Coalescing Periapical Inflammatory Lesions with Differential-Driven Treatment Strategy

A 30-year-old female who first noticed a bump above tooth 8 in 2020 was referred for evaluation. She had been experiencing pressure sensitivity and spontaneous pain. The radiologist identified suspected coalescing persistent periapical inflammatory lesions of teeth 8 and 9, along with an incidental periapical inflammatory lesion on tooth 19. The radiologist noted this case as a strong example of how the OMR's differential diagnosis can influence treatment strategies, with different follow-up approaches suggested depending on whether surgical or non-surgical management is pursued.