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| Pre-Op Radiograph |
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| CBCT shows the radiographic findings from multiple angles. |
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| Sagittal slice shows complete obturation with no missed lingual canal. |
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| Surgical acess |
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| Removal of calcific nodules |
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| Crypt completely cleaned out to normal bone |
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| MTA retrofill placed. |
2 comments:
That is the nice case report but I have a few questions. Why this tooth was root canal treated? What was the diagnosis of this tooth before the RCT? And If the lesion is fibro-osseous lesion, the apicoectomy and retrofilling is necessary or not? Surgical enucleation is enough or not?
Great question! The RCT was done years before by another dentist. I do not know what the diagnosis was at that time.
Surgical intervention is recommended for the tooth with suspected periapical cemental dysplasia.
I think the apico/retrofill allows you to:
1. remove the apical root as possible source of bacteria
2. make sure there is not root end fracture
3. give you more access for enucleation
4. hopefully only access this area one time by addressing the tooth and the periapical tissues
That said, I would agree it would be reasonable to enucleate only, and monitor.
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