Endodontic surgery with simultaneous root canal filling: case report

Resumo

Endodontic surgery is an excellent alternative for
solving problems unsolved by conventional treatments and/or root
canal retreatment. Objective: This study aims to report a clinical
case of an endodontic surgery with simultaneous root canal filling.
Case report: The left mandibular lateral incisor (#32) showed
constant exudation even after root canal instrumentation and many
changes of calcium hydroxide paste as intracanal medication. So,
the treatment´s option was the endodontic surgery with simultaneous
root canal filling for removing the periapical lesion. After the
root canal filling, the curettage and apical plasty were made and
the bone cavity was filled with calcium sulfate. Histopathological
examination pointed out a periapical cyst. Conclusion: Endodontic
surgery with simultaneous root canal filling of the tooth #32
was successful, once the patient did not exhibited any clinical
symptoms, the exudate disappeared, and radiographically, it can
be observed the formation of bone repair. The time of follow-up
was of four months.