Paraendodontic surgery using Portland cement as retroilling material: A 5-year follow-up case report

Introduction: The characteristics of the material used to perform root-end fillings are crucial to the success of surgical procedures in Endodontics. Several types of material have been proposed and used due to their physical, chemical and biological properties. Objective: The aim of this article is to describe a successful endodontic surgical management in which Portland cement was employed as rootend filling material. Methods: A 64-year-old female patient sought professional care due to moderate pain on chewing and previous episodes of swelling in the region of tooth #25. Clinical examination revealed normal periodontal structures and moderate pain during palpation. Radiographic examination revealed poor root canal treatment with a separated instrument at the beginning of the apical curvature. Periradicular disease was also observed. Retreatment of root canal was performed and it was not possible to bypass the separated instrument. After two years, the patient returned showing outstanding signs and symptoms in the same region. A new radiographic examination revealed maintenance of the periradicular disease. The surgical procedure using Portland cement was then proposed and performed. Results: The 5-year follow-up demonstrates treatment success. Conclusion: The results of this case report suggest that Portland cement has the potential to be used as a root-end filling material.