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. GasbanovRussian 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
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
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
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
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
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

























