Conservative Non-Surgical Endodontic Management of a Large Cyst-Like Periapical Tunnel Lesion with 22-Month CBCT Follow-Up: A Case Report

Authors

• Smriti Rohilla, Bhojia Dental College & Hospital, IndiaFollow
• Sameer Makkar, Bhojia Dental College & Hospital, IndiaFollow
• Sandeep Gupta, Bhojia Dental College & Hospital, IndiaFollow

Abstract

The present case report epitomises the successful non-surgical management of a large cyst-like periapical tunnel lesion of endodontic origin due to trauma using Lesion Sterilization and Tissue Repair technique. Endodontic orthograde treatment (and re-treatment) was performed in association with triple antibiotic paste as an intra-canal medication in a sixteen-year boy. Preoperative CBCT as well as at the 22 months CBCT followup were used to compare the evolution of the healing of the lesion. Accurate diagnosis in combination with non-surgical orthograde endodontic treatment can lead to can lead to complete healing of large lesions without any need of surgical intervention.

Recommended Citation

Rohilla, Smriti; Makkar, Sameer; and Gupta, Sandeep (2025) "Conservative Non-Surgical Endodontic Management of a Large Cyst-Like Periapical Tunnel Lesion with 22-Month CBCT Follow-Up: A Case Report," International Arab Journal of Dentistry: Vol. 16: Iss. 1, Article 17.
DOI: https://doi.org/10.70174/iajd.v16i1.1403
Available at: https://e-journals.usj.edu.lb/iajd/vol16/iss1/17