Abstract
Pulpal disease leads to periapical lesions. Root apices have morphological irregularities in teeth with periapical lesions therefore the periapical pathology persists after many root canal debridement and intracanal medicament follow-ups resulting in the failure of the root canal treatment. Failure of conventional orthograde endodontic treatment for a large non healing periapical lesion can be managed by apical surgery with the success rate being 86-92%. MTA has wide range of applications in endodontics due to its biocompatibility, potential for hard tissue induction and sealing ability. This case report describes the treatment and 13 months follow-up of the teeth with large periapical lesion using MTA as apical filling material.
Keywords: Intraosseous benign fibrocollagenous inflammatory growth, Apicoectomy, Apical root repair, MTA.
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Corresponding Author
Dr Prashant Acharya
Regional Hospital Bilaspur Himachal Pradesh