Case 46 Apical Healing?

Pre-operative x-ray #4

Sypmptomatic tooth #4 with periapical lesion.

Immediate post-operative x-ray #4

Obturation was complete with sealer through the apex.

6 month post-operative x-ray #4

Tooth is asymptomatic healing is almost complete.

Apical healing may not occur completely as far as the radiograph is concerned. If the patient was symptomatic to start with, but is now asymptomatic, sometimes this is the best we can hope for. However, it also may take some time for complete healing. i. e. for the apex to completely restore.