Apical Surgery of a Maxillary Left Central Tooth Using NeoPutty After Retreatment Failure: A Case Report

This study reports a successful apical surgery performed on a maxillary central incisor in a middle-aged man with a persistent infection following non-surgical endodontic retreatment. The infection involved both labial and palatal bone perforations. NeoPutty, a new bioactive bioceramic putty available in a premixed format, was used in this case. Its primary components are tricalcium and dicalcium silicate. NeoPutty has demonstrated antibacterial properties and biocompatibility, and has been successfully used in primary molar pulpotomy and indirect pulp therapy. In the present study, it was utilized for root-end filling for the first time, contributing to a favorable surgical outcome.