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Clinical Case 2

Apicectomy in Upper left central Incisor

A 50-year-old female received a huge traumatism on the anterior upper area. Tooth 21 was treated with an endodontic treatment. After 3 years the tooth presented a severe apical root infection with a fistula, mobility and pain. Treatment included bone grafting with CoreBone and closing with Collagen membrane. Follow up period 18 months.

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Fig.3 Partch incision for apical lesion exposure

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Fig.4 Apicectomy and lesion elimination

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Fig.5 CoreBone 500 biomaterial filling bone defect

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Fig.6 CoreBone 500

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Fig.7 CoreBone after hydration

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Fig.8 Double collagen membrane covering CoreBone

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Fig. 9 Wound closure

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Fig.1 Panoramic Rx with periapical lesion

Fig.2 Periapical Rx with apical lesion

18 months follow up

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CBCT image after 18 months, new bone formation visible at the root tip

Clinical image of complete bone healing

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