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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