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 […]
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
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
Pre-op Clinical # in the distal wall Perforation Palatal canal located Buccal canal located Perforation site prepared Slim preparation to prevent further dentin loss
#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.
Very compliant patient—always made his recalls. Tooth has been asymptomatic for 15 years…and the periapical area had cleared—-now tender to biting and patient has an ache….No evidence of any occlusal issues. Will start the retreatment…again. Ugh….. gbc