Dear Sir/Madam!
After reviewing my panoramic X-ray, my dentist confirmed a granuloma around lower tooth 6 (around both roots). The tooth had already undergone endodontic treatment about 4 years ago, but, judging by the image, the root filling at that time (or perhaps even earlier, I no longer remember) was poorly performed because part of the root remained unfilled. Over the last few years of normal oral-hygiene maintenance I did not have any X-rays taken. Over time an inflammation developed, but I do not know how long it has been present because I had no pain in the meantime.
My dentist therefore attempted to access the canals through retreatment, but unfortunately he could not reach them at all because the filling material (iodoform) was too hard. He suggested two options: either to return to the doctor who originally treated the tooth and filled it with iodoform (perhaps he would know a better solution) or to undergo an apicoectomy.
Although I am leaning more toward the apicoectomy, I am afraid because at the age of 35 this would be my first such procedure. At the same time, after reading the experiences of some patients on forums, I am not sure whether such a procedure permanently eliminates the possibility of a granuloma recurring. Thank you for your answer! Kind regards.