Post-treatment periapical periodontitis X-ray versus CBCT - a case report

Area of Science:

• Dentistry
• Endodontics
• Radiology

Background:

• Post-treatment periapical periodontitis often stems from persistent endodontic infections and root canal microleakage.
• Accurate diagnosis and monitoring of periapical lesions are crucial for successful endodontic outcomes.

Observation:

• A clinical case demonstrated the efficacy of orthograde, single-visit endodontic retreatment.
• Cone Beam Computed Tomography (CBCT) was utilized for detailed imaging.

Findings:

• CBCT imaging provides comprehensive 3-dimensional visualization of the tooth, root canal system, and periapical tissues.
• CBCT accurately detects the presence and extent of periapical periodontitis and assesses bone defect healing post-treatment.
• Endodontic retreatment using an orthograde, single-visit approach proved effective in managing periapical periodontitis.

Implications:

• Orthograde, single-visit endodontic retreatment should be considered the primary treatment option for periapical periodontitis.
• CBCT imaging enhances diagnostic capabilities and treatment evaluation in endodontics, surpassing conventional radiography.
• Improved understanding of periapical lesion dynamics and treatment success through advanced imaging modalities.