管感染引起。因此，治疗方案应是消除根管系统中的病因因素，而非其产物根尖真性囊肿。一名10岁女性患者前往加尔各答R·艾哈迈德牙科学院及医院儿童牙科学与预防牙科学系就诊，主诉上前牙折断后疼痛和肿胀。临床和影像学检查结果提示根尖部根周囊肿。采用1%次氯酸钠溶液冲洗根管，并在根管内封入氢氧化钙进行非手术根管治疗。12个月的随访影像学检查显示根尖周透射区逐渐缩小，且无任何临床症状。根尖周囊肿对非手术根管治疗反应良好，应被视为主要治疗方式。如何引用本文：丹多蒂卡尔D、佩迪R、拉克哈尼B、拉塔K、马图尔A、乔达里U K。根尖周囊肿的非手术治疗：一例报告。《国际口腔健康杂志》2013年；5(3):79 - 84。
