Journal of South Asian Association of Pediatric Dentistry

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VOLUME 4 , ISSUE 3 ( October-December, 2021 ) > List of Articles


Apicoectomies of Permanent Maxillary Incisors in Young Children with Different Retrograde Fillings: A Case Series

Vipin Ahuja, Jaya Verma, Annapurna Ahuja

Keywords : Apical surgery, Apicoectomy, Pediatric endodontics, Retrograde filling, Root-end resection

Citation Information : Ahuja V, Verma J, Ahuja A. Apicoectomies of Permanent Maxillary Incisors in Young Children with Different Retrograde Fillings: A Case Series. J South Asian Assoc Pediatr Dent 2021; 4 (3):203-207.

DOI: 10.5005/jp-journals-10077-3095

License: CC BY-NC 4.0

Published Online: 07-01-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Apicoectomy in children is considered as an anticipated treatment option to salvage a tooth with periapical pathology unresolved by conservative root canal treatment protocol. This methodology is a multidisciplinary systematic approach which includes endodontic procedures like root canal treatment, oral surgical procedures like resection of root apex, cavity preparation of root apex, and retrograde restoration of the root apex to achieve a bacteria-tight seal of the root canal system. This paper presents case series of 3 cases of children with complicated crown fractures of anterior teeth with periapical pathologies treated with apicoectomy and root end treatment with three different retrograde materials. The retrograde restorative approaches chosen were composite with bone grafting in Case 1, MTA in Case 2 and amalgam with bone grafting along with GTR membrane in Case 3 respectively. All the three cases showed successful treatment outcome during follow-up visits and presented with clinical and radiographic signs of eventful healing.

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