title: Management of large periapical cystic lesion by aspiration and nonsurgical endodontic therapy using calcium hydroxide paste.
abstract: OBJECTIVE
  To report a case of conservative nonsurgical management of periapical lesions.
  
  
  BACKGROUND
  Small periapical lesions of endodontic origin usually heal by conventional endodontic therapy alone. Larger periapical lesions presumed to be cystic may require additional treatment protocols to aid in regression. Conservative nonsurgical management of such lesions eliminates the possible complications of surgery and has wider patient compliance and acceptance.
  
  
  METHODS
  A periapical cystic lesion associated with maxillary central incisor and lateral incisor was treated conservatively using buccal aspiration decompression followed by conventional endodontic therapy employing calcium hydroxide iodoform paste as intracanal medicament is reported.
  
  
  CONCLUSIONS
  The treatment was successful as evidenced by relief of symptoms and radiographic evaluation.
  
  
  CONCLUSIONS
  Large periapical cyst-like lesions can resolve by nonsurgical endodontic therapy employing calcium hydroxide intracanal interappointment medicament.
authors: Department of Conservative Dentistry and Endodontics, KMCT Dental College, Mukkam, Kozhikode, Kerala, India.
authors: Kunjamma
authors: K
authors: Thomas
authors: Prasanth Dhanapal
authors: PD
authors: T
authors: Elsy P
authors: EP
authors: Simon
mesh_terms: D002126:Calcium Hydroxide / Q000627:therapeutic use*; D005260:Female; D005500:Follow-Up Studies; D006171:Gutta-Percha / Q000627:therapeutic use; D006801:Humans; D006847:Hydrocarbons, Iodinated / Q000627:therapeutic use; D007180:Incisor / Q000000981:diagnostic imaging / Q000473:pathology*; D008439:Maxillary Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D019152:Paracentesis; D011842:Radicular Cyst / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D012388:Root Canal Irrigants / Q000627:therapeutic use*; D012390:Root Canal Therapy / Q000379:methods*; D013396:Suction; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D006847:Hydrocarbons, Iodinated; D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants; D006171:Gutta-Percha; C010473:iodoform; D002126:Calcium Hydroxide