Apical Surgery Upper Incisor

A male patient, 50y, was referred for pain and swelling on upper incisor. Rx exams showed an apical radioluceny on upper right central incisor for whom a root canal treatment was performed using a continuous wave of condensation. After 2 weeks the patient came for the same sympthoms never solved after the primary root canal treatment. A cbct was considered to obtain more information on the reason of failure. The cbct showed a rounded apical cyst-like lesion. A surgical approach was performed to eliminate definitively the lesion, that was enucleated, the apical portion of root cut in 3mm and filling performed using Bioceramic Fast Set Putty. Control rx, suture and control at 1week where sutures were removed After 1 month…