Apicoectomy Versus Apexification
Published: February 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.5516
Paul Chalakkal, Francis Akkara, Ida De Noronha De Ataide, Rajdeep Pavaskar
1. Lecturer, Department of Pedodontics & Preventive Dentistry, Goa Dental College & Hospital, Bambolim, Goa, India.
2. Professor, Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Bambolim, Goa, India.
3. Professor and Head, Department of Conservative Dentistry and Endodontics, Goa Dental College and Hospital, Bambolim, Goa, India.
4. Lecturer, Department of Conservative Dentistry and Endodontics, Goa Dental College and Hospital, Bambolim, Goa, India.
Correspondence
Dr. Paul Chalakkal,
Lecturer, Department of Pedodontics & Preventive Dentistry,
Goa Dental College & Hospital, Bambolim, Goa – 403202, India.
E-mail : atomheartpaul@yahoo.com
The aim was to evaluate treatment outcomes after apicoectomy and apexification in adjacent non-vital maxillary central incisors with large periapical radiolucencies, in a 10-year-old boy. The patient had complained of tenderness in the upper central incisors on mastication and gave a history of trauma to those teeth three years ago. On examination, there were found to be non-vital. Apexification (using Metapex) and apicoectomy (obturation with gutta percha) were performed on 11 and 21, respectively. Radiographical observations were made six months, one year and two years, post-operatively. Apical repair was found to be more favorable after apicoectomy than apexification, for a non-vital maxillary central incisor with an open apex and large periapical radiolucency.
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