Treatment of a Lower Molar Bearing Periapical Bone Radiolucency – Follow-up 2 Years After Endodontic Therapy Completion – Case Report
DOI:
https://doi.org/10.36557/2674-8169.2025v7n11p1284-1298Keywords:
Endodontics, Canal Preparation, Rotary Instrument, ProservationAbstract
A 56-year-old male patient was referred to a private practice for endodontic treatment of tooth 46. Periapical radiography revealed periapical and furcation bone radiolucency. After anesthesia, the tooth was isolated and coronal access was achieved with a 1014 diamond bur. After exploration of the root canal, electronic odontometry was performed and the canal was prepared with a Solla Purple #25.06 file in the mesial canals and a #35.06 file in the distal canal. Foraminal patency, extending 1 mm beyond the apical foramen opening, was achieved with a Solla Collors 16.02 Glide Path file. Obturation of the root canal system was performed using the single cone technique. It is concluded that conservative endodontic treatment is the first choice for teeth with periapical lesions, as it resulted in bone neoformation of lesions with characteristics of endo-periodontal lesions.
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Copyright (c) 2025 Rosana Maria Coelho Travassos, William Wale Rodrigues Martins, Vanessa Lessa Cavalcanti de Araújo, Ana Raquel Rocha Correia Vilela, Alexandre Batista Lopes do Nascimento, Josué Alves, Verônica Maria de Sá Rodrigues, Kaick Mascarenhas de Santana Lima Silva, Maria do Socorro Orestes Cardoso, Silvana Maria Orestes Cardoso, Eliana Santos Lyra da Paz, Marvin Gonçalves Duarte, Lara Marques Magalhães Moreno, Adriane Tenório Dourado Chaves

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