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Non-Surgical Management of Periapical Cystic Lesion- A Case Report

Gitanjali Swain*,Neelam Mittal

One of the most important objectives of root canal treatment is the elimination of microorganisms from the root canal system. Although chemo-mechanical preparation of root canals is able to reduce the number of bacteria, an intracanal medicament with antibacterial action is required to maximize the disinfection of the root canal system in infected cases. The need for intracanal medication increases in those cases where bacteria are resistant to routine treatment, and where the therapy cannot be successfully completed due to the presence of pain or continuing exudates. In this case we have used Metapex as intracanal medicament in a tooth with well-defined periapical pathology and patient was kept on follow up. A 6 month follow-up revealed healing of pathology which was followed by obturation of the root canal. This case study revealed calcium hydroxideand iodoform in paste form (Metapex) can be a favorable alternative for surgical endodontics.