Endodontics · single question

You separate a file 3mm from apex and obturate above it. Which case has the best prognosis?

  1. Vital pulp with no periapical lesion
  2. Vital pulp with periapical lesion
  3. Necrotic pulp with no periapical lesion
  4. Necrotic pulp with periapical lesion
Show answer and explanation

Correct answer: A. Vital pulp with no periapical lesion

Vital teeth without periapical pathology have the best prognosis after file separation because there is no bacterial contamination. Studies report ~88% success for vital cases vs. ~63% for necrotic cases with periapical lesions. Pre-operative infection is the key negative prognostic factor.

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