Abstract

In this study, a patient with a large periapical lesion related to the maxillary left central incisor and two canalled lateral incisors was presented. A single visit non-surgical root canal treatment was performed for both teeth. A three-year follow-up radiograph revealed complete healing of the periapical lesion. This report confirms that the large size of a periapical lesion neither mandates surgical removal nor the placement of intra-canal dressing and that such a lesion can heal following a conservative single visit endodontic treatment. Furthermore, familiarity with the variations of root canal morphology is essential for successful endodontic treatment. Maxillary lateral incisors usually have a single canal; however, this case report describes endodontic treatment of maxillary lateral incisor with two buccopalatal root canals.

Key words: Healing of large periapical lesion, single visit root canal treatment, two canalled maxillary lateral incisor.