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CASE REPORT
Year : 2010  |  Volume : 1  |  Issue : 1  |  Page : 31-35

Nonsurgical healing of large periradicular lesions using a triple antibiotic paste: A case series


1 Department of Conservative Dentistry and Endodontics, ITS-CDSR, Muradnagar, Uttar Pradesh, India
2 ITS-CDSR, Muradnagar, Uttar Pradesh, India

Correspondence Address:
Sonali Taneja
Department of Conservative Dentistry and Endodontics, ITS-CDSR, Delhi-Meerut Road, Muradnagar, Ghaziabad, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0976-237X.62519

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The infection of the root canal system is considered to be a polymicrobial infection, consisting of both aerobic and anaerobic bacteria. Because of the complexity of the root canal infection, it is unlikely that any single antibiotic could result in effective sterilization of the canal. A combination of antibiotic drugs (metronidazole, ciprofloxacin, and minocycline) is used to eliminate target bacteria, which are possible sources of endodontic lesions. Three case reports describe the nonsurgical endodontic treatment of teeth with large periradicular lesions. A triple antibiotic paste was used for 3 months. After 3 months, teeth were asymptomatic and were obturated. The follow-up radiograph of all the three cases showed progressive healing of periradicular lesions. The results of these cases show that when most commonly used medicaments fail in eliminating the symptoms then a triple antibiotic paste can be used clinically in the treatment of teeth with large periradicular lesions.


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