TY - JOUR AU - Waheed Sharawy, Wael AU - Mohamed Aly Ahmed, Hany AU - Cohen, Stephen PY - 2023/01/13 Y2 - 2024/03/29 TI - Management of necrotic teeth with apical periodontitis using sonically activated irrigation JF - Giornale Italiano di Endodonzia JA - G Ital Endodon VL - 37 IS - 1 SE - Case Series DO - 10.32067/GIE.2023.37.01.02 UR - https://www.giornaleitalianoendodonzia.it/gie/article/view/346 SP - AB - <p><strong>Aim: </strong>To present root canal treatment using sonically activated sodium hypochlorite for cases with necrotic pulp and apical periodontitis.</p><p><strong>Summary:  </strong>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.</p><p><strong>Key learning points:</strong></p><ul><li>Clinicians must appreciate the information gained from scouting about the average root canal size; based on that; we can determine the shaping &amp; disinfection strategy.</li><li>Sonically activated irrigation can be a predictable approach for cleaning infected teeth with ample root canal space without apical instrumentation.</li><li>Activating irrigation can help to preserve dentine meanwhile achieving a successful outcome.</li></ul> ER -