Czopik Barbara
Department of Conservative Dentistry with Endodontics, Institute of Stomatology, Faculty of Medicine, Jagiellonian University Medical College in Cracow, Poland.
Iran Endod J. 2025;20(1):e30. doi: 10.22037/iej.v20i1.47173. Epub 2025 Jul 19.
Continuous improvement and technological progress in the field of microscopic endodontics enable a gradual increase in indications for non-surgical root canal treatment. While most publications report successful surgical management of overfill or extruded foreign bodies into the periapical area, very few report that this complication can be successfully managed with non-surgical endodontic treatment. This case report presents successful management of a lower left second molar (tooth #37) diagnosed with exacerbated chronic apical periodontitis and massive overfill in a 36-year-old patient WITH non-surgical endodontic treatment AND bent H-file to remove extruded material under dental operating microscope control. It discusses technical aspects of this procedure, as well as its possible complications, including a sodium hypochlorite accident.
显微牙髓病学领域的持续改进和技术进步使得非手术根管治疗的适应症逐渐增加。虽然大多数出版物报道了手术成功处理超充或根尖区异物挤压的情况，但很少有报道称这种并发症可以通过非手术根管治疗成功处理。本病例报告展示了对一名36岁患者左下第二磨牙（37号牙）的成功治疗，该牙被诊断为慢性根尖周炎急性发作且大量超充，采用了非手术根管治疗，并在牙科手术显微镜控制下使用弯曲的H锉去除挤压材料。报告讨论了该操作的技术要点及其可能的并发症，包括次氯酸钠意外事故。
