Bone augmentation after osteoma tumor resection using Bond Apatite®

Posted on 04.18.2019 01:53 PM By dr Amos yahav In Endodontics

Healthy Woman, age 29 years. The tumor has developed without any clinical symptoms for about 2 years. Maybe changes at the cellular level led to pulpitis and secondarily to pulp necrosis of the lower right first molar. The initial endodontic treatment was not carried out correctly, due to significant obliteration of the root canals of the lower right first molar. A revision of the area was made, the tumor was removed (highly mineralized part similar to osteoma and granulation tissue from the surrounding area ). Root resections of the lower right first molar with retrograde fillings of the root canals using MTA were performed. The bone defect was grafted with Bond Apatite (1 cc).
Histopathological study showed the presence of an odontogenic fibroma structure in granulation tissue and osteoma in the mineralized part. We observed a good healing of bone and soft tissue at the 4 months follow-up.