Title

Comparative evaluation of apical seal integrity in endodontically treated teeth with and without apicoectomy

Authors

Jalison Jacob Cheruvathoor*^,1, Nitin Pratap Shishodia², Bhavya Yadav³, Satish Kumar Ram⁴, Amrit Podder⁵ & Syed Haider Mehdi⁶

Affiliation

¹Department of Conservative Dentistry and Endodontics, Penang International Dental College, Butterworth, Penang, Malaysia, Asia; ²Department of Oral Medicine & Radiology, Seema Dental College & Hospital, Rishikesh, Uttarakhand, India; ³Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, PDM University, Bahadurgarh, Haryana, India; ⁴Department of Oral and Maxillofacial Surgery, Awadh Dental College & Hospital, Jamshedpur, Jharkhand, India; ⁵Department of Physiology, Teerthanker Mahaveer Medical College & Research Centre, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh, India; ⁶Department of Conservative Dentistry and Endodontics, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India; *Corresponding author

Email

Jalison Jacob Cheruvathoor - E-mail: jalisonjacob@gmail.com
Nitin Pratap Shishodia - E-mail: nitinshishodia48@gmail.com
Bhavya Yadav - E-mail: yadavbhavya00@gmail.com
Satish Kumar Ram - E-mail: satishconscious@gmail.com
Amrit Podder - E-mail: amritpodder0@gmail.com
Syed Haider Mehdi - E-mail: dr.haidermehdii@gmail.com

Article Type

Research Article

Date

Received October 1, 2025; Revised October 31, 2025; Accepted October 31, 2025, Published October 31, 2025

Abstract

The integrity of apical seal and results after treatment of teeth treated endodontically and treated without apicoectomy is of interest. Eighty patients were enrolled in the study, by allocating 40 of them apicoectomy and 40 conventional root canal fill. Data indicated that the apicoectomy-treated group performed much better and experienced fewer post-treatment complications such as pain and reinfection in the absence of apical seal integrity. Data shows that the apicoectomy improves long term treatment success outcomes, particularly when treating a persistent infection. Thus, in endodontic treatment, apicoectomy can be considered a good alternative that can be used to enhance results.

Keywords

Apicoectomy, endodontics, pain, reinfection, seal integrity

Citation

Cheruvathoor et al. Bioinformation 21(10): 3658-3661 (2025)

Edited by

Ritik Kashwani

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.