Treatment of complex third molar. Second molar treated a few years prior.
Clinical
Caries driven access
Test to upload image from computer.
Teamwork in Endodontic Surgery
Just for Capt Kirk!
IP Max 2nd-Molar
Patient having severe pain to hot on tooth #15 (27) upon temperature testing. Cold made him feel better. He was advised that there is a PAL on tooth #14 (26), which he will have it treated if it becomes symptomatic, which is next to an implant. Minimal access on his new crown, four canals, shaped […]
Caries Leveraged Access–Max 1st Molar
An RD’s receptionist referred her sister to us with severe pain on Lt. Max 1st Molar. Patient had MO Amalgam and large mesial carious lesion. Isolated, removed all caries and leveraged the access through the carious exposure. Buccal canals shaped to 17/.04, while the palatal to a 20/.06. Endo Sequence opaque composite core build up. […]
MIE Even Works on the Tough Cases
Case I–Here is a case that comes to mind: The pulp status was abscessed with a buccal sinus tract. The 3/4 crown was recently placed. The margins leave something to be desired, but there was adequate seal. My access was minimal, and the final shape of the canals was, again 17/.04. The treatment was a […]
Retreatment on a Mandibular 1st Molar on Teenager
This patient, a 13 yer old healthy female was sent by her orthodontist after she developed pain to tooth #19. Total treatment time was six months with calcium hydroxide until definitive osseous healing was seen. Her symptoms had resolved after the first appointment. As you can see from the Post OP Radiograph, she has completed […]
File Removal Favor
This patient was seen by a dentist friend of mine. During the final shape, she separated a rotary instrument. Patient can not afford endodontist fees and is on Medi-Cal. My friend asked if the instrument should be removed or can be left in there as she was able to bypass it. I said, “I should […]
Routine Maxillary First Molar–Initial Treatment
Patient in pain to hot/cold after the amalgams were taken out and replaced with composite. Routine MIE access, four canals. Patient doing well.
Dual entry of the day
I do not do these often because they are not often indicated. In this case, removing part of the MO composite resulted in a pulp exposure and easy access to the mesial root. Got lucky with the access into the distal canal. Finished by packing amalgam into the distal entry until I could see amalgam […]