Failed Non-Surgical Endodontic Treatment of First and Second Left Incisors and the Next Successful Apical Resection – A Case Report with Three-Year Follow-Up

Authors

  • Katarzyna Lewusz-Butkiewicz Katarzyna Lewusz-Butkiewicz, Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, Powstancow Wlkp. 72, 70-111 Szczecin, Poland
  • Kinga Kaczor-Wiankowska Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, Poland https://orcid.org/0000-0003-2201-8167
  • Monika Szmidt-Kadys Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, Poland https://orcid.org/0000-0003-1096-9993
  • Marta Rogocka Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, Poland
  • Ryta Lagocka Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, Poland https://orcid.org/0000-0002-0879-3880

DOI:

https://doi.org/10.3941/jrcr.v18i3.5259

Abstract

The main goal of endodontic treatment of teeth is the prevention and treatment of acute and chronic inflammatory changes in periapical tissues. Endodontic treatment consists of chemical and mechanical preparation of the root canal system in order to eliminate organic and inorganic impurities and their filling with biocompatible material. Endodontic microsurgery is recommended when non-surgical endodontic treatments have failed. The main procedure in the field of endodontic microsurgery is apicotomy (resection of the root apex). The absence of apical periodontitis and the absence of clinical symptoms after a period of observation is the definition of therapeutic success. Cone-beam computed tomography is an essential tool to assess the structures involved in the apical periodontitis and the extent of the necessary endodontic surgical procedure. This case report describes the failure of endodontic treatment of chronic apical periodontitis of teeth 21 and 22, supplemented with successful endodontic surgical treatment, with a three-year follow-up.

54 year old female with apical periodontitis of teeth 21 and 22; CBCT: FOV 5x5 cm, voxel size 0,125 mm, 353,2 mGycm2, 6,3 mA, 90 kV, 6,1 s

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Published

2024-06-11

Issue

Section

General Radiology