Fig. 1


A 34-year-old female patient presented in our private endodontic office for evaluation of tooth 21, which had a dental trauma 5 years ago. 

 His health history was unremarkable and radiographic examination revealed a lateral lesion and a calcified canal in the apical third.

Clinical examination :

  • Negative vitality
  • Positive percussion
  • Positive palpation

The diagnosis was apical periodontitis, after discussing treatment options, we decided on an endodontic treatment. The patient was informed of the pros and cons of the treatment and informed consent was obtained.

Fig. 2

The first step of a good endodontic treatment is to perform a correct field isolation. 

We made the access cavity with an EndoAcces bur and redefined it with ultrasonic tips

Glide Path  with manual files C + 06 # 08 # 10 #

Fig. 3

Glide Path  with manual files C + 06 # 08 # 10 #


Fig. 4


Shaping was performed using G1 and G2 (MG3 files kit )(Shenzhen Perfect Medical Instruments Co)

Fig. 5

Master Apical File 25#

Ultrasonic Activation + Manual Dynamic Activation

Fig. 6


Obturation with continuous wave technique

Fig. 7

Apical Seal and Backfill

Fig. 8

Immediate endodontic access cavity sealing 

Fig. 9

Final Rx

Full case video


With the right tools and knowledge, we make difficult cases predictable and simple.


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