1 year follow up after apical surgery of central incisor (by Ilya Mer)

Patient appeared with pain and swelling in area of #41 (25). Prosthesis was done a couple of years before. Deep probing on MB aspect of #41 (25). Percussion and palpation was painful as well.

Preoperative X-ray and image
Preoperative X-ray and image
Deep probing on MB aspect of 41, normal probing of rest sites.
Deep probing on MB aspect of 41, normal probing of rest sites.
Exploration surgery was selected as a primary treatment plan. In case of there was no fracture root end surgery  done. After flap elevation and methylene blue staining there wasn't fracture line found.
Exploration surgery was selected as a primary treatment plan. In case of there was no fracture root end surgery done. After flap elevation and methylene blue staining there wasn’t fracture line found. No bone covering buccal surface of root in lit represents the worst result of surgery. 

root end filling with MTA
root end filling with MTA
12 month follow up, complete both periapical and lateral lesions.
12 month follow up, complete both periapical and lateral lesions.
5mm probing a year later comparing to 9-10mm before surgery
5mm probing a year later comparing to 9-10mm before surgery

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