Complete Healing of a Large Cystic Lesion Following Root Canal Treatment with Concurrent Surgical Drainage: A Case Report with 14-Year Follow-Up

Yong Sik Cho, Il Young Jung

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

We describe complete healing of an extensive cystic lesion by using a conservative approach: root canal treatment with concurrent surgical drainage. A silicone Foley catheter drain was modified into a surgical drainage stent, which was then used for 4 weeks. Disinfection of the root canal was achieved by the use of hand files and irrigation with 5.25% NaOCl for a minimum of 30 minutes. The irrigant changes were performed at 5-minute intervals, and no intracanal dressing was used. At subsequent follow-up examinations, cone-beam computed tomography and periapical radiographs confirmed that complete healing had occurred around the periapical and lateral areas of affected teeth. This case report indicates the potential for healing of large cystic lesions by nonsurgical root canal treatment.

Original languageEnglish
Pages (from-to)343-348
Number of pages6
JournalJournal of endodontics
Volume45
Issue number3
DOIs
Publication statusPublished - 2019 Mar

Bibliographical note

Publisher Copyright:
© 2018 American Association of Endodontists

All Science Journal Classification (ASJC) codes

  • Dentistry(all)

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