Fauzia Quadir, Yawar Ali Abidi, Shahbaz Ahmed, Sofia Ali Syed.
Predictable Bone Fill: A Five Year Follow up of per Radicular Surgery: Case Report.
J Pak Dent Assoc Jan ;23(1):36-40.

The goal of periradicular surgery is to eliminate the periradicular inflammatory tissues and seal the apical foramen to create optimum conditions for healing through the regeneration of tissues, including the formation of a new attachment apparatus which is achieved by thorough curettage of the lesion. It includes removal of the pathological periradicular tissues for visibility and accessibility to facilitate the treatment of the apical root canal system, or sometimes for the removal of harmful foreign materials present in the periradicular area. This case report describes the non-surgical and surgical endodontic treatment of a large cyst-like periradicular lesion in a 22-year-old male patient in the left maxillary anterior region. Conservative root canal treatment was carried out for the non-vital teeth, followed by peri-radicular surgery. The clinical and radiographic examinations after a five- year follow up period revealed complete periradicular healing. The appropriate diagnosis of periradicular lesions and the treatment of infected root canal systems allowed complete healing of these large lesions with endodontic surgery.

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