case_images: PMC11287050_01
case_images: Dynamic CBCT analysis to detect calcification and presence of periapical reaction; A) Transaxial plane analysis showing calcification and the presence of periapical reaction; B) Coronal plane analysis showing severe calcification up to the middle third of the root canal and the presence of periapical reaction; C) Axial plane analysis showing the presence of severe calcification of the root canal
case_images: IEJ-19-223-g001.jpg
case_images: PMC11287050_01_IEJ-19-223-g001.jpg
case_images: F1
case_images: The tomographic images confirmed the presence of canal calcification and periapical reaction, visible at the level of the middle third of the root (Figure 1).
case_images: A) 3D impression of the static guide; B) Testing the guide in the lower dental arch; C) Locating the canal with the endodontic explorer; D) Testing the gutta-percha cone
case_images: IEJ-19-223-g002.jpg
case_images: PMC11287050_01_IEJ-19-223-g002.jpg
case_images: F2
case_images: The access cavity was cleaned with a cotton swab moistened with ethanol, and the composite resin restoration (Brilliant Everglow; Coltene, Langenau, Germany) was placed with a two-step adhesive (Optibond FL; Kerr, Orange, CA, USA) (Figure 2).
case_images: Radiographic controls; A) Immediately after root canal treatment (RCT); B) Six months after RCT; C) One year after RCT; D) Two years after RCT; E) Three years after RCT
case_images: IEJ-19-223-g003.jpg
case_images: PMC11287050_01_IEJ-19-223-g003.jpg
case_images: F3
case_images: Reduction in the size of the periapical reaction and an absence of clinical symptoms were observed in the patient (Figure 3).