The purpose of this study was to investigate the long-term stability o
f apical retrograde root fillings using a dentin-bonded resin composit
e, Radiographs were used to establish the degree of healing around the
apically filled roots, Patients examined were those who had previousl
y showed complete healing 1 yr after surgery. Thirty-three of the firs
t 34 consecutively placed resin composite apical fillings performed si
nce the introduction of this method in 1984 were examined, Six of thes
e fillings were examined 8 yr after surgery, and 27 of these fillings
were examined 9 yr after surgery, Only one patient showed recurrence o
f periapical inflammation 8 yr after operation, probably caused by a r
oot fracture. It was concluded that the bond established between denti
n and the resin composite was stable during the observation period, an
d that the filling material had not been harmful to the surrounding ti
ssues. If complete bone healing has been observed, it could be expecte
d to remain stable, unless new factors, such as root fracture, occurre
d.