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Dr. Jacopo Gotti

Informations de contact, plan et itinéraire, formulaire de contact, heures d'ouverture, services, évaluations, photos, vidéos et annonces de Dr. Jacopo Gotti, Endodontiste, 14 rue du prieuré, Lacroix-Saint-Ouen.

03/03/2026

Con Style Italiano Endodontics – Ho ottenuto un posto nella sua lista delle interazioni settimanali perché sono tra le persone con più interazioni 🎉

01/03/2026

Management of a large periapical lesion on tooth 11
Primary endodontic treatment of tooth 11 with extensive periapical lesion and buccal cortical bone involvement
The patient was referred by a colleague due to pain on tooth 11 during pressure and mastication. The medical history revealed a vasovagal syncope episode that occurred several years earlier.
The pre-operative periapical radiograph showed the presence of a periapical radiolucency associated with the tooth. (photo 1)
A CBCT examination revealed a large periapical lesion with involvement of the buccal cortical bone (photo 2).
Considering the clinical and radiographic findings, the treatment plan consisted of primary orthograde root canal treatment, with surgical endodontics reserved as a secondary option in case of failure.
After anesthesia and rubber dam isolation, the root canal treatment was performed using Procodile Q instruments (Komet) up to a size 50.04. Irrigation was carried out using 2.5% sodium hypochlorite in combination with HEDP (Dual Rinse) with EndoActivator activation, followed by a final rinse with physiological saline solution. The root canal system was subsequently obturated using Komet Bioseal bioceramic sealer with a monocone technique (photo 3).
At the 6-month follow-up, the tooth was asymptomatic with normal function. Radiographic assessment revealed a marked reduction of the extensive periapical lesion with evidence of progressive bone healing (photo 4).

28/02/2026

Endodontic management of dens in dente

A 13-year-old patient presented with a large abscess associated with tooth 12. Clinical examination revealed negative pulp vitality testing, mild tenderness to percussion, and the presence of a sinus tract.

The pre-operative radiograph showed a periapical lesion and suggested an unusual internal morphology. CBCT examination confirmed the presence of a dens in dente, explaining the complex anatomical configuration.

An orthograde root canal treatment was planned.

After rubber dam isolation and access cavity preparation, partial removal of infected tissue was performed, and the complex internal anatomy became clearly visible under magnification. Intra-operative documentation highlighted the irregular morphology typical of dens in dente cases.

Canal instrumentation was carried out using Excalibur Pro (ZARC) up to size 45 to allow adequate apical disinfection.

Irrigation was carried out using 2.5% sodium hypochlorite in combination with HEDP (Dual Rinse) with EndoActivator activation, followed by a final rinse with physiological saline solution. The root canal system was subsequently obturated using NeoSealer Flow bioceramic sealer with a warm vertical compaction technique.
The master cone was assesed up to size 50 to ensure a correct apical sealing.
A clinical control will be performed at 15 days to evaluate sinus tract resolution, with radiographic follow-ups scheduled at 6 months and 12 months to assess periapical healing.

26/02/2026

Retraitement And Laterals Canals

Non surgical retreatement of upper incisor with lateral canal

The patient presented with acute symptoms associated with tooth 12, characterized by tenderness to pressure and mild swelling. The acute condition was managed with antibiotic therapy, and nonsurgical retreatment of teeth 11 and 12 was scheduled (photo 1).
After removal of the post-cores and crowns, nonsurgical retreatment was performed under rubber dam isolation with the aid of the Retray Kit (Perfect Endo).
The main intraoperative difficulty consisted of the presence of a ledge in tooth 12, which complicated canal negotiation and working length management (photo 2).

Irrigation was performed using 2.5% sodium hypochlorite combined with HEDP (Dual Rinse) with EndoActivator activation, followed by a final rinse with physiological saline solution. Obturation of the root canal system was subsequently achieved using NeoSealer Flow bioceramic sealer with a warm vertical compaction technique.
The postoperative radiograph demonstrates satisfactory three-dimensional obturation of the root canal system, including the filling of a lateral canal on tooth 11 (photo 3)

25/02/2026

Management of a broken file during retreatment of an upper molar

Nonsurgical retreatment of an upper molar with management of a broken file in the mesiobuccal canal

he patient was referred by a colleague for the management of a separated instrument located in the mesiobuccal root, associated with a periapical radiolucency. The patient was asymptomatic at presentation (photo 1)
The initial strategy was to remove the separated instrument due to its coronal position and easy access. However, after one session, retrieval of the fragment was unsuccessful. Therefore, the treatment strategy was modified: shaping of the mesiobuccal second canal (MB2) was performed using Procodile files, and a canal confluence was identified.
Given the inability to retrieve the fragment and the presence of canal confluence, the treatment strategy focused on adequate disinfection and three-dimensional obturation of both canals while maintaining the separated instrument in situ.
Irrigation was performed using 2.5% sodium hypochlorite in combination with HEDP (Dual Rinse), with activation using the EndoActivator. A final rinse was performed with physiological saline solution. Obturation of the root canal system performed using Komet BioSeal bioceramic sealer with a warm vertical compaction technique.
The postoperative radiograph confirms adequate shaping and three-dimensional obturation of the root canal system, with the separated instrument left in situ and radiographic evidence of mesiobuccal canal confluence (photo 2)
At the 6-month follow-up, the patient remained asymptomatic, and radiographic evaluation showed evident healing of the periapical lesion despite the separated instrument remaining in situ.This case demonstrates that successful periapical healing can be achieved through proper disinfection and three-dimensional obturation despite the presence of a separated instrument (photo 3)

$Broken File in a complex anatomyManagement of a fractured instrument during orthograde retreatment of an upper premolar ...$

22/02/2026

Broken File in a complex anatomy

Management of a fractured instrument during orthograde retreatment of an upper premolar with complex anatomy

This patient was referred for orthograde retreatment of tooth 24 (Photo 1)
The tooth shows :

✅ - an incomplete root canal treatmen
✅ - a periapical lesion on the palatal root
✅ - a complex anatomy with three canals in three separate roots

After negotiating the two buccal canals, a Procodile Q file (20/.06) fractured in the palatal root (photo 2)
The separated instrument was managed by bypassing it, followed by complete canal shaping and subsequent retrieval to allow completion of the endodontic retreatment.
For instrumentation, I used Procodile Q instruments by Komet, 3.6% sodium hypochlorite in combination with Dual Rinse, with activation using the EndoActivator for final disinfection, and a single-cone technique with Kometbioseal cement for obturation of the root canal system (photo 3)

20/02/2026

Endodontic Management of Calcified Root Canals

Treatment of Two Calcified Canals in Maxillary Premolar (Tooth 24)

The patient was referred by a colleague who attempted to perform root canal treatment on tooth 24, but was unable to locate the canals (photo 1)
After local anesthesia and rubber dam isolation, two root canals were located. Root canal treatment was performed using Procodile Q instruments. Irrigation was carried out with 3% sodium hypochlorite in association with Dual Rinse, followed by activation and a final rinse with physiological saline solution. Obturation was completed using Komet Bioseal sealer and Komet gutta-percha cones (photo 2)

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Lacroix-Saint-Ouen
60610

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