Nice Periapical Healing

Tooth #4
Necrotic pulp with asymptomatic periapical periodontitis.

Pre-op

Post-op

Follow-up 6 months

 

Palatal Root Apical Surgery


Apical microsurgery has changed drastically with the use of microscopes, ultrasonics and new root end filling materials. It is now possible to minimize the size of the osteotomies, preserve bone and have access to difficult to reach areas. There are also prospective clinical studies with long-term follow-ups using current surgical techniques and materials that show over 90% success in saving natural teeth using apical surgery option.

Pre-op


All roots were resected, root-end preparations were made using ultrasonic instruments and MTA root-end fillings were placed.

MTA in MB1, MB2, isthmus, and DB

MTA in the palatal root

Post-op

5 days post-op at suture removal

18 months follow-op


At 18 months follow up, although radiographically there is no complete healing observed, the tooth is asymptomatic and functional.

 

Trigeminal Neuralgia

Pre-op

Post-op

 

Root Amputation

Pre-op

Post-op