Year : 2024

Volume : Volume 15

Issue : Issue 5

Address for correspondence :
Dr. Snigdho Das
snigdho1991@gmail.com

Abstract

Endodontic surgery focuses on eliminating periapical pathology and achieving healing through the complete regeneration of bone and periodontal tissue. However, epithelial cells migrate at a rate ten times faster than the cells that form bone and periodontal tissue, making regeneration challenging, especially in large or through-and-through lesions where healing often occurs by repair rather than regeneration. To address this, a barrier membrane is placed over the defect site, and bone graft material, combined with various growth factors, is used to accelerate regenerative healing. The current report discusses two cases regarding the surgical management of large periapical lesions associated with maxillary anterior teeth. The treatment involved the combined use of a newly developed bone graft material called sticky bone and a guided tissue regeneration membrane to act as a barrier against unwanted tissue formation. Healing was evaluated using cone beam computed tomography (CBCT) scans, and patients were examined clinically and radiographically at 3-, 6-, and 12-month post-surgery. The patients remained asymptomatic, and CBCT scans showed a significant reduction in the size of the bony defects and an increase in bone density.