Case of Distal Root Apicoectomy #46 (30)

The patient is a healthy, 38 year old female. The inflammatory changes (radicular cyst) were not resolved 8 months after endodontic treatment so a predictable microsurgery is to be performed. Moreover, the patient experienced increasing pain in this area. A distal root resection of tooth #46 (30) was performed with backfill of the root canal with the MTA and cyst enucleation (confirmed with histopathology examination). The bone defect was filled with 1cc Bond Apatite®.

Good healing and no clinical symptoms were observed between 3 months and 2 years post-op. In addition, 2 days after surgery there was no pain or swelling. During the surgery it was observed how nicely Bond Apatite® filled the bone defect. Traditional bone techniques are more difficult and are more time consuming (bovine bone, membrane, pins or two layers membrane etc).