Non Surgical Management of Large Cyst like Lesion Using Triple Antibiotic Paste

Large periapical lesions in anterior teeth are usually associated with trauma. Bacteria, their toxins, immunologic agents, tissue debris and products of tissue necrosis from the pulp get in touch with the periapical area through various foramina of the root canals resulting to inflammatory and immunologic reactions. Calcium Hydroxide was the usual intra canal medicament of choice. However, due to no improvement with Calcium Hydroxide treatment, the medicament was changed to triple antibiotic paste. This case report describes successful non surgical management of a large cyst like lesion using triple antibiotic paste consisting of Metronidazole, Ciprofloxacin and Minocycline. Care should be taken for the patients, who are sensitive to chemicals or antibiotics.