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Microscope

#16 Root canal retreatment

#16 Root canal retreatment

November 6, 2019 0 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 0 comments
Reuben Joseph
27 – Partial re-treatment of the MB2

27 – Partial re-treatment of the MB2

October 28, 2019 0 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 0 comments
Reuben Joseph
36 Root canal re-treatment

36 Root canal re-treatment

October 24, 2019 0 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 0 comments
Reuben Joseph
46 – Caries driven access

46 – Caries driven access

September 16, 2019 0 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 0 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 0 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 0 comments
Reuben Joseph
Size does matter?

Size does matter?

July 2, 2019 0 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 0 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
#19 – Re-endo

#19 – Re-endo

October 29, 2018 0 comments

#19 with  (1)# file in the MB (2) Ledged ML (3) Screw post in the distal. The file dislodged with a U-file and ultrasonics to sand away the composite and vibrate out the post. Fibre-post in the MB and distal canals. Getting that 1.5-2.5 mm ferrule in the lingual side will be crucial in this case. 

Reuben JosephOctober 29, 2018 0 comments
Reuben Joseph
#29 with a deep split in the middle 3rd

#29 with a deep split in the middle 3rd

August 27, 2018 0 comments

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.  

Reuben JosephAugust 27, 2018 0 comments
Reuben Joseph
12

Active Comment Threads

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@gbc…hehe…that was you a decade ago!
  • JK
  • July 31, 2018

2
Thank you. I was hoping this was a case in ...
  • Brandon Seto
  • July 29, 2018

2
The first component of your endodontic triad is shaping. The ...
  • Charles
  • August 9, 2018

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Sorry for the delayed reply. What is the most common ...
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  • August 7, 2018

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The first step in a journey to understanding tests and ...
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  • July 31, 2018

Most Commented Posts

16

Pt presented with persistent sinus tract on B

Pt presented with persistent sinus tract on B. RCT's done ...
  • Dr. Angela Noguera
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Dynamically Guided Endodontic Access

Dynamic navigation has been in dentistry for many years. It ...
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9

Pop Quiz

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8

Routine RCT

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6

#13 – Caries Driven Access

- Sub-gingival caries distal to an isolated #13 - Gingivectomy ...
  • Reuben Joseph
  • July 24, 2018

Recent Comments

#24 instrument separation
August 6, 2019 by Mable S. Pena
.

Admin Quiz
July 15, 2019 by Ingrid Zwetsch
cool

3yr recall of a cracked #36
July 1, 2019 by Reuben Joseph
Hi Helen, when you prepare a canal to accommodate a ...

3yr recall of a cracked #36
June 13, 2019 by Helen Yang
“A post was cemented in the involved root for some ...

Set-up for Sony Cameras
April 29, 2019 by TDO University
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