Non-Surgical Endodontic Approach for Management of Periapical Lesions

Due to pulp tissue necrosis the pulp chamber is transformed into unprotected environment. This unprotected environment becomes susceptible to colonization by numerous microorganisms. Development of periapical lesions is associated with the presence of microorganisms in the root canal system. To treat such cases there are surgical and non-surgical methods and the healing of periapical lesions will not be achieved through surgical removal of the periapical lesion without proper root canal disinfection and obturation. Through proper cleaning, shaping, asepsis, and proper obturation of the root canal system aids in the success of non-surgical endodontic treatment. This clinical case reports highlights follow-up results of two cases demonstrating the resolution of periapical lesion through nonsurgical approach, confirms that periapical lesions respond favorably to nonsurgical treatment.