Endodontic Microsurgery on a Persistent Periapical Lesion

Extrusion of root filling material had been shown to reduce the success endodontic treatment. This case report describes management a patient who reported prolonged, persistent, and increasing pain on an upper filled central incisor with extruded material. A 28-year-old female came chief complaint tenderness left incisor. The was mostly triggered by mastication. Upon examination investigation, tooth concern 21 which treated many years ago. It appeared have percussion palpation. Non-surgical canal retreatment completed 21. However, complained same while biting even after six months post-obturation. Therefore, microsurgery performed remove that enucleate granulomatous lesion around periapical region After enucleation, apical end resection performed. Postoperatively, comfort no able resume her daily activities. At review, radiograph showed evidence complete healing. captured importance as viable treatment option where nonsurgical failed relieve patient's symptoms.