Desi- Image guided endodontics

By Reuben Joseph

June 27, 2018 | , , , | 3 Comments
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#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 feasible for routine cases, a good pre-op IOPA assessment and tracing the caries outline can help limit the extensions. I call it the Desi-IGE 

 

Reuben Joseph

Dr. Reuben Joseph,is an award winning Endodontist from Chennai, India. He won the IACDE Award for his Clinical Excellence in 2017. His areas of interest are Microscope assisted minimal invasive Root Canal Treatments and Esthetic Dentistry. The root canals performed here are unparalleled and at par with the best in the world. He loves his job and very passionate about it and goes to great lengths to upgrade his levels of precision.
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Dale Jung
7 years ago

Well managed! Without a CBCT a good bitewing is critical for direct dentin conservation. I would rather have a good BW rad than a PA rad for RCT.

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Reuben Joseph
7 years ago

Thanks for your input, will have one shot next time and see how that works

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Larry Martin
1 year ago

Appreciate the insight into the Truss Access technique. The emphasis on using pre op IOPA and caries tracing for conservative extensions makes it practical for routine cases. Looking forward to exploring more about Desi IGE in similar contexts.
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