PMC9860134_01
(A, B) Preoperative panoramic and periapical radiographs showed periapical lesion of maxillary anterior teeth.
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The patient underwent a clinical examination, a medical history interview, a radiographic evaluation, which comprised a panoramic radiograph of the jaws and periapical radiographs of the teeth numbers 13, 12, 11, 21, and 23. (Figure 1A, B).
Periapical radiograph showed conventional root canal obturation with warm vertical compaction using heat carrying instrument (System B) for #13 and 23, Customized gutta-percha for #12, 11, 21, and 22 and thermo-plasticized gutta-percha (Obtura II) for #12.
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Customized gutta-percha were used in #12, 11, 21, and 22, in addition thermo-plasticized gutta-percha (Obtura II) was used for obturation of internal resorption in tooth #12 as shown in Figure 2.
Periapical radiograph after surgery and MTA Placement.
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Apicoectomy of 3 mm from the root apex and retrograde filling using MTA were performed as shown in Figure 3.