Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 8 Issue 2

The Impact of Cone-Beam Computed Tomography and Operating Microscope on Endodontic Treatment of a Complex Clinical Case

Cristina Coralia Nistor1, Elena Zabrac1*, Ștefan Milicescu2 and Bogdan Dimitriu1

1Department of Endodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
2Department of Dental Aesthetics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

*Corresponding Author: Elena Zabrac, Department of Endodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania.

Received: January 16, 2024; Published: January 25, 2024


This case describes the endodontic evaluation, decision making and treatment plan, as well as the endodontic retreatment and follow-up of two maxillary molars in a young 32-year-old female patient. The associated pathology and iatrogenic aspects associated with these teeth were multiple and threatened the success of their conservative treatment. Cone-beam computed tomography, operating microscope and bioceramics were essential in the management of this complex clinical case, which required an advanced diagnostic and treatment techniques, materials and skill. This clinical case emphasizes the importance of an accurate preoperative diagnosis and an individualized treatment plan for long-term success.

 Keywords: Operating Microscope; Cone-Beam Computed Tomography; Perforation; Root Fracture; Bioceramic; Endodontic Treatment


  1. Boucher Y., et al. “Radiographic evaluation of the prevalence and technical quality of root canal treatment in a French subpopulation”. International Endodontic Journal3 (2002): 229-238.
  2. Ponsri S and Jirathanyanatt T. “Treatment Outcome and Prognostic Factors of Orthograde Retreatment: A Retrospective Study”. Journal of International Society of Preventive and Community 4 (2022): 442-448.
  3. Olcay K., et al. “Clinical outcomes of non-surgical multiple-visit root canal retreatment: a retrospective cohort study”. Odontology4 (2019): 536-545.
  4. Eyuboglu TF., et al. “A clinical study on single-visit root canal retreatments on consecutive 173 patients: frequency of periapical complications and clinical success rate”. Clinical Oral Investigation5 (2017): 1761-1768.
  5. Şanal Çikman A., et al. “Evaluation of endodontically treated teeth and related apical periodontitis using periapical and endodontic status scale: Retrospective cone-beam computed tomography study”. Australian Endodontic Journal3 (2022): 431-443.
  6. Chogle S., et al. “The Recommendation of Cone-beam Computed Tomography and Its Effect on Endodontic Diagnosis and Treatment Planning”. Journal of Endodontics2 (2020): 162-168.
  7. Salehrabi R and Rotstein I. “Endodontic treatment outcomes in a large patient population in the USA: an epidemiological study”. Journal of Endodontics12 (2004): 846-850.
  8. Bhuva B., et al. “The restoration of root filled teeth: a review of the clinical literature”. International Endodontic Journal4 (2021): 509-535.
  9. Brochado Martins JF., et al. “Outcome of selective root canal retreatment-A retrospective study”. International Endodontic Journal3 (2023): 345-355.
  10. Aurélio IL., et al. “Are posts necessary for the restoration of root filled teeth with limited tissue loss? A structured review of laboratory and clinical studies”. International Endodontic Journal9 (2016): 827-835.
  11. Modaresi J., et al. “Treatment of strip perforation using cold ceramic”. Dental Research Journal (Isfahan). 20 (2023): 31.
  12. Froughreyhani M., et al. “Treatment of Strip Perforation Using Root MTA: A Case Report”. Iranian Endodontic Journal2 (2013): 80-83.
  13. Allam CR. “Treatment of stripping perforations”. Journal of Endodontics12 (1996): 699-702.
  14. Parirokh M and Torabinejad M. “Mineral trioxide aggregate: a comprehensive literature review--Part III: Clinical applications, drawbacks, and mechanism of action”. Journal of Endodontics3 (2010): 400-413.
  15. Baek SH., et al. “Periapical tissue responses and cementum regeneration with amalgam, SuperEBA, and MTA as root-end filling materials”. Journal of Endodontics6 (2005): 444-449.
  16. Karaoğlan F., et al. “Outcome of single- versus two-visit root canal retreatment in teeth with periapical lesions: A randomized clinical trial”. International Endodontic Journal8 (2022): 833-843.
  17. Paredes-Vieyra J and Enriquez FJ. “Success rate of single- versus two-visit root canal treatment of teeth with apical periodontitis: a randomized controlled trial”. Journal of Endodontics9 (2012): 1164-1169.
  18. de Paula-Silva FW., et al. “Accuracy of periapical radiography and cone-beam computed tomography scans in diagnosing apical periodontitis using histopathological findings as a gold standard”. Journal of Endodontics7 (2009): 1009-1012.
  19. American Association of Endodontists; American Academy of Oral and Maxillofacial Radiology. “Use of cone-beam computed tomography in endodontics Joint Position Statement of the American Association of Endodontists and the American Academy of Oral and Maxillofacial Radiology”. Read the latest articles of Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology2 (2011): 234-237.


Citation: Elena Zabrac., et al. “The Impact of Cone-Beam Computed Tomography and Operating Microscope on Endodontic Treatment of a Complex Clinical Case”.Acta Scientific Medical Sciences 8.2 (2024): 51-55.


Copyright: © 2024 Elena Zabrac., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In

News and Events

Contact US