title: Apicoectomy versus apexification.
abstract: The aim was to evaluate treatment outcomes after apicoectomy and apexification in adjacent non-vital maxillary central incisors with large periapical radiolucencies, in a 10-year-old boy. The patient had complained of tenderness in the upper central incisors on mastication and gave a history of trauma to those teeth three years ago. On examination, there were found to be non-vital. Apexification (using Metapex) and apicoectomy (obturation with gutta percha) were performed on 11 and 21, respectively. Radiographical observations were made six months, one year and two years, post-operatively. Apical repair was found to be more favorable after apicoectomy than apexification, for a non-vital maxillary central incisor with an open apex and large periapical radiolucency.
authors: Lecturer, Department of Pedodontics & Preventive Dentistry, Goa Dental College & Hospital , Bambolim, Goa, India .
authors: Paul
authors: P
authors: Chalakkal
authors: Professor, Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital , Bambolim, Goa, India .
authors: Francis
authors: F
authors: Akkara
authors: Professor and Head, Department of Conservative Dentistry and Endodontics, Goa Dental College and Hospital , Bambolim, Goa, India .
authors: Ida De Noronha De
authors: Ide N
authors: Ataide
authors: Lecturer, Department of Conservative Dentistry and Endodontics, Goa Dental College and Hospital , Bambolim, Goa, India .
authors: Rajdeep
authors: R
authors: Pavaskar
keywords: Apexification; Apicoectomy; Calcium hydroxide; MTA; Metapex