Management of necrotic teeth with apical periodontitis using sonically activated irrigation

Submitted: 8 July 2022
Accepted: 12 October 2022
Published: 13 January 2023
Abstract Views: 839
PDF: 422
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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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Supporting Agencies

Primary Health Corporation will provide article publication fees if present.
Hany Mohamed Aly Ahmed, Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur,

Dr. Hany Mohamed Aly Ahmed

B.D.S. - H.D.D. (Endo) - M.Sc.D. conv. Ph.D. (Endo) - FICD (USA) - MDTFEd RCS (Edin) - FPFA (USA) - FADI (USA)

Senior Lecturer of Endodontics, 

Department of Restorative Dentistry, 

Faculty of Dentistry, 

University of Malaya, 50603, Kuala Lumpur, Malaysia.

https://www.researchgate.net/profile/Hany_Ahmed2/?ev=hdr_xprf

 Deputy Editor-in-Chief, European Endodontic Journal,

http://eurendodj.com/

How to Cite

Waheed Sharawy, W., Mohamed Aly Ahmed, H., & Cohen, S. (2023). Management of necrotic teeth with apical periodontitis using sonically activated irrigation. Giornale Italiano Di Endodonzia, 37(1). https://doi.org/10.32067/GIE.2023.37.01.02