Prevalence and Size of Periapical Radiolucencies Using Cone-beam Computed Tomography in Teeth without Apparent Intraoral Radiographic Lesions: A New Periapical Index with a Clinical Recommendation

Twenty percent of teeth with successful root canal treatment based on conventional periapical imaging had CBCT radiolucencies measuring greater than 1 mm. Because these radiolucencies may not be pathological changes, clinicians are cautioned against overtreatment of them before determining the true nature of these findings. Clinical studies with long follow-up times are needed to determine the proper course of actions for these cases.