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A clinical and radiographic evaluation of treatment effectiveness in a case of chronic apical periodontitis with furcation involvement: case report

https://doi.org/10.36377/ET-0208

Abstract

This case report describes the successful endodontic management of an 18-year-old male patient diagnosed with chronic apical periodontitis accompanied by isolated bone destruction in both the apical and furcation regions of mandibular molar #46. The patient presented with mild masticatory discomfort, a nonvital pulp, and radiolucencies detected in the furcation and periapical areas. Root canal treatment was performed using rotary instrumentation. This case underscores the role of meticulous chemomechanical preparation, irrigant activation, and coronal sealing in achieving predictable healing even in complex anatomical conditions involving accessory and interradicular canals. Early identification of these anatomic features and adherence to comprehensive endodontic protocols significantly enhance long-term treatment outcomes.

About the Authors

M.-A. A. Gasbanov
Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University)
Russian Federation

Magomed-Ali A. Gasbanov – Assistant Lecturer, Department of Therapeutic Dentistry, Medical Institute

6 Miklukho-Maklaya Str., Moscow 117198, Russian Federation


Competing Interests:

The authors declare no conflict of interests.



Z. S. Khabadze
Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University)
Russian Federation

Zurab S. Khabadze – Dr. Sci. (Med.), Professor, Head of the Department of Therapeutic Dentistry, Medical Institute

6 Miklukho-Maklaya Str., Moscow 117198, Russian Federation


Competing Interests:

The authors declare no conflict of interests.



D. S. Tuntiya

Russian Federation

David S. Tuntiya – Dentist, Private Practice

Moscow


Competing Interests:

The authors declare no conflict of interests.



D. A. Babakhanov
Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University)
Russian Federation

David A. Babakhanov – Laboratory Assistant

6 Miklukho-Maklaya Str., Moscow 117198, Russian Federation


Competing Interests:

The authors declare no conflict of interests.



N. A. Dolzhikov
Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University)
Russian Federation

Nikita A. Dolzhikov – Laboratory Assistant

6 Miklukho-Maklaya Str., Moscow 117198, Russian Federation


Competing Interests:

The authors declare no conflict of interests.



N. A. Khachatryan
Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University)
Russian Federation

Nadezhda A. Khachatryan – Laboratory Assistant

6 Miklukho-Maklaya Str., Moscow 117198, Russian Federation


Competing Interests:

The authors declare no conflict of interests.



Kh. A. Umarov
Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University)
Russian Federation

Khamzat A. Umarov – Laboratory Assistant

6 Miklukho-Maklaya Str., Moscow 117198, Russian Federation


Competing Interests:

The authors declare no conflict of interests.



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Review

For citations:


Gasbanov M.A., Khabadze Z.S., Tuntiya D.S., Babakhanov D.A., Dolzhikov N.A., Khachatryan N.A., Umarov Kh.A. A clinical and radiographic evaluation of treatment effectiveness in a case of chronic apical periodontitis with furcation involvement: case report. Endodontics Today. 2026;24(2):425-429. https://doi.org/10.36377/ET-0208



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ISSN 1726-7242 (Online)