Sc In Large Apical Sizes Of Permanent Teeth With Cap

The endodontic treatment of root canals with large apical sizes is considered one of the most complex challenges for clinicians. This case series evaluated the clinical outcome of single-cone (SC)obturation technique with iRoot SP in root canals with large apical sizes in chronic apical periodontitis(CAP). The teeth with large apical sizes and CAP were treated. After access preparation and establishing apical patency, root canal preparation and disinfection were performed. IRoot SP(Innovative Bioceramix Inc., Vancouver, Canada)assisted gutta percha tip filling root canal. Radiography was performed to check the root canal obturation. The access cavity was sealed with GIC or composite resin. The treated teeth were followed up for at least two years. Clinical evaluation during the follow-up period revealed the significant healing of periapical lesions. After 2 years, teeth were asymptomatic and tested negatively in all clinical tests. Radiographs showed no further progression of resorption and healing of the periapical tissues. Cases in this report show the effectiveness of SC with iRoot SP for treating large apical sizes in permanent teeth with chronic apical periodontitis.