Periapical healing after apicocurettage during apexification

A case is presented in which conventional apexification with CaOH-CMCP paste was not successful at first. A minimal apicocurettage was done. Subsequently, the periapical bone healed and a dry, hard apical stop formed at the apical foramen. A gutta percha root canal filling was packed from the coronal access. This procedure offered a surgical alternative to an alloy retrofilling, when the usual apexification process was not successful.