Non-surgical healing of a large periapical lesion in maxillary anterior region

32 year old female patient reported to the dental office with severe, throbbing pain in upper front teeth region. Patient did experience pain before, however suppressed it with painkillers. Patient had a history of fall with focussed impact of trauma on her upper front teeth when she was 10 years old. On examination: Teeth 11,21 are tender on percussion and palpation Teeth 12,22 slightly tender IOPA shows large periapical lesion in upper anterior region. Patient was referred for CBCT scan of upper front region Pre-op CBCT 3D reconstruction showing perforation of buccal cortical plate in 11,12 region AXIAL VIEW CBCT Periapical lesion seen involving teeth 11,12,21,22 with perforation of buccal cortical plate in apical region of teeth 11,12. SAGITTAL VIEW…