Regression of large periapical lesion using calcium hydroxide therapy: a six-year follow-up case report

Periradicular lesions occur in non-vital teeth as the result of a chronic aggression by the presence of microorganisms into the root canal, which may appear as a radiolucent lesion in the radiographic exam; treatment varies according to surgical or nonsurgical methods. This case report describes the...

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Main Authors: Cari Maristela Pieper, Eliseu Aldrighi Münchow, Evandro Piva
Format: Article
Language:English
Published: Universidade Estadual Paulista 2015-02-01
Series:Brazilian Dental Science
Online Access:https://ojs.ict.unesp.br/index.php/cob/article/view/1015
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author Cari Maristela Pieper
Eliseu Aldrighi Münchow
Evandro Piva
author_facet Cari Maristela Pieper
Eliseu Aldrighi Münchow
Evandro Piva
author_sort Cari Maristela Pieper
collection DOAJ
description Periradicular lesions occur in non-vital teeth as the result of a chronic aggression by the presence of microorganisms into the root canal, which may appear as a radiolucent lesion in the radiographic exam; treatment varies according to surgical or nonsurgical methods. This case report describes the regression of a periradicular lesion using a nonsurgical endodontic treatment in association with intracanal calcium hydroxide-based medicament. After patient examination and radiographic analysis, a 13 mm (in maximum diameter) radiolucent lesion was observed in tooth number 12. The endodontic treatment was done and Calen-CMCP (S.S. White Artigos Dentários Ltda., Rio de Janeiro, RJ, Brazil) was placed into the root canal, which was changed after every two weeks during two months. It was observed a progressive centrifugal regression of the lesion after every renewing of the medicament. In addition, after six-year follow-up the tooth was still free of re-infection and bone tissue was completely regenerated. In conclusion, calcium hydroxide therapy can conservatively stimulate the regression of large periradicular lesions.
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series Brazilian Dental Science
spelling doaj-art-4f35a0483c5b4606bfb664baeb8727dc2025-08-22T18:14:45ZengUniversidade Estadual PaulistaBrazilian Dental Science2178-60112015-02-0118110.14295/bds.2015.v18i1.1015Regression of large periapical lesion using calcium hydroxide therapy: a six-year follow-up case reportCari Maristela Pieper0Eliseu Aldrighi Münchow1Evandro Piva2Graduate Program in Dentistry – School of Dentistry – Federal University of Pelotas – Pelotas – RS – Brazil.Graduate Program in Dentistry – School of Dentistry – Federal University of Pelotas – Pelotas – RS – Brazil.Department of Operative Dentistry – School of Dentistry – Federal University of Pelotas – Pelotas – RS – Brazil.Periradicular lesions occur in non-vital teeth as the result of a chronic aggression by the presence of microorganisms into the root canal, which may appear as a radiolucent lesion in the radiographic exam; treatment varies according to surgical or nonsurgical methods. This case report describes the regression of a periradicular lesion using a nonsurgical endodontic treatment in association with intracanal calcium hydroxide-based medicament. After patient examination and radiographic analysis, a 13 mm (in maximum diameter) radiolucent lesion was observed in tooth number 12. The endodontic treatment was done and Calen-CMCP (S.S. White Artigos Dentários Ltda., Rio de Janeiro, RJ, Brazil) was placed into the root canal, which was changed after every two weeks during two months. It was observed a progressive centrifugal regression of the lesion after every renewing of the medicament. In addition, after six-year follow-up the tooth was still free of re-infection and bone tissue was completely regenerated. In conclusion, calcium hydroxide therapy can conservatively stimulate the regression of large periradicular lesions.https://ojs.ict.unesp.br/index.php/cob/article/view/1015
spellingShingle Cari Maristela Pieper
Eliseu Aldrighi Münchow
Evandro Piva
Regression of large periapical lesion using calcium hydroxide therapy: a six-year follow-up case report
Brazilian Dental Science
title Regression of large periapical lesion using calcium hydroxide therapy: a six-year follow-up case report
title_full Regression of large periapical lesion using calcium hydroxide therapy: a six-year follow-up case report
title_fullStr Regression of large periapical lesion using calcium hydroxide therapy: a six-year follow-up case report
title_full_unstemmed Regression of large periapical lesion using calcium hydroxide therapy: a six-year follow-up case report
title_short Regression of large periapical lesion using calcium hydroxide therapy: a six-year follow-up case report
title_sort regression of large periapical lesion using calcium hydroxide therapy a six year follow up case report
url https://ojs.ict.unesp.br/index.php/cob/article/view/1015
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AT eliseualdrighimunchow regressionoflargeperiapicallesionusingcalciumhydroxidetherapyasixyearfollowupcasereport
AT evandropiva regressionoflargeperiapicallesionusingcalciumhydroxidetherapyasixyearfollowupcasereport