{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T12:21:34Z","timestamp":1788351694903,"version":"build-2803163510"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Large periapical lesions are common complications of pulp necrosis and may delay healing after standard root canal treatments. While surgical endodontic techniques can facilitate healing, they often involve more invasive procedures and are less accepted by patients. To address these issues, a simplified through-the-canal method was developed for the minimally invasive management of periapical lesions. This case series aimed to evaluate the clinical feasibility, safety, and patient comfort of a novel micro-debulking device used for managing periapical lesions. Three patients diagnosed with symptomatic apical periodontitis and a periapical index (PAI) score of 2 or higher were treated using a novel device following conventional chemomechanical preparation of the incisors and first premolar. The outcomes assessed included postoperative pain reduction measured by the Visual Analog Scale (VAS), the feasibility of the procedure, and radiographic healing evaluated through PAI scores at a 3-month follow-up. Results showed favorable symptomatic relief and improved radiographic healing in all cases, with no serious complications reported.<\/jats:p>","DOI":"10.4103\/jcde.jcde_676_26","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:00:26Z","timestamp":1788184826000},"page":"1066-1071","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A novel micro-debulking device for periapical lesion management \u2013 A case series"],"prefix":"10.4103","volume":"29","author":[{"given":"Shashirekha","family":"Govind","sequence":"first","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha \u2018O\u2019 Anusandhan (Deemed To Be University), Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. Sai","family":"Kalyan","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha \u2018O\u2019 Anusandhan (Deemed To Be University), Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debi Prasad","family":"Bisoi","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha \u2018O\u2019 Anusandhan (Deemed To Be University), Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Jena","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Sriram Chandra Bhanja Dental College and Hospital, Cuttack, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"R1-20260902","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1177\/154411130401500604","article-title":"Pathogenesis of apical periodontitis and the causes of endodontic failures","volume":"15","author":"Nair","year":"2004","journal-title":"Crit Rev Oral Biol Med"},{"key":"R2-20260902","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1080\/00016357.2018.1521005","article-title":"Inflammatory profile of chronic apical periodontitis: A literature review","volume":"77","author":"Braz-Silva","year":"2019","journal-title":"Acta Odontol Scand"},{"key":"R3-20260902","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1016\/j.joen.2009.04.023","article-title":"Outcomes of nonsurgical retreatment and endodontic surgery: A systematic review","volume":"35","author":"Torabinejad","year":"2009","journal-title":"J Endod"},{"key":"R4-20260902","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.joen.2008.10.002","article-title":"Enhancement of healing kinetics of periapical lesions in dogs by the Apexum procedure","volume":"35","author":"Metzger","year":"2009","journal-title":"J Endod"},{"key":"R5-20260902","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.joen.2008.11.019","article-title":"Healing kinetics of periapical lesions enhanced by the apexum procedure: A clinical trial","volume":"35","author":"Metzger","year":"2009","journal-title":"J Endod"},{"key":"R6-20260902","first-page":"20","article-title":"Endodontic Device for Root Canal Process","volume":"6","author":"Govind","year":"2025","journal-title":"Indian Patent Application Publication. 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