NON-SURGICAL ENDODONTIC TREATMENT OF LARGE CYST-LIKE PERIAPICAL LESIONS: A CASE REPORT

Treatments of large preapikal lesions generally combine various endodontic treatment options and requires long term patient follow up. even though, apical surgical treatment could be an option in these cases, conventional root canal treatment should be the first choice. 15-year-old male patient who had a swelling that occurs from time to time at the palate referred to endodontics clinic. during the radiologic examination cyst like lesions were determined on the apices of the maxillary left lateral and the maxillary right lateral seperately. after three years of root canals obturation with endodontic treatment without the need for a surgical treatment, a complete clinical and radiological healing of the periapical cyst-like lesions was observed. the aim of this case report is to present, primarily treatment of large periapical lesions should be orthograde method, and to provide a perspective to resort the surgical treatment when absence of healing during the routine controls.