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CBCT-Assisted Microsurgical Management of Dual Periapical Lesions Involving Vital and Previously
1Iranian Centre for Endodontic Research, Research Institute of Dental Sciences Shahid Beheshti University of Medical Sciences Tehran Iran.
Clinical Case Reports
|January 12, 2026
Abstract:
In select multirooted/vital/permanent teeth with periapical pathology in one root due to adjacent infection from neighboring teeth, cone beam computed tomography-guided retrograde vital pulp therapy (retroVPT) with a bioactive cement can resolve the lesion and preserve pulp vitality, offering a conservative, biologically based, and cost-effective alternative to conventional root canal treatment.
