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Management of occult caries induced large periapical lesion

N.B Nagaveni, Shruti Virupaxi, P Poornima, V.V Subba Reddy


Hidden caries is a term used to describe occlusal dentine caries that is missed on a visual examination, but is a large and demineralized area enough to be detected by another examination using radiographs. This article reports a case of large dentine caries, which presented as to be a small pit-and-fissure carious lesion on the occlusal surface of the left mandibular permanent first molar in an 11-year-old boy leading to large periapical lesion. The treatment included management of large periapical lesion using triple antibiotic paste, root canal treatment, and sealing of the cavity with Glass Ionomer cement followed by stainless steel crown.


Occult caries; pre-eruptive carious lesions; primary teeth; radiographs

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