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Review
. 2020 Jul 14;5(2):54-67.
doi: 10.14744/eej.2020.42714. eCollection 2020.

Endodontic Periapical Lesion: An Overview on the Etiology, Diagnosis and Current Treatment Modalities

Kasra Karamifar  1 , Afsoon Tondari  2 , Mohammad Ali Saghiri  1   3
Affiliations
Review

Endodontic Periapical Lesion: An Overview on the Etiology, Diagnosis and Current Treatment Modalities

Kasra Karamifar et al. Eur Endod J. .

Abstract

Nonsurgical and surgical endodontic treatments have a high success rate in the treatment and prevention of apical periodontitis when carried out according to standard and accepted clinical principles. Nevertheless, endodontic periapical lesions remain in some cases, and further treatment should be considered when apical periodontitis persists. Although several treatment modalities have been proposed for endodontically treated teeth with persistent apical periodontitis, there is a need for less invasive methods with more predictable outcomes. The advantages and shortcomings of existing approaches for the diagnosis and treatment of endodontic periradicular lesions are discussed in this review.

Keywords: Cone-beam computed tomography; cyst; granuloma; periradicular lesion; root canal treatment.

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Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1
Periapical cysts are caused by the presence of infection in the root canal space and can be categorized as true or pocket cysts (a). Periradicular surgery might be needed for resolving the true cysts (b) while most of the pocket cysts are resolved after root canal (re)treatment without the need for surgical intervention (c)
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