Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (Reporte de caso)

Abstract

Periapical surgery is an option when endodontic retreatment is failed. This procedure with microscope allows a practical manage and maintain tissues. it is defined as endodontic microsurgery (ME). This technique improves healing process, supported by suitable materials and their use to seal the apical. However the faillure is between 3 and 22%. Objective: To observe bone changes after endodontic surgery using Bioceramic EndoSequence by cone beam computed tomography (CBCT) . Method: A descriptive observational case study report was done. The sample were two patients in three teeth with persistent periapical lesión after endodontic retreatment. Periapical radiographs and CBCT were performed before the surgeries after 1 month,, 3 months, and 5 months. The area (square millimeters) of periapical lesions in CBCT were converted to volume. Results: In the first case, there months later the average of cicatrization (Bone Density) 93.35 tooth 21 and 71.74 for tooth 22 while in the second case it was 99.89 %. Conclusions: the Bioceramic (ERRM) is a suitable material for periradicular surgery and it stimulates the bone cicatrization.