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International Journal of Oral Health Dentistry
Year : 2018, Volume : 4, Issue : 1
First page : ( 52) Last page : ( 54)
Print ISSN : 2395-4914. Online ISSN : 2395-499X.
Article DOI : 10.18231/2395-499X.2018.0013

Surgical endodontic management after conventional root canal treatment failure: A case report

Rani Nidhi1, Gupta Rajesh Kumar2,*, Karode Ashish3

1Senior Resident, Dept. of Conservative Dentistry and Endodontics, Postgraduate Institute of Medical Education & Research, Chandigarh

2Senior Lecturer, Dept. of Periodontology, Bhojia Dental College & Hospital, Himachal Pradesh

3Medical Officer, Dept. of Conservative Dentistry and Endodontics, Civil Hospital Maharashtra, India

*Corresponding Author: Email: rajeshguptafzk@gmail.com

Online published on 24 September, 2018.

Abstract

In the root canal system, infection of the pulp tissue caused by caries or other pathways is the primary cause of apical periodontitis. The ultimate goal of the endodontic treatment is to create adequate conditions for periradicular tissue healing. 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 nonsurgical approaches. The aim of this article is to highlight the possibility of the successful outcome of surgical endodontic treatment following failed non surgical treatment of right maxillary central incisor. With proper case selection and operator skill, periradicular surgery can be considered predictable, cost effective alternative to tooth extraction and tooth replacement.

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Keywords

Apicoectomy, Retreatment, Biodentine, Ultrasonic retrotips.

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