Journal of
Dentistry and Oral Hygiene

  • Abbreviation: J. Dent. Oral Hyg.
  • Language: English
  • ISSN: 2141-2472
  • DOI: 10.5897/JDOH
  • Start Year: 2009
  • Published Articles: 137

Case Report

Three-year follow-up: Healing of a large periapical lesion related to a maxillary central incisor and two canalled lateral incisor after a single visit root canal treatment

Ammar Abu Mostafa
  • Ammar Abu Mostafa
  • Riyadh Colleges for Dentistry and Pharmacy, Riyadh, Kingdom of Saudi Arabia.
  • Google Scholar

  •  Received: 27 February 2015
  •  Accepted: 12 March 2015
  •  Published: 30 April 2015


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.