Dentin Conservation
MIE/ Pt. management
Case from today. Clearly her D decay guided the main access, Tooth on M was intact, so I went with a truss to preserve as much as possible. With anxious patients, I use Alprazolam and try to complete in one visit, whenever possible, to spare them more visits/anxiety. Her level of anxiety was such, that […]
#14 RCT
#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.
#30 – Caries Driven Access
#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 RCT – 3 Distal anatomy – Truss access
#30 deep distal margin. Done in 2 visits. Gingivectomy and Pre-endo done. All canals shaped to 4% 25 obturated using WVC.
#19 RCT – 3 Mesial Anatomy – Truss Access
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
MIE: Untreated pal canal
White , 70 yo, male presented completely asymptomatic but with a buccal ST. Tooth had a post and crown and patient did not want to have it removed. CBCT showed missed palatal canal. Access was done above the P cusp with the intention of locating and treating the missed canal only. Last PA is a […]
#30 – Soffit Access Preparation
#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 […]
Caries Driven Access – #29
#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 […]
Desi- Image guided endodontics
#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 […]