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Root canal retreatment of 21 with a lesion and resorption

Root canal retreatment of 21 with a lesion and resorption

January 21, 2020 6 comments

21 had history of repeated surgery and apicoectomy and still a progressing lesion Treatment Done GP removal done with a braiding technique. Though removing a single cone in an incisor is easy, in this case the risk of pushing the GP out is quite high. CBCT showed resorption (irregular defect by 2mm) After cleaning and […]

Reuben JosephJanuary 21, 2020 6 comments
Reuben Joseph
45 – RCT

45 – RCT

December 12, 2019 6 comments

– Deep distal decay and 2° caries in the mesial – Truss access planned – The truss of dentin in between may help with some cross-stabilization on an otherwise badly decayed tooth. – Even in the case it doesn’t quantify to a significant number, all my therapeutic goals have been met with and I had […]

Reuben JosephDecember 12, 2019 6 comments
Reuben Joseph
#16 Root canal retreatment

#16 Root canal retreatment

November 6, 2019 7 comments

#16 – Root canal retreatment This one had a firm and corroded silver point (1) which had a full length engagement and a H-file (2) Missed MB2 canal and a badly gouged floor (3) Treatment done (1) Silver point carefully removed by creating space around it and a custom loop (2) U-file to remove the […]

Reuben JosephNovember 6, 2019 7 comments
Reuben Joseph
27 – Partial re-treatment of the MB2

27 – Partial re-treatment of the MB2

October 28, 2019 4 comments

#27 Partial re-treatment of MB2 canal 1) H/O RCT 5yrs bk 2) Exploratory endodontic access revealed a blob of GP in the area where the MB2 should be 3) Pre-op revealed a BF which I missed and I introduced another rotary file into the orifice and it separated as well 4) Both files retrieved with […]

Reuben JosephOctober 28, 2019 4 comments
Reuben Joseph
36 Root canal re-treatment

36 Root canal re-treatment

October 24, 2019 4 comments

36 Re-endo Someone has attempted something like a truss a decade back i guess. Restorability assessment Pulp chamber cleaned up Pre-endo Build-up GP removed in all 5 canals and shaped followed by CaOH Distal canal with internal resorption Obturation –  WVC

Reuben JosephOctober 24, 2019 4 comments
Reuben Joseph
46 – Caries driven access

46 – Caries driven access

September 16, 2019 5 comments

#46 with caries involving the DL cusp. The amount of tooth structure that would be lost if a conventional SLA access is opted for unimaginable. But i did have SLA in this case as well but from the back 😉

Reuben JosephSeptember 16, 2019 5 comments
Reuben Joseph
MAXILLARY 2nd MOLAR WITH A WEIRD ANATOMY of the buccal canal system

MAXILLARY 2nd MOLAR WITH A WEIRD ANATOMY of the buccal canal system

July 8, 2019 5 comments

This one had Significantly large irregular canals. Palatal canal obturated with a squirt to get a 3-D fill and the buccal canal with a large POE obturated with MTA at the apical 3rd and back-filled with GP. Done in 2-visits.

Reuben JosephJuly 8, 2019 5 comments
Reuben Joseph
Size does matter?

Size does matter?

July 2, 2019 4 comments

27 – routine exploratory  access to assess prognosis prior to re-endo Clinical Picture suggestive of over-zealous preparation and yet a lot of necrotic tissue inter-twined with the GP

Reuben JosephJuly 2, 2019 4 comments
Reuben Joseph
#37 RCT done in 2 visits

#37 RCT done in 2 visits

March 18, 2019 0 comments
Reuben JosephMarch 18, 2019 0 comments
Reuben Joseph
#24 with a Iatrogenic perfortion/ Calcified canals/ fracture in the distal wall

#24 with a Iatrogenic perfortion/ Calcified canals/ fracture in the distal wall

February 12, 2019 0 comments

Pre-op Clinical # in the distal wall Perforation Palatal canal located Buccal canal located  Perforation site prepared Slim preparation to prevent further dentin loss   

Reuben JosephFebruary 12, 2019 0 comments
Reuben Joseph
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