DOI: 10.36347/sjmcr.2021.v09i03.002

Pages: 202-206

This study reports the case of a 52-year-old woman in good state of health (ASA) showed up with pain on biting, the gutta percha was visible through the alveolar mucosa exceeding the apex of the first upper right premolar two weeks after root canal treatment and the healing of a sinus tract. The CBCT exam revealed a buccal malposition of the tooth and the apical third of the buccal root perforated the alveolar buccal plate. The treatment rationale is presented and compared with other therapeutic options described in the literature. A root end resection in association with a bone filling from the adjacent site were performed to preserve the tooth. The evolution was favorable after surgery. The therapeutic approach gave satisfactory results.