A CASE REPORT ON APECOECTOMY FOLLOWED BY RETROGRADE FILLING AND PERFORATION REPAIR
Abstract
Nonsurgical endodontic treatment is a highly predictable treatment option in most cases, but surgery may be indicated for teeth with persistent periradicular pathosis unresponsive to non-surgical approaches. Surgical root canal therapy including root-end resection has been practiced since at least the mid 1800s. Over past 2 decades, periradicular surgery has continued to evolve into a precise, biologically based adjunct to nonsurgical root canal therapy. Periradicular surgery, when indicated, should be considered an extension of non surgical treatment, because the underlying etiology of the disease process and the objectives of treatment are the same: prevention or elimination of apical periodontitis. When indicated, periapical surgery involves removal of diseased soft tissue, root resection followed by retrograde root filling, which enhance new bone formation at site of defect.
Keywords: Apical surgery, Apicoectomy, endodontic surgery.