Online Endodontic Education
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 […]
1st Visit Exploratory access to assess prognosis to confirm restorability and rule out fracture 2nd visit – GP removed and 2 of the 3 canals shaped – Canals confluent – File retrieved from the 3rd canal with U-file – CaOH dressing given Confluent canals in the C shaped anatomy #rootcanal #endodontics #endodontia #dentist A post […]
#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 […]
#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 […]
Pre-op Assessment: Severe attrition and a constricted pulp chamber. Treatment plan: Access cavity planned taking into account the regression of the pulp chamber size. Canals shaped through the angles the canals project centrally.
Heat treated files allow for conservative access in an area where a larger access would otherwise be needed.
Sorry to repost this, but I didn’t like the first version’s resolution. After tweaking things and adding more details, I finally have a version that I am satisfied with. It’s an evolving process, so thanks for bearing with me as I figure this out. #casegif #actinomycosis #apicoectomy #dentalsurgery #endodontist #endodontists #endodontics #endodoncia #endodontia #endoresident #endoresidents […]