Objective: The objective of this article is to describe the successful management of an apicomarginal defect of a maxillary lateral incisor with a bone block graft performed simultaneously with apical surgery of both lateral and central incisors.
Case presentation: A 15-year-old male patient with a recurrent sinus tract involving the maxillary right incisors was referred for possible treatment with apical surgery. Root canal treatment and apical surgery had been undertaken unsuccessfully one year before. Radiographic examination revealed a radiolucent area surrounding the tooth apexes. A bone block was harvested from the apical area of the central incisor with ultrasound tips to gain access to the root end and apical surgery of both incisors was performed. The bone block graft was used to cover an apicomarginal bony defect of the maxillary lateral incisor. At the three-year follow-up, the teeth had no clinical signs or symptoms, and the periapical radiograph demonstrated complete healing around the apexes.
Conclusions: The use of a bone block graft to treat an apicomarginal defect in conjunction with apical surgery achieved complete healing of the periradicular tissue in this case.
Editorial note: The full article was published in the 2/2016 issue of the Journal of Oral Science and Rehabilitation. Access the full article at www.dtscience.com.
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