#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 […]
#29 referred for endo. Caries driven access through the cervical decay. Restored with fibre-reinforced composite. No post-endo restoration planned. Patient will most likely opt for a bridge or an implant in the adjacent edentulous space. These access through the cervical area keep me thinking whether a small opening through the occlusal and post will offer […]
#30 – Truss Access Pre-op IOPA reveals a #30 with irreversible pulpitis involving the distal pulp horn and a fairly intact Mesio-occlusal surface. Treatment plan: Truss access planned leaving the bridge of dentin in the centre intact. Truss access’s are precise and more conservative with a CBCT. But in a scenario where a CBCT is not […]
Pre-op Assessment: Severe attrition and a constricted pulp chamber. Treatment plan: Access cavity planned taking into account the regression of the pulp chamber size. Canals shaped through the angles the canals project centrally.