Management of necrotic teeth with apical periodontitis using sonically activated irrigation
https://doi.org/10.32067/GIE.2023.37.01.02
Accepted: 12 October 2022
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Aim: To present root canal treatment using sonically activated sodium hypochlorite for cases with necrotic pulp and apical periodontitis.
Summary: Four patients were scheduled for root canal treatment diagnosed with periapical pathosis and bone resorption with a periapical index (PAI) score not less than 3. After access cavity preparation and working length determination, the cleaning procedure was performed using sodium hypochlorite (NaOCl) 2.5% irrigation activated by EndoActivator; then, teeth were filled with gutta-percha. After a follow-up period with an average of four years, clinical and radiographic findings showed complete healing and bone reformation.
Key learning points:
- Clinicians must appreciate the information gained from scouting about the average root canal size; based on that; we can determine the shaping & disinfection strategy.
- Sonically activated irrigation can be a predictable approach for cleaning infected teeth with ample root canal space without apical instrumentation.
- Activating irrigation can help to preserve dentine meanwhile achieving a successful outcome.
Supporting Agencies
Primary Health Corporation will provide article publication fees if present.Copyright (c) 2023 Wael Waheed Sharawy, Hany Mohamed Aly Ahmed, Stephen Cohen
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Giornale Italiano di Endodonzia has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
