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