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tyana alma shamira
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Agriculture, Biological Sciences & Forestry Chemical Engineering, Chemistry & Bioengineering Dentistry Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Mechanical Engineering Medicine & Pharmacology Nursing Public Health Veterinary

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Diagnosis Of Root Canal Obturation Failure (Tooth 24) Due To Post-Endodontic Treatment Flare-Up With Cone Beam Computed Tomography (CBCT) Radiography tyana alma shamira; Indra Gunawan; Fiqi Faisal Kirom
International Journal of Health Engineering and Technology Vol. 4 No. 6 (2026): IJHET MARCH 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i6.678

Abstract

Post-obduration flare-up is a rare acute complication characterized by severe pain occurring within a few days following endodontic treatment. In a treated tooth, acute pain triggered by masticatory forces often leads to the initial clinical suspicion of a Vertical Root Fracture (VRF). This case report aims to demonstrate the crucial role of CBCT in diagnosing the etiology of flare-up in tooth 24. An 18-year-old male patient experienced severe pain on tooth 24, 1-3 days post-obduration, exacerbated after consuming satay. Initial periapical radiography (2D) failed to show a VRF or clear periapical lesions. Subsequent CBCT examination (3D) ruled out VRF and instead revealed a non-hermetic root canal filling defect (intraradicular void) in the mid-root section. CBCT proved essential for the definitive diagnosis, guiding the treatment plan toward retreatment and providing a better prognosis compared to VRF.
Co-Authors Fiqi Faisal Kirom Indra Gunawan