Background: Dental elements can be maintained when the endocrine retreatment adequately indicated. The growth of endodontic techniques and materials has minimized the indication of surgical procedures even for teeth with intra-canal posts.
Case presentation: A 34-year-old male patient related uncomfortable sensation and swelling under his upper lip associated with maxillary right central incisor tooth. After radiographic examination, the presence of a smoothly tapered post and an over-extended root canal filling associated with a periapical radiolucency and radiolucency on the distal part of the coronal third of the maxillary right central incisor tooth. The mesial margin of the crown did not fit well.
Conclusion: Understanding the patients, treatment- and tooth-related prognostic predictors can assist the clinicians in appropriate case selection for apical surgery against treatment alternatives.
Key words: Metal endodontic post, endodontic retreatment, apicoectomy, retrofilling
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