Comparative evaluation of apical seal integrity in endodontically treated teeth with and without apicoectomy

The integrity of apical seal and results after treatment of teeth treated endodontically and treated without apicoectomy is of interest. Eighty patients were enrolled in the study, by allocating 40 of them apicoectomy and 40 conventional root canal fill. Data indicated that the apicoectomy-treated group performed much better and experienced fewer post-treatment complications such as pain and reinfection in the absence of apical seal integrity. Data shows that the apicoectomy improves long term treatment success outcomes, particularly when treating a persistent infection. Thus, in endodontic treatment, apicoectomy can be considered a good alternative that can be used to enhance results.