Apicoectomy on Mx Molar - All Three Roots Through A Buccal Approach

Endodontic surgery on maxillary molars is usually limited to the MB and DB roots - through a buccal approach.  Surgical treatment of the palatal root often requires a palatal surgical approach, and is therefore rarely done.  In this particular surgical case, due to the root anatomy and size of the periapical lesion and osteotomy, all three roots were accessed through a buccal surgical approach.

Surgical PreOp

Root resection of all three roots using a buccal approach

Retrofills with MTA

Post-Op radiograph

1 year recall. Patient fully functional and asymptomatic.  Radiographic healing evident.