Case 117: Endodontic treatment on tooth with inflammatory periapical lesion of endodontic origin and no cavity

Assalamualaikum Wr Wb.. Good Morning!!

welcome back to SekilasKonservasiGigi.Com, a full story of my mini series updated from my social media such as instagramfacebookgoogle plus, and also twitter. Sometimes, I also updated my cases at Line or Linkedin. 🙂 this topic will focus only on conservative dentistry cases such as restorative dentistry and endodontic or root canal treatment.

Endodontic treatment on tooth with inflammatory periapical lesion of endodontic origin and no cavity

A patient came with a swollen gum under the tooth 15 (upper right second premolar), referred from my friend (a dentist) due to undefined origin. No caries nor deep cavity exist, no crack either. Xray evaluation showed a periapical inflammatory lesion with size of +/- 5,7 x 6 mm. The tooth is non vital, tender to percussion.


After taking proper informed consent i started my dental treatment. I put rubber dam (hu friedy rubberdam clamp and blossom rubberdam sheet).
Shaping was done with mtwo files (VDW) with clockwise reciprocal motion using Imate2c endomotor (Denjoy). Cleaning with Natrium Hypochlorite 5,24% (generic) and EDTA 18% sol (Ultradent). Obturation with guttapercha and EndoRez (ultradent) then coronally sealed with low shrinkage stress flowable composite resin (filtek bulkfill flowable – 3M). Xray evaluation with Vistaray 7.1 (Durr) showed well filled obturation and intact margin between Composite resin, dentin, and gutta percha.


Yup, that’s for my 117th story in SekilasKonservasiGigi.Com, For more stories please visit CeritaPasienRio.Com or browse my fb at and don’t forget to click the follow botton on your rigth side to get the latest updates from my site.. see you on my next dental story..

thank You Very Much,

keep UP the GOOD WORK!!

keep on Sharing,

with love from Jakarta, Indonesia

Wassalammualaikum Wr Wb..

-drg. Rio Suryantoro, Sp.KG-

(Conservative Dentistry Specialist / Endodontist)

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About Rio Suryantoro, drg., Sp.KG

Dentist, conservative dentistry specialist (Restorative Dentisty and Endodontist)|case reports' author on and|trainer of conservative dentistry | live in Jakarta.
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