I Re-RCT + MTA

Often these cases were treated by apicectomy and retrograde root filling, which was not the ideal for patient comfort and recovery. (1)

Now with the use of the microscope and techniques in MTA placement it is possible to treat these cases with an orthograde approach (2)

Here we have a wide foramen that has been successfully treated placing a 3-5mm MTA seal apically

Patient are much happier to have this approach of treatment in these complex cases.

(1) Del Fabbro M, Taschieri S, Testori T, Francetti L, Weinstein RL. Surgical versus non-surgical endodontic re-treatment for periradicular lesions. Cochrane Database Syst Rev. 2007 Jul 18;(3)

(2) Kim US, Shin SJ, Chang SW, Yoo HM, Oh TS, Park DS. In vitro evaluation of bacterial leakage resistance of an ultrasonically placed mineral trioxide aggregate orthograde apical plug in teeth with wide open apexes: a preliminary study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Apr;107(4):e52-6.