#46 with caries involving the DL cusp. The amount of tooth structure that would be lost if a conventional SLA access is opted for unimaginable. But i did have SLA in this case as well but from the back 😉
This one had Significantly large irregular canals. Palatal canal obturated with a squirt to get a 3-D fill and the buccal canal with a large POE obturated with MTA at the apical 3rd and back-filled with GP. Done in 2-visits.
27 – routine exploratory access to assess prognosis prior to re-endo Clinical Picture suggestive of over-zealous preparation and yet a lot of necrotic tissue inter-twined with the GP
#24 Broken file retrieval The smaller segment removed with a loop and ultra-sonics for the other longer segment which was well engaged. Obturated with WVC and a post in each canal for some root dentin re-inforcement. Two rules I always keep in mind when handling instrument separation and other canal obstructions – Broken file removal […]
Pre-op Clinical # in the distal wall Perforation Palatal canal located Buccal canal located Perforation site prepared Slim preparation to prevent further dentin loss
CASE 1: #36 symptomatic after a deep composite restoration. I opted for an orifice directed access in this case. Complete removal of the old restoration may have provided more access but the access preparation i had done already gave me enough SLA CASE 2: #26 ENDO Calcified #26 and i managed to break a munce […]
Nothing special. A few premolars i got to treat recently with access cavity designs specific to what the clinical scenario demanded. Case 1 Case 2 Case 3
3yr recall of a cracked #36 with fracture extending into the ML root. When the peri-apex looks clean i sometimes don’t hesitate considering an endo. Of course with an informed consent about the doubtful prognosis. A post was cemented in the involved root for some added re-enforcement.
Deep sub-gingival margin. Always good to see a well isolated work space, which makes our life so much easier. The usual shaping and irrigation protocol. WVC and Fiber-post cemented, i hope to get a 1.-25mm ferrule during the crown prep.