Surgical treatment in a dental element affected by overfilling: Case report

Parendodontic surgery is indicated for teeth with a persistent periradicular pathological process, which did not respond to the conventional approach. This intervention is also requested for cases of accidents in endodontic treatment. Among these, overfilling and extravasation of cone and obturator cement can lead to the appearance of a chronic inflammatory process in the periradicular tissues. The difficulty of removing this material makes endodontic surgery necessary. This study describes a surgical intervention in element 44, in view of the chronic inflammatory process resulting from cement leakage and obturator cone until the end of the treatment.