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December 8, 2025International Endodontic JournalOpen Access

Intentional Negotiation and Filling of Accessory Canals: A Case Series With Three‐Dimensional Segmentation and Volumetric Healing Assessment

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Authors

GBGabriel Lima BrazHVHenrique Timm Vieira

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Overview

Case series shows successful debridement and filling of accessory canals in six teeth, indicating effective use of CBCT imaging and instrumentation for periradicular healing.

Key Points

  • Describe the clinical approach and outcomes of intentional filling of accessory canals (ACs).
  • Included six teeth with identified accessory canals on cone-beam computed tomography (CBCT).
  • Used chemomechanical preparation with rotary instrumentation and chlorhexidine gel.
  • Performed intentional mechanical debridement with small-diameter hand files and filled with gutta-percha.
  • All accessory canals were successfully filled with endodontic sealer.
  • Tomographic analysis confirmed periradicular healing in all cases after a mean follow-up of 10.16 months.
  • No clinical symptoms were reported at follow-up.

Cite This Study

Braz et al. (2025) studied this question.

synapsesocial.com/papers/693624a44fa91c937236c4eahttps://doi.org/10.1111/iej.70079
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