RETREATMENT AND ENDODONTIC TREATMENT ASSOCIATED WITH PARENDODONTIC SURGERY

Abstract

Patient came to the dental office complaining of a blister on top of his tooth. Radiographically, endodontic treatment and the presence of periapical bone radiotransparency were observed. A cone beam computed tomography scan was requested for treatment planning, which determined the presence of an extensive periapical lesion involving teeth 11 and 12. Therefore, we opted for endodontic retreatment of tooth 12 and endodontic treatment of tooth 11. Parendodontic surgery was performed on tooth 12, apicectomy, bone graft and membrane. After one year of treatment, clinical and radiographic preservation of the case was performed, and endodontic therapy of tooth 11 and parendodontic surgery of tooth 12 were successful. It is concluded that apicoectomy indicates a high success rate if well performed, determining high rates of resolution of periapical lesions, allowing the establishment of favorable conditions for bone neoformation.