Abstract
The purpose of this study was to report the clinical efficacy of decompression for 3 cases with large periapical lesions and to review technique details. Three cases with large periapical cystic lesions were treated with decompression after root canal treatment. A traditional decompression technique was used for the first case. After aspiration, mucogingival incision, irrigation, and incisional biopsy, a pediatric endotracheal tube was sutured in place and kept for 3 weeks for lesion debridement. An aspiration/irrigation technique was adopted for the second case. An 18-G needle with a syringe was used to aspirate the cystic lesion. Two needles were then inserted into the lesion; copious saline irrigation was delivered from 1 needle and until clear saline was expressed from the other. For the third case, decompression was accomplished with a surgical catheter that was subsequently replaced with a gutta-percha plug after 1 month. None of the 3 cases underwent complete enucleation and root-end surgery. Healed lesions or lesions in healing were observed after 1 to 2 years. Based on the presented cases and published case reports on decompression, a literature review was provided covering indications, technique details, modification, and prognosis of decompression in endodontics. For large periapical cystic lesions, conservative decompression may be used for certain cases before or in lieu of apical surgery. Decompression enables healing of large, persistent periapical lesions after root canal treatment.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 651-659 |
| Number of pages | 9 |
| Journal | Journal of Endodontics |
| Volume | 45 |
| Issue number | 5 |
| DOIs | |
| State | Published - May 2019 |
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Keywords
- Aspiration
- catheter
- decompression
- marsupialization
- radicular cyst
ASJC Scopus subject areas
- Dentistry(all)
Cite this
Management of Large Radicular Lesions Using Decompression : A Case Series and Review of the Literature. / Tian, Fucong; Bergeron, Brian Edward; Kalathingal, Sajitha Menon; Morris, Matthew; Wang, Xiao yan; Niu, Li na; Tay, Franklin Chi Meng.
In: Journal of Endodontics, Vol. 45, No. 5, 05.2019, p. 651-659.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Management of Large Radicular Lesions Using Decompression
T2 - A Case Series and Review of the Literature
AU - Tian, Fucong
AU - Bergeron, Brian Edward
AU - Kalathingal, Sajitha Menon
AU - Morris, Matthew
AU - Wang, Xiao yan
AU - Niu, Li na
AU - Tay, Franklin Chi Meng
PY - 2019/5
Y1 - 2019/5
N2 - The purpose of this study was to report the clinical efficacy of decompression for 3 cases with large periapical lesions and to review technique details. Three cases with large periapical cystic lesions were treated with decompression after root canal treatment. A traditional decompression technique was used for the first case. After aspiration, mucogingival incision, irrigation, and incisional biopsy, a pediatric endotracheal tube was sutured in place and kept for 3 weeks for lesion debridement. An aspiration/irrigation technique was adopted for the second case. An 18-G needle with a syringe was used to aspirate the cystic lesion. Two needles were then inserted into the lesion; copious saline irrigation was delivered from 1 needle and until clear saline was expressed from the other. For the third case, decompression was accomplished with a surgical catheter that was subsequently replaced with a gutta-percha plug after 1 month. None of the 3 cases underwent complete enucleation and root-end surgery. Healed lesions or lesions in healing were observed after 1 to 2 years. Based on the presented cases and published case reports on decompression, a literature review was provided covering indications, technique details, modification, and prognosis of decompression in endodontics. For large periapical cystic lesions, conservative decompression may be used for certain cases before or in lieu of apical surgery. Decompression enables healing of large, persistent periapical lesions after root canal treatment.
AB - The purpose of this study was to report the clinical efficacy of decompression for 3 cases with large periapical lesions and to review technique details. Three cases with large periapical cystic lesions were treated with decompression after root canal treatment. A traditional decompression technique was used for the first case. After aspiration, mucogingival incision, irrigation, and incisional biopsy, a pediatric endotracheal tube was sutured in place and kept for 3 weeks for lesion debridement. An aspiration/irrigation technique was adopted for the second case. An 18-G needle with a syringe was used to aspirate the cystic lesion. Two needles were then inserted into the lesion; copious saline irrigation was delivered from 1 needle and until clear saline was expressed from the other. For the third case, decompression was accomplished with a surgical catheter that was subsequently replaced with a gutta-percha plug after 1 month. None of the 3 cases underwent complete enucleation and root-end surgery. Healed lesions or lesions in healing were observed after 1 to 2 years. Based on the presented cases and published case reports on decompression, a literature review was provided covering indications, technique details, modification, and prognosis of decompression in endodontics. For large periapical cystic lesions, conservative decompression may be used for certain cases before or in lieu of apical surgery. Decompression enables healing of large, persistent periapical lesions after root canal treatment.
KW - Aspiration
KW - catheter
KW - decompression
KW - marsupialization
KW - radicular cyst
UR - http://www.scopus.com/inward/record.url?scp=85062190508&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85062190508&partnerID=8YFLogxK
U2 - 10.1016/j.joen.2018.12.014
DO - 10.1016/j.joen.2018.12.014
M3 - Article
C2 - 30833094
AN - SCOPUS:85062190508
VL - 45
SP - 651
EP - 659
JO - Journal of Endodontics
JF - Journal of Endodontics
SN - 0099-2399
IS - 5
ER -