Management of teeth with trauma induced crown fractures and large periapical lesions following apical surgery (Apicoectomy) with retrograde filling

Abstract

Dental traumatic injuries, usually affecting anterior teeth, causes pulp necrosis, chronic and cystic apical periodontitis if left untreated. most of the signs and symptoms for the failure are pain and discomfort, swelling and sinus formation at the surrounding soft tissue, and discoloration of the subjected tooth. Despite these serious complications, root canal treatment followed by apical surgery is considered a valid treatment option. This case report discusses the surgical approach of a discolored and infected upper central incisor which was previously root canal treated and crown fracture of teeth followed by trauma and the clinical outcomes of long standing crown fractured teeth with large periapical lesions.