Non-Surgical Endodontic Treatment of a Large Periapical Lesion: Case Report

The choice between endodontic treatment and periapical surgery for large periapical lesions has been a topic of debate in clinical practice for many years.The advancement of materials and techniques of endodontic treatment resulted in more teeth preservation and minimize the need for surgical intervention.Although many large lesions are treated by surgery, non-surgical root canal treatment is an alternative option.Therefore, the teeth with large periapical lesions verified radiographically were enrolled and a decision was taken to proceed with a root canal treatment.In this clinical case report, the swelling and periapical lesion in the upper left anterior region was determined to originate from the lateral tooth, and it was managed with root canal treatment without surgical intervention and followed up.Healing was observed in the periapical region during the controls performed at four and 16 months.The teeth with a large periapical lesion demonstrated favourable outcomes at the conclusion of the follow-up periods.Non-surgical root canal treatment represents the optimal initial treatment for teeth exhibiting a large periapical lesion.