PMC4109420_01
Sinus opening on the labial aspect of Mandibular right central incisors.
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The area was tender on palpation and the teeth were tender on percussion (Figure 1).
Pretreatment radiograph showing large periapical lesion involving Mandibular central incisors.
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Radiographic examination revealed a large dumbbell shaped periapical radiolucency associated with 31, 41 (Figure 2).
CT Image showing Dumbbell shape periapical lesion in relation to Mandibular central incisors.
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As dumbbell shaped periapical lesion is a rare occurrence, a computed tomography (CT) scan was advised for 31, 41 to know the exact extension and for the accurate diagnosis of the periapical lesion (Figure 3).
Postoperative radiograph after one year showing healing.
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At one-year follow-up, a radiograph was taken in relation to mandibular central incisors, which confirmed the satisfactory healing of periapical lesion (Figure 4).