In case of an asymptomatic crowned lateral incisor with a periapical radiolucency, what is the recommended treatment?

In the context of an asymptomatic crowned lateral incisor with a periapical radiolucency, the recommended treatment is root canal therapy. This procedure is indicated when there is evidence of pulp necrosis or irreversible pulpitis, which is suggested by the presence of periapical radiolucency—indicating an infectious process that has reached the periapical tissues.

Root canal therapy aims to eliminate the infection and seal the root canals to prevent future microbial invasion. In cases where the tooth remains symptom-free, performing root canal therapy allows for the preservation of the tooth while addressing the underlying pathology associated with the periapical radiolucency. By cleaning and disinfecting the canal system, the dentist can effectively manage the infection and allow the periapical area to heal.

Other treatment options, such as immediate extraction, apexification, or periodontal treatment, may not adequately address the infected pulp nor the periapical pathology in a tooth that can potentially remain functional with appropriate endodontic therapy. Therefore, root canal therapy is the most appropriate and conservative approach in this scenario.