Conservative approach in a patient with multiple radiolucent periapical lesions using endodontics and surgery

ABSTRACT

Case report of a 43- year old male patient with multiple periapical radiolucent lesions caused by endodontic failure in teeth supporting a metalloceramic prosthetic rehabilitation, who came to the clinic to assess the possibility of keeping his teeth. After clinical and radiological examination with periapical x-rays and cone beam computer tomography (CBCT), we decided to use a combined endodontic-surgical approach. Clinical evolution was favourable, and the radiographic and tomographic controls showed complete healing of the periapical radiolucent lesions. Endodontic retreatment combined with periapical microsurgery are effective tools for conservative treatment of teeth with periapical lesions caused by endodontic failures. (AU)