Postoperative Outcomes in Surgical Endodontic Treatment Using Various Root-End Filling Materials for Immature Root Apices.

The present case series describes the postoperative outcomes of surgical endodontic treatment in teeth with immature root apices using different root-end filling materials. Three cases involving young patients with discolored and non-vital teeth were treated using varied approaches: no root-end filling, mineral trioxide aggregate (MTA), and Biodentine (Septodont, Saint-Maur-des-Fossés, France). Each case included comprehensive pre-surgical assessments, conservative non-surgical root canal treatments, and periapical surgeries performed under magnification. The outcomes were evaluated based on clinical and radiographic success over follow-up periods ranging from six to 24 months. Results demonstrated favorable healing and functional restoration across all cases, highlighting the importance of individualized treatment plans, meticulous surgical techniques, and rigorous postoperative care. The findings underscore the efficacy of contemporary root-end filling materials like MTA and Biodentine in promoting periapical healing and bone regeneration while also emphasizing the necessity for personalized approaches in managing immature root apices. Further research is recommended to optimize these treatment protocols.