The patient is a 65 year old female with multiple health conditions (diabetes, post heart infarct with PCI – percutaneous coronary intervention, hypertonic pressure, atrial fibrillation including the chronic use of dihydroxycumarin derivatives and antiplatelet drugs).
The cyst appeared 4 years after successful endodontic and prosthetic treatment. The first clinical symptom was an abscess. Three weeks after the abscess incision, we completed a one step endo-surgery treatment with a root resection of tooth #12 (7), cyst enucleation (with histopathology examination), and backfill of the root canal with MTA. In addition, we used dedicated microtools and then filled the bone defect with Bond Apatite® (2 cc).
Good healing and no clinical symptoms were observed throughout a 2 year follow-up period.
All procedures were completed with continuation of anticoagulation drugs. No bleeding after surgery was observed.