Non Surgical Healing of Periapical Lesions an Alternative to Surgery: Case Series

Most periapical diseases are induced as a result of direct or indirect involvement of oral bacteria. The etiologic factors are oral contaminants through the root canal or degenerating pulpal tissues. Pulpal tissue necrosis transforms the pulpal chamber into an unprotected environment. Periapical lesions are formed as result of immunologic host response to bacteria or its products. The case report present a biologic rationale for the non surgical endodontic management of large periapical pathosis. In relation to mandibular right first and second premolar, during the conservative root canal treatment, aspiration was done, followed by placement of calcium hydroxide, in which endodontic treatment was finally carried out, Complete periapical healing was observed. so In this case root canal treatment proved successful in promoting the healing of periapical lesions and it is not always necessary to do surgical treatment. This confirms that periapical lesions can respond favorably to non-surgical treatment and as a first option allows us to avoid the trauma of surgery.