{"title":"Orthograde Endodontic Retreatment Following Apicoectomy and Resorption of Extruded MTA—A Case Report With 8-Year Follow-Up","authors":"Sumaya O. Basudan, Bashayer H. Baras","doi":"10.1002/ccr3.71024","DOIUrl":null,"url":null,"abstract":"<p>Orthograde retreatment following unsuccessful apicoectomy is a valid treatment option instead of surgical retreatment. This case report details the successful orthograde retreatment of a 34-year-old female patient with persistent symptoms following prior apicoectomy without retrofilling materials and conventional root canal treatment. The mandibular left premolars (#44 and #45) had incomplete apical resections and lacked retrofilling materials, and a nonsurgical approach was chosen due to compromised periodontal conditions. Mineral Trioxide Aggregate (MTA) plugs were placed orthogradely, with unintentional extrusion into the periapical tissues. Despite this, an 8-year follow-up revealed complete resolution of periapical radiolucencies, re-establishment of the lamina dura, and resorption of the extruded MTA. This case highlights the efficacy of orthograde retreatment with MTA plugs in achieving periapical healing, even after failed apicoectomy. Moreover, MTA extrusion may heal satisfactorily without compromising the outcome. Relevant literature is also discussed.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479205/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ccr3.71024","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Orthograde retreatment following unsuccessful apicoectomy is a valid treatment option instead of surgical retreatment. This case report details the successful orthograde retreatment of a 34-year-old female patient with persistent symptoms following prior apicoectomy without retrofilling materials and conventional root canal treatment. The mandibular left premolars (#44 and #45) had incomplete apical resections and lacked retrofilling materials, and a nonsurgical approach was chosen due to compromised periodontal conditions. Mineral Trioxide Aggregate (MTA) plugs were placed orthogradely, with unintentional extrusion into the periapical tissues. Despite this, an 8-year follow-up revealed complete resolution of periapical radiolucencies, re-establishment of the lamina dura, and resorption of the extruded MTA. This case highlights the efficacy of orthograde retreatment with MTA plugs in achieving periapical healing, even after failed apicoectomy. Moreover, MTA extrusion may heal satisfactorily without compromising the outcome. Relevant literature is also discussed.
期刊介绍:
Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).