PMC3192519_01
Preoperative radiograph
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F1
The maxillary occlusal radiograph showed a large radiolucent periapical lesion in association with maxillary right anterior teeth and a relatively small radiolucent periapical lesion in association with maxillary left anterior tooth [Figure 1].
Sterilized gauze placed between the soft tissue mass and the lateral wall of the crypt from the distal aspect with the curette
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F2
This helped in separation of the periapical lesion from the surrounding bone and the nasal mucosal and palatal linings [Figure 2].
After separation of the periapical lesion from the surrounding bone and the nasal and palatal linings but attached to the root surface
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F3
The periodontal curette was used to remove the tissue firmly attached to the root surface [Figure 3].
Radiograph at the 11/2-year follow-up
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F4
A radiographic review at the 11/2-year follow-up showed good evidence of bone healing bilaterally [Figure 4].