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ePaper created 2017-10-13, 10:01:15 | version 1.38.0
N o a p i c e c t o m y i n e n d o d o n t i c s u r g e r y Fig. 1d Fig. 1e Figs. 1f–i Fig. 1d CBCT 3-D reconstruction demonstrating the extent of the lesion(s). Figs. 1e & f Immediate postoperative radiographs of the lateral incisor (left) and central incisor (right). Figs. 1g & h One-year follow-up radiographs. Fig. 1i Five-year follow-up radiograph. 1 year 5 years C a s e 2 The patient was referred to have a mandibular molar checked. He was trying by all means to retain the molar, even though he had been advised to have it extracted and replaced with an implant. The preoperative radiograph (Fig. 2a) showed a substantial periapical lesion, although the previous dentist had placed calcium hydrox- ide paste in the canals. Furthermore, the patient was complaining of tingling in his lower lip. The i-CAT (KaVo Dental, Biberach, Germany) showed that the cystic reaction extended far, almost reaching the mandibular canal (Fig. 2b). The same approach as described previously was performed in an attempt to treat and save the molar. Once the flap had been elevated, it appeared that the cystic reaction was also man- ifesting under the periosteum above the cortical bone and there was another cystic reaction close to the mandibular nerve (Fig. 2c). Postoperative radiographs were taken (Fig. 2d) and complete healing was seen with full reconstruction of the bone (Fig. 2e). 22 Volume 3 | Issue 3/2017 Journal of Oral Science & Rehabilitation