Roberta Zamaliauskiene^1*, Rita Veberiene²

¹Private practice, Kaunas, Lithuania.

²Department of Dental and Oral Pathology, Lithuanian University of Health Sciences, Kaunas, Lithuania.

*Correspondence: Roberta Zamaliauskiene, Private practice, Kaunas, Lithuania. E-mail: roberta.zamaliauskiene@gmail. com

Received: April 04, 2023; Accepted: April 28, 2023; Published: May 05, 2023

Citation: Zamaliauskiene R, Veberiene R. Effective Management of a Cystic Lesion Using Cystectomy, Nonsurgical  Endodontics, and Vital Pulp Therapy in Mature Permanent Mandibular Molars. J Dent Oral Maxillofac Res. 2023;1(1):12-17.

Copyright: © 2023 Zamaliauskiene R. This is an open-access article distributed under the terms of the Creative Commons  Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

ABSTRACT 

Background: Clinical examination revealed large periapical lesion. Patient was referred for endodontic treatment of right mandibular first and second molars before plan cystectomy. The aim of this case report is to present the clinical approach to preserve healthy pulp tissue by combining nonsurgical root canal treatment and vital pulp therapy for mature mandibular molar.

Methods: A minimally invasive endodontic therapy treatment with combination of nonsurgical root canal treatment and vital pulp therapy was performed. Osteotomies around wisdom teeth were performed, wisdom teeth extracted, and cyst was removed.

Results: At the 19 months follow-up appointment patient had no complaints, radiographically full regeneration of periapical bone was observed. Conclusions: A minimally invasive endodontic therapy treatment with combination of nonsurgical root canal treatment and vital pulp therapy for mature mandibular molar before a planned cystectomy could be considered as a treatment option showing good long-term results.

Keywords: Cystectomy; Oral surgery; Pulpectomy; Pulpotomy; Root canal therapy.