A patient had undergone pulpectomy 1 yr back on a maxillary premolar. Tooth was restored with post crown. Now the tooth is asymptomatic but increase in periapical radiolucency is noted. You would like to do
1. Do not treat
2. Apical curettage only
3. Apical curettage apicectomy
4. Conventional root canal treatment
📝 Explanation:
When conventional endodontic treatment has failed (evidenced by increasing periapical radiolucency) and retreatment is not feasible due to a post crown, apical curettage with apicectomy is indicated to remove infected tissue and provide retrograde seal.