J Dent Res Dent Clin Dent Prospects. 2018;12(2):116-119.
doi: 10.15171/joddd.2018.018
PMID: 30087762
PMCID: PMC6076882
  Abstract View: 239
  PDF Download: 337
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Clinical Dentistry

Apical surgery failures: Extraction or re-surgery? Report of five cases

Damla Torul 1 ORCiD, Sevda Kurt 2 * , Kamber Kamberoglu 3

1 Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey
2 Department of Periodontology, Recep Tayyip Erdo─čan University, Rize, Turkey
3 Oral and Maxillofacial Surgeon, Hospitadent, Istanbul, Turkey


Apical surgery (AS) is considered as the last resort to save teeth which cannot be treated with a conventional endodontic approach. The main goal of apical surgery is to create a barrier between the root canal system and the peri-radicular tissues by means of a tight root-end filling after resection. However, failures in this treatment usually result in tooth loss. In such cases surgical re-treatment should be considered as a viable alternative. In this case series, successful ARs are presented that were performed on ten teeth in five patients referring for extraction after an unsuccessful apical surgery. It should be noted that if appropriate surgical and endodontic intervention is performed and adequate apical obturation is provided with retrograde filling, teeth can be treated without extraction.
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Submitted: 23 Sep 2017
Revised: 18 May 2018
Accepted: 19 May 2018
First published online: 27 Jun 2018
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