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predicting the risk of VH in patients with HBV-related cirrhosis. Cone-Beam Computed Tomography (CBCT) provides a better diagnosis of endodontic lesions. The present study would assess the pattern of periapical lesion extension in premolar teeth using CBCT. In this descriptive study' 330 roots in the regions of maxillary and mandibular premolars have been evaluated. Maximum periapical lesion extensions in the three orthogonal planes (axial, coronal, and sagittal) were measured and recorded in millimeters. Measurements were compared bas