Repair of Periapical lesions Using a Combination of Hydroxyapatite and Calcium Hydroxide
Journal Title: Oral Health and Dentistry - Year 2016, Vol 1, Issue 1
Abstract
Nowadays physicians are searching for new methods to treat perialpical lesions by minimal access to prevent extensive surgeries. The aim of this study was to evaluate the apical repair using the combination of hydroxyapatite and calcium hydroxide, after the extraction of the liquid content from the lesion, procedure that was carried out intracanal way. An experimental interventional study was conducted to determine the apical repair using a different method from the conventional endodontic. In this study the extraction of periapical lesion content was carried out through the root canal after the biomechanical preparation of the canal. A combination of Apafill‑G® and calcium hydroxide as medication between sessions was used. A sample of 12 patients with periapical lesions according to diagnostic criteria, inclusion, exclusion and ethical parameters, was used. All patients signed the informed consent. The lesions were classified as large, medium and small size lesions; and were evaluated at different times (7, 15, 30, 120 and 350 days). The main variable was bone repair, with the clinical response and adverse events as secondary variables. The results showed that patients presented mostly large lesions. In reference to radiological response, 91.7% of the patients were successfully treated; a similar final clinical outcome was achieved. In different periods of monitoring, the absence of adverse events and a gradual decrease in symptomatology (pain on palpation, percussion and infection) were shown. As a conclusion, a mixture of granulated hydroxyapatite (Apafill-G®) with calcium hydroxide, applied as intracanal medication has been successfully used to treat bone defects in periapical endodontic procedures.
Authors and Affiliations
Amisel Almirall La Serna, Mayra C Pérez Álvarez, Yaneisy Marchante Cruz, Jose A Delgado García-Menocal, Jorge A Rodriguez Hernández, Tec Adriam Alfonso, Daisy M Marquez Argüelles
Keywords
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Repair of Periapical lesions Using a Combination of Hydroxyapatite and Calcium Hydroxide
Nowadays physicians are searching for new methods to treat perialpical lesions by minimal access to prevent extensive surgeries. The aim of this study was to evaluate the apical repair using the combination of hydroxyapa...