International Journal of Research and Reports in Dentistry

Non Surgical Management of Large Cyst like Lesion Using Triple Antibiotic Paste

Bonny Paul *

Department of Conservative Dentistry and Endodontics, Hitkarini Dental College and Hospital, Jabalpur, India

Kavita Dube

Department of Conservative Dentistry and Endodontics, Hitkarini Dental College and Hospital, Jabalpur, India

Charu Kapur

Department of Conservative Dentistry and Endodontics, Hitkarini Dental College and Hospital, Jabalpur, India

Abishek Sharma

Private Practioner, India

Abilash Shankaran

Private Practioner, India

*Author to whom correspondence should be addressed.

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Abstract

Large periapical lesions in anterior teeth are usually associated with trauma. Bacteria, their toxins, immunologic agents, tissue debris and products of tissue necrosis from the pulp get in touch with the periapical area through various foramina of the root canals resulting to inflammatory and immunologic reactions. Calcium Hydroxide was the usual intra canal medicament of choice. However, due to no improvement with Calcium Hydroxide treatment, the medicament was changed to triple antibiotic paste. This case report describes successful non surgical management of a large cyst like lesion using triple antibiotic paste consisting of Metronidazole, Ciprofloxacin and Minocycline. Care should be taken for the patients, who are sensitive to chemicals or antibiotics.

Keywords: Non-surgical, cyst, lesion, antibiotic paste

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