Non-Surgical Management of Large Periapical Radiolucency: A Case Report of Two Cases

Abstract

Periapical radiolucency is often indicative of periapical pathosis, commonly associated with chronic apical periodontitis and periapical cysts. Traditionally, surgical intervention such as apicoectomy has been considered the treatment of choice for large periapical lesions. However, recent advancements in endodontic techniques and materials have demonstrated successful healing through non-surgical approaches. This article presents a case report of two patients with large periapical radiolucencies managed conservatively through a non-surgical approach using advanced root canal treatment techniques. The cases illustrate the potential of conservative management to achieve complete resolution of periapical lesions, as demonstrated by radiographic and clinical healing over time.