Management of necrotic teeth with apical periodontitis using sonically activated irrigation
Accepted: 12 October 2022
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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.
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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.