#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 😉
Dentin Conservation
Size does matter?
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
Couple of recent cases
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 […]
Few premolars
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
6-Month Follow-up Partially Vital Pulp
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.
Pulp stones
Necrotic/SAP. Pulp stone sectioning and removal using US, interim CaOH till resolution of symptoms. 4 canals and resin core, tried Bioclear matrices. Crack noted on the mesial aspect, no significant probing. Advised a crown.
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.
46 pulpitis with a deep distal margin
– In this case i opted for an access to the centre (place where the orifice projects) and restored the distal half separately – The usual shaping and cleaning protocol and also restored the mesial slot in the 47 through the space i got with a open distal margin in 46. 47 is symptomatic as […]