Use of triple antibiotic paste as an intracanal medicament in the non-surgical endodontic treatment of a large periapical lesion: A case report

IntroductionThe aim of this study is to report the management of large periapical lesion using triple antibiotic paste as an alternative intra-canal medicament in nonsurgical endodontic treatment. Case reportan 11 year old male patient with large periapical lesion in mandibular anterior region, treated using conservative non-surgical endodontic treatment. Calcium hydroxide-iodoform paste (VitapexTM) was used as an intracanal medicament, which did not lead to resolution of symptoms. Hence, triple antibiotic paste was used as an alternative intracanal medicament for 2 weeks. Obturation was completed with Nanohybrid composite as final restoration. Progressive healing was observed at subsequent follow up examinations, with almost complete resolution of the periapical lesion at 18 months. ConclusionEndodontic cases resistant to routine intracanal medicaments should be treated with alternative medicaments which act against a wider spectrum of microorganisms, before opting for surgical procedures, especially while treating paediatric patients. KeywordsAntibiotics, Calcium Hydroxide, Healing, Periapical Diseases, Root Canal Medicaments.