Augmentation post-implant failure – large cyst

Male patient, healthy, age 30 years. In position of teeth no. 19,20, and 21 (34,35,and 36) the patient reported inflammation, swelling and pain on occasion consistent with Vincent’s symptom. Surgery was performed under general anesthesia. We removed a radicular cyst (with histopathology), root resection of tooth 20 (35) with retrograde MTA filling and extraction of tooth 19 (36). The bone defect was grafted with Bond Apatite (6 cc). The patient reported minimum pain and discomfort in the first three days after surgery. Adequate bone remodeling was observed after 3 and 8 months, but on the panoramic x-ray a slight radiolucency has developed in the area of the resurrected tooth #20 (35), but until now patient reported no clinical symptoms

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