EFFECTIVENESS OF APICOECTOMY USING MINERAL TRIOXIDE AGGREGATE IN CHRONIC GRANULOMATOUS PERIODONTITIS

Chronic granulomatous periodontitis is one of the most common periapical inflammatory diseases in modern dentistry. Conservative endodontic treatment does not always ensure complete elimination of infection. Chronic granulomatous periodontitis represents a chronic inflammatory process localized in periapical tissues, often resulting from persistent microbial infection within the root canal system. It is characterized by granuloma formation and progressive bone destruction. Although nonsurgical endodontic treatment is the first-line approach, failure rates remain significant due to anatomical complexities, resistant microorganisms, and extraradicular infection. Apicoectomy, combined with retrograde filling using modern biomaterials such as MTA, has significantly improved outcomes in such cases. MTA is known for its: superior sealing ability; biocompatibility; osteoinductive properties. This study aims to evaluate the effectiveness of apicoectomy using MTA in a larger patient population and to identify factors affecting treatment success.