Interdisciplinary approach to treat a large trauma induced chronic periapical pathology: A clinical Report

Most Dental trauma occurs primarily in the anterior region of the mouth with its detrimental consequences, affecting the maxillary more than the mandibular jaw. Quick and early management of such cases is mandatory. Pulp necrosis, chronic and cystic apical periodontitis can be the fate if these teeth are left untreated. Despite these serious complications, root canal treatment followed by apical surgery is considered a valid treatment option when such cases become complicated with large periapical lesions. However, whether a retrograde filling is essential to be placed or not is still a matter of debate. Mineral trioxide aggregate (MTA) as retrograde filling has been reported in literature. Another material with largely improved handling properties; Biodentine™ (Septodont, Saint Maur des Fossès, France) was introduced in 2011. It is a calcium silicate based material with promising results. The following case report embraces the use of Biodentine™ as a retrograde filling material.