2022 Volume 13 Issue 2 Pages 84-91
The success rate of conventional endodontic retreatment has been gradually increased by Ni-Ti files, microscope, and Mineral Trioxide Aggregate (MTA) up to 95.6%. Nevertheless, unfavorable outcome is occurred in some cases, and endodontic surgery can be applied to that kind of situations. Modern endodontic microsurgery concepts have been reviewed and necessity of the advanced technique for root-end preparation and filling has been well-known, offering high success rate. On the other hand, MTA obturation prior to surgical root-end resection is an effective strategy, particularly with limited anatomical access, and can reduce the indication for surgical intervention. In that situation, apicoectomy can be an adequate alternative appropriate treatment, but few literatures have been reported on apicoectomy as microsurgery. This study aims to report a clinical case where microscopic apicoectomy was successful after microscopic non-surgical retreatment filled with MTA using Lawaty technique.
Clinical case report of temporality satisfying conventional microscopic endodontic treatment of #16, due to extra radicular infection the sinus tract had persisted. It was chosen to perform an apicoectomy in the mesial and distal buccal roots approximate to sinus floor. The treatment was safely done by using microscope and has been successful for two years following, proven by both clinical results and computed tomography.
