Document Type: Case Report(s)
Dentist, Private Practice, Kerman, Iran
Professor, Endodontology Research Center, Kerman University of Medical Sciences, Kerman, Iran
MSc Student, Department of Endodontics, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran
BACKGROUND AND AIM: Surgical endodontics may sometimes fail despite using root-end filling materials (REFMs). In this case report, a symptomatic right maxillary first premolar underwent periradicular surgery (PS) for replacing huge rate of amalgam with mineral trioxide aggregate (MTA).CASE REPORT: A thirty-year-old healthy woman attended with the chief complaint of recurrent swelling and abscess in the periradicular region of maxillary premolar tooth and sensitivity to percussion. She had a history of PS in the past year. Periapical radiographic images showed a huge rate of amalgam used as REFM. The PS was performed again and the amalgam was replaced with MTA. Postoperative clinical and radiographic evaluation after 2 years showed no sign of abscess and no sensitivity to percussion and periapical pathosis.CONCLUSION: In this case report, replacing amalgam with MTA provided reasonable outcome up to 2 years after the treatment.