Desi- Image guided endodontics


#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 


Recommended1 recommendationPublished in Cases, Clinical, Dentin Conservation, Minimally Invasive Endodontics

Reuben Joseph

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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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