Keywords
Periodontal ligament
Retreatment
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Abstract
Objective: To report the treatment of an endodontic failure in element 14, through paraendodontic surgery in a patient who had a recurrent fistula after three failures in conventional retreatment. Case Detail: This is a patient, 25 years old, female, who had undergone conventional endodontic retreatment three times without success. In view of the radiographic findings, a cone beam computed tomography scan was requested, which showed bone rarefaction in the periradicular region of element 14. In the treatment planning, the choice was to perform paraendodontic surgery with curettage of the lesion, apicoectomy and apical sealing with MTA repair cement (Mineral trioxide aggregate). With the postoperative period of fourteen months, it was possible to observe the absence of the fistula and the symptoms, in addition to the repair of the periradicular lesion. Final considerations: Paraendodontic surgery is an option that aims to resolve failures that conventional endodontic treatments could not solve, thus being considered an alternative option, due to the high success rates, avoiding loss of the tooth.
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