In a case where maxillary central incisors demonstrate radiolucency around both roots, with endodontic treatment performed on one tooth recently, what should the next step be?

The presence of radiolucency around the roots of both maxillary central incisors suggests a pathological condition, likely indicative of a periapical lesion or inflammation. Given that endodontic treatment has already been performed on one of the teeth, it is important to consider the condition of the adjacent tooth. The radiolucency around both roots raises the possibility that the adjacent tooth may also be involved in the pathological process, potentially necessitating endodontic treatment.

Performing endodontic treatment on the adjacent tooth is a logical next step because it addresses the potential source of the infection or inflammation that may be present in that tooth. This approach allows for a thorough examination and treatment of the condition that could be contributing to the radiolucency.

If this tooth is indeed diagnosed with pulpal pathology, treating it can help to resolve both the pain and the radiolucency, potentially saving the tooth. Therefore, treating the adjacent maxillary incisor that has not yet undergone endodontic treatment is critical to managing the patient’s oral health effectively.