T Meghana Reddy*, Rohini Yatham, Syeda Farha Fatima and Pallavi R

Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Hyderabad, India

*Corresponding Author: T Meghana Reddy, Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Hyderabad, India.

Received: October 23, 2025; Published: November 13, 2025

Abstract

Traumatic dental injuries often result in pulpal necrosis and periapical pathology, especially when treatment is delayed. The present case report explains the conservative management of a 35-year-old female presenting with discolored and symptomatic maxillary anterior teeth following childhood trauma. Clinical and radiographic evaluation revealed non-vital teeth with extensive periapical lesions. Nonsurgical endodontic therapy was performed with sequential intracanal disinfection using triple antibiotic paste and calcium hydroxide–iodoform dressing, followed by obturation and post-endodontic restorative rehabilitation. Serial radiographs and cone-beam computed tomography demonstrated progressive lesion regression, with significant healing achieved at 6 months and near-complete resolution at 20 months. The patient remained asymptomatic and was rehabilitated with zirconia crowns to restore esthetics and function. This case highlights that large periapical lesions can be magnificently managed through nonsurgical endodontic treatment alone, emphasizing the importance of meticulous disinfection protocols and long-term follow-up for predictable outcomes.

Keywords: Dental Traumatic Injuries; Injury; Nonsurgical Endodontic Management

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Citation

Citation: T Meghana Reddy., et al. “Conservative Management of Post-Traumatic Periapical Lesions with Successful Esthetic Rehabilitation: A Case Report". Acta Scientific Dental Sciences 9.12 (2025): 08-13.

Copyright

Copyright: © 2025 T Meghana Reddy., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.