Abstract
This case report describes the healing of a large periradicular lesion involving an adjacent implant. Endodontic surgery was performed in combination with placement of an enamel matrix protein derivative. Endodontic surgery was performed, including root end resection at a 90 degrees angle. Ultrasonic tips were used for retrograde preparation, and the retrograde cavity was sealed with zinc oxide-eugenol. The area was filled carefully with enamel matrix proteins. Sutures were removed after a 2-week healing period. There were no symptoms of pain, inflammation, or discomfort at 18 months post-surgery. Radiographs showed complete healing of the periradicular lesion. Combining an enamel matrix protein derivative with conventional surgery may improve the clinical outcome of large endodontic lesions. Additional research is warranted.
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