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THE case for apico (by Ilya Mer)

All clinical cases Cases by Ilya Mer Surgical endodonticsPublished September 18, 2015 at 2:06 pm Comments Off on THE case for apico (by Ilya Mer)

Ideal case for apico surgery and not for retreatment. Localized infection (MB root with probably missed anatomy), rest canals are decent obturation. Tooth was retreated aprox 5 years before and MB2 was found. CAP was still there.

Preoperative X-ray - PARL on MB root

Preoperative X-ray – PARL on MB root

CBCT localizes where process is.

CBCT localizes where process is.

apical microsurgery was the first choice for treatment

apical microsurgery was the first choice for treatment

After root tip resection uncleaned isthmus was revealed

After root tip resection uncleaned isthmus was revealed

Both canals and isthmus were jointed together and sealed with grey MTA

Both canals and isthmus were jointed together and sealed with grey MTA

final view

final view

12 mo F/U complete healing

12 mo F/U complete healing

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