Restorative Dentistry & Endodontics  2012;37(2):123-126

doi:10.5395/rde.2012.37.2.123

Vital tooth with periapical lesion: spontaneous healing after conservative treatment.

Hyun Joo KIM 1 ; Seung Jong LEE ; Il Young JUNG ; Sung Ho PARK

Affiliations

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Keywords

Neurogenic inflammation; Periapical lesion; Vital tooth

Country

Republic of Korea

Language

Korean

Abstract

It is often presumed that apical periodontitis follows total pulp necrosis, and consequently root canal treatment is commonly performed. Periapical lesion development is usually caused by bacteria and its byproduct which irritate pulp, develop pulpitis, and result in necrosis through an irreversible process. Afterwards, apical periodontitis occurs. This phenomenon is observed as an apical radiolucency in radiographic view. However, this unusual case presents a spontaneous healing of periapical lesion, which has developed without pulp necrosis in a vital tooth, through conservative treatment.