Sealer extrusion (by Ilya Mer)

There is a strong correlation btw success rate of endodontic treatment and obturation level. Longer – worst!

This is true if we know that GP cone is extruded out of root. How about sealer extrusion? It’s difficult to say in  retrospective study – this is guttapercha or for sure it’s sealer.

Good example is a Sari’s study  in which  he didn’t found any difference in long healing but 6 months.

So probably sealer extrusion is NOT a factor has an influence on  healing

Preoperative X-rays. Very decent working length. But actually tooth was full of bacteria.
Preoperative X-rays. Very decent working length. But actually tooth was full of bacteria. PARL on both roots. 
Contaminated "longly" guttapercha cone
Contaminated “longly” guttapercha cone
Sealer extrusion happend during WVT packing.
Sealer extrusion happened during WVT packing.
7 month follow up. Complete healing on mesial root, and very advanced healing process on distal root.
7 month follow up. Complete healing on mesial root, and very advanced healing process on distal root. Hope it won’t disturb future healing. 

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