title: Nonsurgical endodontic treatments in molar teeth with large periapical lesions in children: 2-year follow-up.
abstract: Profound caries lesions may lead to invasion of microorganisms to the dental pulp, and periapical areas can promote the development of dentoalveolar abscess and periapical bone loss. Treatment options to manage large periapical lesions range from nonsurgical root canal treatment and/or apical surgical procedure to extraction. Young molar teeth with pulp necrosis and large periapical lesions in children are frequently treated with root canal treatment because the therapy is more difficult in multirooted teeth. In these case reports, nonsurgical endodontic treatments performed on 6 molar teeth with large periapical lesions, by repeated intracanal dressing with calcium hydroxide, are presented. Radiographs displayed significant bony healing at the end of the second year. In conclusion, large periapical lesions can respond favorably to nonsurgical treatment, and complex and difficult endodontic treatments in children might not be required.
authors.affiliation: Department of Pedodontics, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey. ademkusgoz@hotmail.com <ademkusgoz@hotmail.com>
authors.forename: Adem
authors.initials: A
authors.lastname: Kusgoz
authors.forename: Sibel
authors.initials: S
authors.lastname: Yildirim
authors.forename: Alparslan
authors.initials: A
authors.lastname: Gokalp
mesh_terms: D000293:Adolescent; D002126:Calcium Hydroxide / Q000627:therapeutic use*; D002648:Child; D003731:Dental Caries / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008963:Molar / Q000000981:diagnostic imaging; D010485:Periapical Periodontitis / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D012387:Root Canal Filling Materials / Q000627:therapeutic use*; D012390:Root Canal Therapy / Q000379:methods*; D014075:Tooth Discoloration / Q000150:complications; D014086:Tooth Mobility / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D012387:Root Canal Filling Materials; D002126:Calcium Hydroxide