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244 INFECTIONS OF THE PERI-APICAL TISSUES

and the possibilities of future complications fully explained.
The case should be X-rayed at the termination of the opera-

tion, again at intervals of i, 3, 6, and 12 months, and again at
occasional periods. A successful termination will be indicated

Fig. 280.—Badly infected Fig. 2 8 1.-^Granuloma on the
roots. first bicuspid.

by progressive filling in of the affected area with new bone
formations, which should be complete and homogeneous
after periods ranging from i to 2 years. In case these pro-

cedures cannot be followed, it may be deemed the part of

Fig, 282.—^Large granuloma on the Fig. 283.—Large granuloma on
second bicuspid. the lower first molar. The third
molar is impacted.

wisdom to extract, rather than assume the risk of subsequent
complications.
As a rule, teeth affected with granuloma had better be