Clinical
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 […]
Test of Decision Making
I did this RCT 34 years ago when the patient was 14. Now there is a parulis and lingual palpation sensitivity. Extract or treat? Patient has a very high smile line, thin biotype, is sensitive to costs. gbc
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
3yr recall of a cracked #36
3yr recall of a cracked #36 with fracture extending into the ML root. When the peri-apex looks clean i sometimes don’t hesitate considering an endo. Of course with an informed consent about the doubtful prognosis. A post was cemented in the involved root for some added re-enforcement.
Decompression outcome
This is a case I treated 1 year ago. It was a “thru and thru”, so I was really not sure how successful treatment would be. I started with non-surgical endodontics, two visits with CaOH. Pt still returned about 6 weeks later with another buccal swelling. I completed the RCT then and started the decompression […]
#15 (?) Routine endo
Calcified canals are never an excuse under the scope. This #15(?) was in the position of a 1st molar and almost got me in my search for the canals. The usual shaping and irrigation protocol. WVC obturation. Pre-op Clinical image On removal of restoration Calcified chamber Mesio-buccal canal DB canal
#3 Pulpitis. Er. RCT
#3 Er. RCT. Pulpitis probably following a recent amalgam close to the distal pulp horn. I’ve confined the access to the mesial aspect. I don’t think this one needs as post-endo but then its going to be her dentists decision.
Get on the Blunderbuss
Patient reported with pain and swelling in association with #4, Patient was pregnant at the time, treatment was initiated and then long term CaOH2 was placed. MTA truck was downloaded into this blunderbuss anatomy. Vitamin P deficiency ( P*- PCD) – I think I might have contributed to some of it. I had concerns about […]
Trauma and Regenerative Endodontics
We can only control our processes and not our outcome.The uncertainty associated with this modality of regenerative endodontics should not discourage clinicians to consider this as an option for the immature permanent tooth.