What should be done if a tooth still has radiolucency two months after RCT?

Radiolucency observed on a radiograph following root canal treatment (RCT) can indicate a variety of possible scenarios, such as incomplete healing, persistent infection, or other underlying issues. If a tooth continues to show radiolucency two months post-RCT, simply monitoring may be the most appropriate course of action, especially if the tooth is asymptomatic and shows no signs of clinical complications, such as swelling or pain.

During the monitoring phase, follow-up radiographic evaluations can be scheduled at regular intervals to assess any changes in the radiolucency over time. Many periapical lesions will resolve spontaneously as healing progresses, taking several months to show improvement. This approach allows the tooth to be observed for natural healing while avoiding unnecessary interventions that may not be warranted at this stage.

Other choices might suggest immediate action such as retreatment, extraction, or surgical intervention, which may be appropriate only if further symptoms arise or if there is clear evidence that complications are present. However, in the absence of symptoms, giving the healing process additional time can often lead to positive outcomes without the need for invasive procedures.