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Case Report Calcium Hydroxide and Chlorhexidine: Synergy in Non-surgical Endodontic Approach for Extensive Periapical Lesion: New Traditional Approach Hitesh Sonigra, Nikunj Patel, Kiran Vachhani, Kailash Attur Department of Conservative Dentistry and Endodontics, Narsinhbhai Patel Dental College and Hospital, Visnagar, Gujarat, India ABSTRA CT Expansive periapical lesions often lead the clinician toward surgical interventions, to facilitate faster resolution of the pathology. Innumerable materials at our disposal, when judiciously applied in conservative nonsurgical interventions, present excellent results. Detailed here is such a case, with a large periapical lesion i.r.t. maxillary left central incisor and lateral incisor, resolved in a relatively short timeframe with the unusual combination of calcium hydroxide chlorehexidine paste.Significant bone formation was seen at the periapical region at the 1 year follow-up. Keywords: Calcium hydroxide, chlorhexidine, periapical lesion, non-surgical endodontic treatment INTRODUCTION necrosis and microbial infection, which may accelerate [3] the root resorption process. Dental trauma is invariably distressing and painful for the patient, presents a challenge to the clinicians, who Periapical lesions develop as sequelae to pulp necrosis. must strive for aesthetically pleasing, medium to long These lesions of endodontic origin are produced by term clinical outcome. The estimation of the extent of an inflammatory response at the
Journal of Advanced Oral Research – SAGE
Published: Jan 1, 2015
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