Non –Surgical endodontic therapy using triple- antibiotic paste – case report

Thomas, Manuel S and *, Abhishek Parolia and *, Kundabala M and *, Mannu Vikram (2010) Non –Surgical endodontic therapy using triple- antibiotic paste – case report. Kerala Dental Journal, 33 (2). pp. 88-91.

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Microorganisms within the root canal system should be eliminated for the successful outcome of root canal treatment. This case report describes a successful non-surgical endodontic management of a periapical lesion with sinus tract resistant to calcium hydroxide intra-canal medicament using a combination of antibiotic drugs. A 19-year-old girl presented at the Department of Conservative dentistry and Endodontics with a chief complain of dull continuous pain with respect to her upper anterior teeth. On examination, the maxillary left central incisor was non-vital and there was a draining labial sinus tract with respect to it. Conventional endodontic treatment using calcium hydroxide as an intra-canal medicament did not resolve the sinus tract. Hence triple-antibiotic (metronidazole/ ciprofloxacin/ minocycline) paste was used as an intra-canal medicament. The patient when recalled after 4 weeks revealed significant healing with the disappearance of the sinus tract. When recalled after 1 year, the patient had no symptoms and radiograph showed complete resolution of the radiolucent lesion. These results indicate that triple-antibiotic paste is effective in managing teeth with persistent symptoms which are resistant to calcium hydroxide therapy.

Item Type: Article
Uncontrolled Keywords: calcium hydroxide, intra-canal medicament, persistent periapical disease, triple-antibiotic paste
Subjects: Dentistry > MCODS Mangalore > Conservative Dentistry
Depositing User: KMCMLR User
Date Deposited: 04 Jan 2012 10:14
Last Modified: 08 Dec 2015 12:36

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