42 yom. Symptomatic Partially Vital Pulp. No response to cold. Upon access, I observed hyperemic tissue in MB1 and partially vital tissue in the rest of the canals. 2-1-2 MB root system. 1 visit. Asymptomatic and functional at the follow-up visit.
Author Archives: Dale Jung
ER Patient
66 yof ER patient. Left drainage hole and medicated/closed 3 days later. Asymptomatic at the complete appt 20 days later.
ER Patient
66 yof ER patient. Left drainage hole and medicated/closed 3 days later. Asymptomatic at the complete appt 20 days later.
Another 6-Month Follow-up
From last week. 59yof. SIP. Hyperemic. 6 canals. 2 visits. Asymptomatic at the second visit. Asymptomatic and functional at the follow-up appointment.
Just a 6-Month Follow-up
50 yof Necrotic Pulp. Symptomatic AP. 3 visits due to persistent drainage from the DL at the second visit two weeks later. Let the tooth sit in calcium hydroxide over one month before completing. Tooth was asymptomatic and dry canals at the third visit. Asymptomatic and functional at F/U.
Leveraged access
47 yof. Symptomatic partially necrotic pulp. First visit instrumented with #15K to length. Second visit apically gauged to a size 40.
Class II Restorations: Tackling the Challenging Cases
Restoring with Amalgam. 72yom. The patient had avoided the dentist due to dental anxiety. Tooth #3(16) SIP and #2(17) responded normally to all clinical tests. I recommended attempting to save both molars but he hesitantly agreed to start with tooth #3. Image Guided Treatment using CBCT aided in confirming the presence and location of MB2. […]
1-Year Follow-up Conservative Access.
In the hierarchy of dentin conservation the existing restorative has the lowest priority and it quite frankly gets in the way of our access to the root canal system. But, after practicing directed dentin conservation for a while, you sometimes get lucky. The patient is 40yo. She was symptomatic at the time of treatment and […]
Dual Entry Access
66 yof. SIP following crown preparation and removal of caries. The permanent crown is ready to be cemented. I punched an access to the MB1 and treated the MB2, DB and P through the distal. Heat-treated files with a limited maximum flute diameter and narrow shaft make this predictable.
Selective Caries Removal
Selective Caries Removal (SCR) is a paradigm shift from traditional views on the treatment of caries (i.e. all caries needs to be removed). In most situations I subscribe to the traditional view but there are situations where removing all the caries will necessitate complete RCT which may not be feasible (e.g. the very young and […]