This article presents the healing process of four cases with periapical lesions following endodontic treatment without surgical intervention, accompanied by radiographic evaluations. In the first case, a 29-year-old female patient presented with intense percussion sensitivity and a periapical lesion in the left upper second premolar tooth. The second case involved a 45-year-old female patient with an extensive periapical lesion originating from the left lower premolar tooth beneath a bridge. The third case concerned a 17-year-old female patient with a fluctuant acute apical lesion associated with the left upper lateral incisor tooth. In the fourth case, a 16-year-old male patient exhibited a fluctuant abscess and a large lesion visible on radiography, originating from the right lower first molar tooth. Following root canal instrumentation, the canals were sequentially irrigated with 2.5 milliliters (ml) of 2.5% NaOCl (Imıcryl) and 2.5 ml of 17% EDTA (Imıcryl), followed by sonic activation (EndoActivator). The root canals were obturated with AH Plus (Dentsply Sirona) and gutta-percha (Cerkamed). Clinical and radiographic examination after 6 months of follow-up revealed improvement. Following successful single-session endodontic treatment performed without surgical intervention, periapical lesions may heal, and teeth can function asymptomatically in the oral cavity.
All patients were asked to read and sign an informed consent form before treatment.
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| Primary Language | English |
|---|---|
| Subjects | Endodontics |
| Journal Section | Case Report |
| Authors | |
| Submission Date | December 7, 2024 |
| Acceptance Date | February 27, 2025 |
| Early Pub Date | August 26, 2025 |
| Publication Date | August 29, 2025 |
| DOI | https://doi.org/10.61139/ijdor.1598012 |
| IZ | https://izlik.org/JA24HC48XF |
| Published in Issue | Year 2025 Volume: 5 Issue: 2 |