Online Endodontic Education
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 […]
– 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 […]
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 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
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 […]
#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 […]
Heat treated files allow for conservative access in an area where a larger access would otherwise be needed.
Patient in pain to hot/cold after the amalgams were taken out and replaced with composite. Routine MIE access, four canals. Patient doing well.