Non surgical management of peri apical lesion - A case report

This article presents non-surgical resolution of an extensive periapical lesion with lower central incisors. Clinical examination revealed intraoral swelling in relation to mandibular central incisors and radiographically, radiolucency was seen with both lower central incisor about 6mm in diameter. Pus was drained through the canal orifice. After thorough biomechanical preparation, an intra-canal calcium hydroxide dressing was applied and periodically reviewed for 9 months. Significant bone formation was seen at the periapical region at periodic check up visits. Complete radiologic healing of the periapical lesion was observed one year after root canal filling. Thus the non surgical healing of the multiple periapical lesions provided favorable clinical and radiographic response.