case_images: PMC4109420_01
case_images: Sinus opening on the labial aspect of Mandibular right central incisors.
case_images: CRID2014-769381.001.jpg
case_images: PMC4109420_01_CRID2014-769381.001.jpg
case_images: fig1
case_images: The area was tender on palpation and the teeth were tender on percussion (Figure 1).
case_images: Pretreatment radiograph showing large periapical lesion involving Mandibular central incisors.
case_images: CRID2014-769381.002.jpg
case_images: PMC4109420_01_CRID2014-769381.002.jpg
case_images: fig2
case_images: Radiographic examination revealed a large dumbbell shaped periapical radiolucency associated with 31, 41 (Figure 2).
case_images: CT Image showing Dumbbell shape periapical lesion in relation to Mandibular central incisors.
case_images: CRID2014-769381.003.jpg
case_images: PMC4109420_01_CRID2014-769381.003.jpg
case_images: fig3
case_images: 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).
case_images: Postoperative radiograph after one year showing healing.
case_images: CRID2014-769381.004.jpg
case_images: PMC4109420_01_CRID2014-769381.004.jpg
case_images: fig4
case_images: 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).