Successful nonsurgical retreatment of resected teeth associated with persistent periapical lesion by placing triple Antibiotic paste and mineral trioxide aggregate apical plug - A case report

Abstract

This article describes the nonsurgical management of traumatized teeth that had undergone apisectomy and associated with a large periapical lesion. A combination of antibacterial drugs consisting of metronidazole, ciprofloxacin and minocycline was used for root canal disinfection. The common problem encountered with this drug combination is tooth discoloration due to minocycline. Adhesive restoration was used to address this problem. Mineral trioxide aggregate apical plug was placed in the lateral incisor that had undergone unsuccessful root resection. On two year follow up the patient was asymptomatic and intraoral periapical radiograph showed successful healing with complete resolution of the periradicular lesion.