Endodontics

Root canal treatment in teeth with periapical lesions

Dr. Onur Demir, DDS, PhD · 5 min read · Updated 12 September 2026

A periapical lesion is a radiographic change around the tip of a tooth root. Its interpretation depends on symptoms, clinical tests, previous records and the quality of any existing treatment.

Endodontic assessment of a tooth with a periapical lesion

Does every lesion require the same treatment?

No. The tooth’s vitality, restorability, periodontal condition, previous procedures and the size and behaviour of the finding help determine the plan. Similar radiographic appearances can have different causes.

Can non-surgical treatment support healing?

When infection within the root canal is the likely cause and the tooth can be restored, initial root canal treatment or retreatment may be considered. Cleaning, disinfection and a well-sealed restoration are central to the plan.

Why can healing take time?

Symptoms may improve before bone changes are visible on radiographs. Clinical and radiographic follow-up at suitable intervals helps assess the direction of healing and whether another approach is needed.

Appointment and assessment

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starts with an examination.

We listen to your concerns and expectations, complete the necessary clinical assessment and explain appropriate options clearly.

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