– Pt age 13yrs old then – IOPA revealed a taurodontic anatomy and a PA lesion in relation to the palatal root. – On access the floor was completely calcified and appeared bleached and ovoid. Managed to localize all canals which were in eccentric locations – I noticed that I had pushed GP outside the […]
– Sub-gingival caries distal to an isolated #13 – Gingivectomy and isolation done – Caries driven access through the distal (missing #12 and #14 made this approach possible) – No post-endodontic restoration planned as the patient is a partial denture user (maxillary an mandibular) an I don’t think she will generate enough functional load for […]
#14 RCT Pre-op: Deep sub-gingival distal margin. Gingivectomy followed by margin elevation and isolation. The usual shaping protocol and cleaning protocol. Obturated using WVC. Preserving the dentin bridge that extends buccal to lingual during post-endo prep might be a important consideration in this case.
Clinical Scenario and treatment done DO caries with a deep sub-gingival margin Resorbed apex – Distal root (H/O Orthodontic treatment) Surprisingly had a good tug-back all the way in the distal canals Shaped to 4% 30 Distal and 4% 25 in the mesials Obturation technique – WVC
#30 Pulpitis. Caries involving the ML cusp. Caries driven access planned Mb located in the middle of the floor and the dentinal map suggested a ML orifice present almost on the lingual wall of the tooth unlike the usual. I had to stick to what I could see rather than go to the usual co-ordinates to […]
#30 deep distal margin. Done in 2 visits. Gingivectomy and Pre-endo done. All canals shaped to 4% 25 obturated using WVC.
U-File pre-bent and customized to cleanunder the truss Customized ultrasonic file used to clean the hard to reach areas. #truss #endodontist #endodontics #endodontia #rct #dental #dentistry #rootcanaltreatment A post shared by TheMicroEndodontist (@themicroendodontist) on May 19, 2018 at 12:53am PDT
#7 referred with a separated file/internal resorption/calcification/apical split > History of trauma and a I/O sinus present Referring doctor had attempted an endo and separated an instrument > Radiograph reveals – Separated file lying horizontal in the internal resorptive defect – A calcified mass of dentin within the resorptive defect – An additional Canal present […]
1st Visit Exploratory access to assess prognosis to confirm restorability and rule out fracture 2nd visit – GP removed and 2 of the 3 canals shaped – Canals confluent – File retrieved from the 3rd canal with U-file – CaOH dressing given Confluent canals in the C shaped anatomy #rootcanal #endodontics #endodontia #dentist A post […]
#30 Soffit access prep with incomplete de-roofing of the pulp chamber offers good resistance form to a tooth post endodontuc therapy. Shaped to 4% 25 in all canals except MM – 5%15. Obturated using WVC. Could have been a lot more conservative in the access prep but staying within ones comfort-zone (which can also be […]