RETROSPECTIVE FROM THE LITERATURE ON THE CLINICAL IMPLICATIONS OF ENDODONTIC TREATMENT IN THE PREVENTION AND CURE OF PERIAPICAL LESIONS

Abstract

This study is a review of the literature to obtain a topical retrospective on the clinical implications of endodontic treatment in the prevention and cure of periapical lesions. To carry out this study, a number of 50 books and specialty articles were studied (see bibliography). Non-surgical and surgical endodontic treatments have a high success rate in treating and preventing apical periodontitis when performed in accordance with standard and accepted clinical principles. However, periapical endodontic lesions remain in some cases an additional treatment to be considered when apical periodontitis persists. (1) Periapical lesions of endodontic origin are common pathological diseases that affect the periradicular tissues. Microbial infection of the pulpal tissues is primarily responsible for the onset and progression of apical periodontitis. (2) Evaluation of the healing of periapical lesions should be done periodically, which requires long-term follow-up. Even large periapical lesions and retreatment cases in which the lesion is of endodontic origin have been successfully managed non-surgically with orthograde endodontic therapy. (2)

Keywords

• periapical lesions
• root canal therapy
• non-surgical management