The Management Approach for a Large Periapical Lesion: A Review

Authors

  • Nazrin Mohd Isa Faculty of Dentistry, Universiti Teknologi MARA Sungai Buloh Campus, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia
  • Nurul Ain Ramlan Centre of Studies for Comprehensive Care, Faculty of Dentistry, Universiti Teknologi MARA Sungai Buloh Campus, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia
  • Afzan Adilah Ayoub Centre of Studies for Comprehensive Care, Faculty of Dentistry, Universiti Teknologi MARA Sungai Buloh Campus, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia

DOI:

https://doi.org/10.24191/cos.v11i2.27499

Keywords:

periapical lesion, endodontics, non-surgical therapy, pathogenesis, diagnosis, treatment plan

Abstract

Endodontic therapy of large periapical lesions presents a substantial challenge to the clinician. The destruction of periapical tissues, including bone and adjacent structures, characterizes these lesions.

A systematic approach that incorporates multiple treatment modalities for optimal healing is necessary for the effective management of such lesions.

This article discusses the management strategy for large periapical lesions in endodontics, emphasizing the significance of accurate diagnosis, appropriate treatment planning, and the application of effective therapeutic techniques. It has been reported that endodontic therapy has a more favorable prognosis for minor lesions as opposed to larger lesions.

A conservative approach, such as non-surgical root canal therapy, should be the initial course of action prior to surgical endodontic intervention.

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Published

2024-09-01

How to Cite

Mohd Isa, N., Ramlan, N. A., & Ayoub, A. A. (2024). The Management Approach for a Large Periapical Lesion: A Review. Compendium of Oral Science, 11(2), 17–28. https://doi.org/10.24191/cos.v11i2.27499

Issue

Vol. 11 No. 2 (2024): Compendium of Oral Science

Section

Review Article

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