26/07/2025
๐๐ ๐๐ ๐๐๐
๐ ๐๐๐๐ ๐๐๐๐๐
๐๐๐ ๐๐๐๐๐ ๐
๐๐๐ ๐๐๐๐๐ ?
Being 1โ2 mm short of the radiographic apex doesnโt mean youโre not violating the peri-apical tissue.
This brings us to two important questions:
๐ญ. ๐ช๐ต๐ฒ๐ฟ๐ฒ ๐ถ๐ ๐๐ต๐ฒ ๐๐ฟ๐๐ฒ ๐ฒ๐ป๐ฑ๐ฝ๐ผ๐ถ๐ป๐?
๐ฎ. ๐๐ ๐๐ถ๐ผ๐น๐ฎ๐๐ถ๐ป๐ด ๐๐ต๐ฒ ๐ฝ๐ฒ๐ฟ๐ถ-๐ฎ๐ฝ๐ถ๐ฐ๐ฎ๐น ๐๐ถ๐๐๐๐ฒ ๐ฎ ๐ฏ๐ถ๐ด ๐ถ๐๐๐๐ฒ?
๐
๐จ๐ซ ๐ญ๐ก๐ ๐๐ข๐ซ๐ฌ๐ญ ๐ช๐ฎ๐๐ฌ๐ญ๐ข๐จ๐ง : the true endpoint is the cemento-dentinal junction (๐๐๐) which cannot be identified by your tactile sense or seen on the X-ray , ๐๐ง๐ฅ๐ฒ ๐ญ๐ก๐ ๐๐ฉ๐๐ฑ ๐ฅ๐จ๐๐๐ญ๐จ๐ซ ๐๐๐ง ๐๐๐ญ๐๐๐ญ ๐ข๐ญ.
๐
๐จ๐ซ ๐ญ๐ก๐ ๐ฌ๐๐๐จ๐ง๐ ๐ช๐ฎ๐๐ฌ๐ญ๐ข๐จ๐ง : which might be more important is whether overfilling particularly gutta-percha extrusion from 3D obturation could lead to complications or even treatment failure?
๐๐๐ญโ๐ฌ ๐๐ ๐ซ๐๐ ๐ญ๐ก๐๐ญ ๐ญ๐ก๐ ๐ฉ๐ซ๐๐ฌ๐๐ง๐๐ ๐จ๐ ๐ฆ๐๐ญ๐๐ซ๐ข๐๐ฅ๐ฌ ๐๐๐ฒ๐จ๐ง๐ ๐ญ๐ก๐ ๐๐ฉ๐๐ฑ ๐ข๐ฌ ๐ง๐จ๐ญ ๐ฌ๐ฎ๐ฉ๐ฉ๐จ๐ซ๐ญ๐๐ ๐๐ฒ ๐๐ง๐ฒ ๐๐ฎ๐ซ๐ซ๐๐ง๐ญ ๐ซ๐๐๐จ๐ฆ๐ฆ๐๐ง๐๐๐ญ๐ข๐จ๐ง๐ฌ.
๐๐จ๐ฐ๐๐ฏ๐๐ซ, with a quick look at the literature, a study by Yousuf et al. (2015) reported a success rate of 89.8% in overfilled cases.
๐๐ก๐๐ง ๐ฉ๐ซ๐จ๐ฉ๐๐ซ ๐๐ฅ๐๐๐ง๐ข๐ง๐ ๐๐ง๐ ๐ฌ๐๐๐ฅ๐ข๐ง๐ ๐๐ซ๐ ๐๐๐ก๐ข๐๐ฏ๐๐ , ๐๐ฑ๐ญ๐ซ๐ฎ๐ฌ๐ข๐จ๐ง ๐จ๐ ๐ ๐ฎ๐ญ๐ญ๐ ๐ฉ๐๐ซ๐๐ก๐ ๐๐๐ฒ๐จ๐ง๐ ๐ญ๐ก๐ ๐ซ๐๐๐ข๐จ๐ ๐ซ๐๐ฉ๐ก๐ข๐ ๐๐ฉ๐๐ฑ ๐ข๐ฌ ๐ง๐จ๐ญ ๐ ๐ฌ๐ข๐ ๐ง๐ข๐๐ข๐๐๐ง๐ญ ๐๐๐๐ญ๐จ๐ซ ๐จ๐ง ๐ฐ๐ก๐ข๐๐ก ๐๐ง๐๐จ๐๐จ๐ง๐ญ๐ข๐ ๐ฌ๐ฎ๐๐๐๐ฌ๐ฌ ๐จ๐ซ ๐๐๐ข๐ฅ๐ฎ๐ซ๐ ๐๐๐ฉ๐๐ง๐๐ฌ .
Also permanent restoration can be placed immediately in overfilled cases with no need for re-treatment just regular follow-up.
