The Last Resort: Endodontic and Surgical Management of Traumatized and Root Canal Failed Teeth


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Article type :

Original article

Author :

Vaibhav Kumar,Kamna Pahuja,Aakanksha Singh,Waseem Fairuz Mirdah,Harry Ahuja,Kaliya Chirag Ghanshyambhai,

Volume :

10

Issue :

1

Abstract :

Apicoectomy is considered as an anticipated treatment option to salvage a tooth with periapical pathology unresolved by conservative root canal treatment protocol. This paper presents case series of 10 cases with complicated periapical pathologies treated with apicoectomy and root end treatment with Iodoform. This case series presents the management of periapical lesions through root canal treatment/re-treatment, followed by enucleation of the bony lesion. These surgeries were performed on failed root canal cases and traumatic injury cases where non-surgical management was unsuccessful. Seven instances involved the use of iodoform, whilst two cases did not. In one case, a combination of iodoform and MTA was used for apexification. Follow-up examinations were conducted for 9 patients, revealing satisfactory bone healing and no clinical symptoms, indicating a positive prognosis for the teeth after periapical surgery.

Keyword :

Apicoectomy, Endodontology, Iodoform, Oral Tissue, Root Canal System