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Is it possible to enucleat the cyst and save tooth by apicoectomy...Share your advice

Patient is suffering from discomfort and pain in upper front tooth region since 5 days History History of trauma 6 years back

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Hi there, Such cases tests our patience if you wish to proceed it without surgical interventions. RCT will take time and usage of correct intracanal irrigants and medicaments is really important here. Thanks!

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Hi there, Such cases tests our patience if you wish to proceed it without surgical interventions. RCT will take time and usage of correct intracanal irrigants and medicaments is really important here. Thanks!

Yes Dr. Start RCT--through the opening made for acceess---cystic fluid will have chance to drainage (You can call it miniature Parsh technique).AfterBMP is complete, obturate and on the same visit raise labial flap to perform apicoectomy.Once the same is done thoroughly currete remnants of lining. Toilet and irrigation with Betadine. Sutures to be removed after 14 days.

Yes the tooth is salvageable, you may go for non surgical root canal treatment also, with intracanal medicament, though it is a time taking procedure but is non invasive. Thanks.

Sir, if no occlusion interference definitely tooth can be saved. Go for RCT, in my opinion WAIT for apicectomy till all the symptoms subside. If there is sinus opening, it may heal by itself, may not need apicectomy, must follow up with IOPa

Treatment Cyst enucleation followed by cauterization. Then apicectomy with Retrograde filling.

Definitely. You can go for RCT followed by apicectomy.

Go for non-surgical metapex will definitely help

Rct to be done followed by enucleation to restore the defective bone

Better to go for extraction

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