Management of a large periapical lesion: A case report of multidisciplinary approach

Abstract A staged approach in treating complex cases may help to provide the best treatment outcomes. Multidisciplinary communication is needed in such cases. This case report illustrated the performance of exploratory surgery as an initial step to improve the clinical condition for guided bone regeneration and improve the predictability of this procedure. Cone-beam computed tomography was used for pre- and post-operative evaluation of the bone defect. Initial root canal treatment and exploratory endodontic surgery were done to promote bone gain before extraction. The missing tooth was replaced with a dental implant after guided bone regeneration. Proper treatment planning and interdisciplinary communication help provide the patient with the best treatment outcomes with more predictable results.