Print this page Email this page | Users Online: 569
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
CASE REPORT
Year : 2012  |  Volume : 3  |  Issue : 3  |  Page : 220-223

Nonsurgical removal of separated gutta percha and granulation tissue from the periapical area using an aspiration irrigation technique


Department of Conservative Dentistry and Endodontics, Tamil Nadu Government Dental College and Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Kannan Gokul
A 21, Unity Golden Jubilee Apartments, Anna Main Road, KK Nagar, Chennai, Tamil Nadu
India
Login to access the Email id


DOI: 10.4103/0976-433X.107409

Rights and Permissions

Pulpal diseases progress to periapical lesions. The incidence of cysts and granulomas within periapical lesions are 55% and 70.07%, respectively. It is accepted that all inflammatory periapical lesions should be initially treated with conservative nonsurgical procedures. Studies have reported a success rate of up to 85% after endodontic treatment of teeth with periapical lesions. The various options for the removal of obturating material are K-files or H-files, gutta percha solvent, combination of paper points and gutta percha solvent, rotary instruments, retreatment files, heat transfer devices, heat carrier tips, ultrasonic tips and soft tissue laser. In the present case, we removed the gutta percha using K-files and H-files. The various methods of removing detached gutta percha are K-files and H-files, heat carrier tips or periapical surgery. Various methods can be used in the nonsurgical management of periapical lesions: The conservative root canal treatment, decompression technique, active nonsurgical decompression technique, aspiration-irrigation technique, calcium hydroxide methods, lesion sterilization and repair therapy and the apexum procedure. In the present case, we removed the gutta percha using K-files and H-files and we followed the aspiration-irrigation technique as a line of management. This case report describes an aspiration-irrigation technique achieved through the root canal space, which might hasten osseous regeneration, thereby eliminating the need for periapical surgery.


[FULL TEXT] [PDF]*
Print this article     Email this article
Next article
Previous article
Table of Contents

Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Citation Manager
Access Statistics
Reader Comments
Email Alert*
Add to My List*
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed5361    
    Printed58    
    Emailed0    
    PDF Downloaded307    
    Comments [Add]    

Recommend this journal