Endo-surgical management of foreign bodies in the periapical region

Foreign objects present in root canals and surrounding areas are troublesome incidents in endodontics. Chances of these objects getting impacted are more when the chamber is open either due to caries or traumatic injury. Moreover, when pushed apically, retrieval becomes complicated and apical surgical procedures unavoidable. A young male patient presented with a chief complaint of discolored anterior teeth. During routine radiographic examination, a linear appearing radio-opaque foreign body (approximately 15 mm in length), extending apically through the apex into the periapical region, was identified. There was also large periapical radiolucency (approximately 10 mm × 15 mm in size) on an adjacent tooth. This case report describes the successful retrieval of two foreign objects from the periapical region, and the management of a cystic lesion, through periapical surgery.