Endodontic microsurgery using NeoPutty® as a retrograde filling material: a case report

Apical periodontitis is a chronic inflammatory condition of the periradicular tissues that occurs predominantly in previously endodontically treated teeth. Endodontic microsurgery is a specialized procedure that involves resection of the apical portion of the root, retrograde cavity preparation, and...

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Detalles Bibliográficos
Autores: Carbajal Pimentel, Claudia Fernanda, Deza Napurí, Eduardo Luiz Carlos, Álvarez Montalván, Armida, Vargas Acevedo, Martin Manuel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:Perú
Institución:Universidad Peruana Cayetano Heredia
Repositorio:Revistas - Universidad Peruana Cayetano Heredia
Idioma:español
OAI Identifier:oai:revistas.upch.edu.pe:article/6435
Acceso en línea:https://revistas.upch.edu.pe/index.php/REH/article/view/6435
Access Level:acceso abierto
Palabra clave:apicectomía
periodontitis apical
obturación retrógrada
reporte de caso
apicoectomy
apical periodontitis
retrograde filling
case report
apicectomia
periodontite apical
obturação retrógrada
relato de caso
Descripción
Sumario:Apical periodontitis is a chronic inflammatory condition of the periradicular tissues that occurs predominantly in previously endodontically treated teeth. Endodontic microsurgery is a specialized procedure that involves resection of the apical portion of the root, retrograde cavity preparation, and sealing with a retrograde filling material to promote periapical healing. This report describes the case of a patient whose tooth #14, previously treated for asymptomatic apical periodontitis, underwent endodontic microsurgery using the bioceramic material NeoPutty® as the retrograde filling material. At 12-month follow-up, the patient remained asymptomatic, with radiographic evidence of periapical repair and bone formation over the bioceramic material. This case suggests that endodontic microsurgery in a tooth with a post and apical periodontitis may be associated with favorable outcomes, avoiding the complications associated with post removal. Nevertheless, because this is a single case, the findings should be interpreted with caution.