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Effect of intentional extrusion of non-setting calcium hydroxide in treatment of teeth with intraoral draining sinus

Author: 
Dr. Akhil K Garg, Dr. Ekta Garg, Dr. Shweta Bali and Dr. Dildeep Bali
Subject Area: 
Health Sciences
Abstract: 

Calcium hydroxide is one of the most effective, biocompatible, alkaline substance that has been in use by endodontists around the world since almost a century. It is also considered as the material of choice by many clinicians. This case series of six cases (5 males and 1 female aging 32 to 66 years), describes a successful management of periapical lesions with intraoral draining sinus by intentionally extruding premixed non setting paste of calcium hydroxide. The patients were reviewed after 1 week of application and the canals were obturated after 2 weeks followed by 1 year follow up. The presented case reports revealed almost complete healing of the sinus tract within first 2 weeks of application of calcium hydroxide and at 1 year follow up, it was observed that the peri-apical lesion had disappeared radiographically and no recurrence of draining sinus had been reported. The extrusion of calcium hydroxide turned out to be a boon to the cases and had no detrimental effect.

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