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.
Clinical
#18 RCT
#18 RCT With this kind of gingiva sinking the whole tooth an indirect post-endo would have been a nightmare (atleast for me) in this case. Orifice directed access done and the carious lesion prepared and restored separately along with the DO in the 19, the cuspal integrity is intact so just the direct composite post […]
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.
Lid O’er Trash Can – 2 year CBCT recall
Patient presented with a sinus tract -buccal of tooth # 8 History of initial root canal 36 years prior and PA surgery with MTA fill and without retreatment by an endodontist 5 years prior. Orthograde Retreatment – removing the hardware: pre-fab metal post, gp, MTA and software – cotton fibers, Placed white MTA apical plug […]
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.
#29 with a deep split in the middle 3rd
Somehow i find these premolars canals that splits in the middle 3rd harder to locate and shape than the ones that split in apical. Heat treated NiTi’s come in really handy in these cases.
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 […]
Mesial root of unintentional recall
One doesn’t know if the canal wall contains “new” organisms subsequent to the fracture or “old” organisms never removed. My guess? Old organisms.