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The fate of overfilling in root canal treatments with long-term follow-up: a case series

Restorative Dentistry & Endodontics 2021³â 46±Ç 2È£ p.27 ~ 27
Malagnino Vito Antonio, Carlesi Teocrito, Pappalardo Alfio, Plotino Gianluca,
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 ( Malagnino Vito Antonio ) - University G. D¡¯Annunzio of Chieti Department of Oral Science, Nano and Biotechnology
 ( Carlesi Teocrito ) - University G. D¡¯Annunzio of Chieti Department of Oral Science, Nano and Biotechnology
 ( Pappalardo Alfio ) - University of Catania Department of General Surgery and Medical-Surgical Specialties
 ( Plotino Gianluca ) - Grande Plotino & Torsello Studio Di Odontoiatria

Abstract


This study describes 6 cases of endodontic overfilling with successful clinical outcomes during long-term (up to 35 years) radiographic follow-up. Successful endodontic treatment depends on proper shaping, disinfection, and obturation of root canals. Filling materials should completely fill the root canal space without exceeding the anatomical apex. Overfilling may occur when the filling material extrudes into the periapical tissues beyond the apex. The present case series describes 6 root canal treatments in which overfilling of root canal sealer and gutta-percha accidentally occurred. Patients¡¯ teeth were periodically checked with periapical radiographs in order to evaluate the outcomes during long-term follow-up. All cases showed healing and progressive resorption of the extruded materials in the periapex. The present cases showed that if a 3-dimensional seal was present at the apical level, overfilling did not negatively affect the long-term outcomes of root canal treatment.

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Root canal treatment; Obturation; Overfilling; Long-term follow-up

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