Treatment of exacerbated chronic apical periodontitis under a microscope

In this clinical case, the patient presented with persistent aching pain in the area of tooth 2.7, which worsened when biting, a sensation of an “elongated tooth,” and discomfort while eating.

The examination revealed an exacerbation of chronic apical periodontitis of tooth 2.7.

For treatment planning, a CBCT scan and radiographic examination were performed. Treatment was carried out under STA computer-assisted anesthesia with rubber dam isolation and the use of a Seiler Evolution XR6 dental microscope.

After root canal inspection, mechanical and chemical canal preparation was performed with step-by-step antiseptic irrigation. Following canal preparation, the root canal system was hermetically sealed, restoring its three-dimensional structure.

After completing the endodontic stage, the coronal part of the tooth was restored with Estelite Asteria composite material, recreating its natural anatomy and function.

Result:

The inflammatory process has been eliminated, the tooth preserved, and chewing function restored.

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Treatment was performed by: dentist-therapist Romaniuk Mariia