The patient presents with a fistula on apical part of tooth #22 (10). The patient complained of pain in the area. The radiographic examination showed an apical lesion on the apex of #21 (9) & #22 (10).
The patient presents with a symptomatic cyst with an active fistula on the area of #21 (9) & #22 (10) and an absence of tooth #24 (12) with major bone loss. The patient wants to have fixed teeth on #22 (10) and #24 (12).
We made a root resection of tooth #35 (20) with back-fill with the MTA, cyst enucleation (confirmed with histopathology examination). We filled the bone defect with Bond Apatite (1/2 cc). Good healing and no clinical symptoms after six months was observed.
A revision of the lower right molar was made, the tumor was removed (highly mineralized part similar to osteoma and granulation tissue from area around). We made a root resections of tooth #46 (30) with retrograde filling of the root canals using MTA. We filled the bone defect with Bond Apatite (1 cc).
Histopathological study showed the presence of a odontogenic fibroma structure in granulation tissue and osteoma in mineralized part. We observed a good healing of bone and soft tissue in 2 years months follow-up.
We did an enucleation and resection of roots of the upper right incisors, (#11 (8) & #12 (7)) with retrograde fillings (MTA) and augmentation with Bond Apatite® bone cement. Healing was uneventfully and after six months post op the place was asymptomatic and bone was formed.
The patient reported inflammation, swelling and pain on occasion consistent with Vincent’s symptom in the area of teeth #36 (19), #20 (35), and #34 (21). The surgery was performed under general anesthesia. We removed a radicular cyst (with histopathology), root resection of #35 (20) with retrograde MTA filling, and extraction of #36 (19). The bone defect was grafted with Bond Apatite® (6 cc).