Aim: To diagnose the periapical lesions using intraoral periapical radiographs. Introduction:Radiographic examination of lesions is an indispensable adjunct to clinical examination in Oral medicine. Intraoral periapical radiography has become increasingly popular for diagnosis in Dentistry. Periapical lesions may be associated with conditions of both Endodontic and non Endodontic origin. Materials and Method: It is a retrospective study conducted in a hospital setting. The data of patients with periapical lesions was retrieved from DIAS. The data was tabulated in Excel and statistically analysed using SPSS version 23.0. Results: 62% of patients had periapical abscess, 21% had periapical cyst and 12% had periapical granuloma. Among males, 19% had periapical cyst, 36% had periapical abscess and 7% had periapical granuloma.Among females, 7% had periapical cyst, 26% had periapical abscess and 5% had periapical granuloma (p value > 0.05, not significant). Among the 20-40 years age group, 9% had periapical cyst, 13% had periapical abscess and 2% had periapical granuloma. Among the 40-60