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Root canal retreatment for apical periodontitis

Root canal retreatment for apical periodontitis

Complaints:

Pain upon biting associated with tooth 2.5.

Diagnosis:

Apical periodontitis of tooth 2.5.

Treatment:

Following comprehensive diagnostics (CT scan), endodontic treatment was performed under STA computer-assisted local anesthesia with rubber dam isolation. The old restoration, remnants of filling material, and caries-affected tissues were removed, and the tooth walls were temporarily rebuilt before treatment. Under the control of a Leica M320 operating microscope, root canal retreatment and revision were carried out. The canals were mechanically and chemically prepared, hermetically sealed with warm gutta-percha, and the tooth was restored with Estelite Asteria composite material in preparation for further prosthetic treatment.

In this clinical case, the patient presented with pain when biting in the area of tooth 2.5.

The examination revealed apical periodontitis of tooth 2.5.

For treatment planning, a CBCT scan was performed to assess the condition of the root canals and surrounding tissues.

Endodontic treatment was carried out under STA computer-assisted anesthesia with rubber dam isolation. Using a Leica M320 dental microscope, the root canals were revised, mechanically and chemically cleaned, and then hermetically filled with warm gutta-percha.

After treatment, the tooth was restored with Estelite Asteria composite material as a foundation for further prosthetic rehabilitation.

Result:

The inflammation was eliminated, pain was resolved, and a reliable foundation for the final restoration of the tooth was created.

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Treatment was performed by: endodontist Kyrylo Dulniev.