rootcanalretreatment rootcanal rootcanaltreatment singlevisitendodontic endodontics dentistry endodontist endolovers dental rootcanalfilling rootcanalspecialist dentist teeth dentsply easyendodontics endodontiabrasileira endodontic endoladies endolady justendoit protaper protapernext rootcanalfail rootcanalproblems rootcanalrecovery waveonegold waveonegoldglider saveteeth dentalprocedures
A real challenge to remove this instrument!
The root canal treatment had been done many years ago and there was a separated instrument present apically
PCO: Recurrent buccal abscess for many years
Tx:
-Existing restoration and caries removed
-Additional buccal canal located -I attempted to bypass the instrument (this is a much more conservative way of managing these cases). Unfortunately the instrument was tightly bound and this was not possible. Removal was attempted but the coronal aspect of the instrument fractured.
-CaOH dressing -On the second visit the patient was still symptomatic so I knew it was important to try and remove the instrument
-After some persistence and much relief, the apical part of the instrument was removed using ultrasonics and IRS kit -Obturation using warm vertical condensation -Fibre post -Composite core -Awaiting healing of the buccal abscess prior to recommending a crown
#instrumentremoval #irskit #irs #savingteeth #endodontia #endodontics #rootcanalretreatment #persistence
An unusual case of HYPERCEMENTOSIS
This is a patient I treated at Guy's Dental Hospital during my postgraduate training. The patient was referred to the endo department from oral surgery because the extraction of LR6 would have been difficult. The patient was also keen to try and save the tooth.
PCO: Pain LR6
I.O: LR6 TTP, isolated pocket in the furcation and abscess associated
A PA and CBCT scan were taken (see images) and revealed a peri-radicular radiolucency and hypercementosis
Diagnosis: Chronic apical periodontitis associated with an existing root canal filling & Hypercementosis
I carried out root canal retreatment of the LR6. It can be tricky to know where to finish the preparation in these cases- here I prepared the root canals to the apex locator reading.
We can see nice healing at the 2 year review!
#endodontics #endodontist #hypercementosis #endohealing #endoworks #rootcanalretreatment #saveteeth
Root canal retreatment of LR7
Treatment:
-Crown sectioned and removed
-Existing restoration removed
-GP removed
-Ledge present in the ML canal: bypassed using small hand files
-Additonal MB canal located
-Cleaning & shaping using Protaper Next
-Calcium hydroxide medicament
-Obturation using warm vertical condensation -Composite core
-Temporary crown
-Back to GDP for a new crown (advised to try and get onto sound tooth tissue on mesial margin)
#rootcanal #rootcanaltreatment #rootcanalretreatment #ledgebypass #endodontia #endodontics #dentistry #dentalstudent #dentalnurse #dentsplysirona
Root canal retreatment of UR6:
This case highlights some of the common anatomical complexities of MB1 and MB2: 2-1-2 canal configuration -The MB1 and MB2 had two separate canal orifices
-The canals joined in the mid third
- Then split again in the apical third (which can be seen on the mid-fill PA on the upper right photo)
It is common to teach to prepare the MB2 only upto the point it joins MB1
However, I find this 2-1-2 occurs so commonly that I always try and prepare MB1 and MB2 fully even if they appear to be joining .
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#mb2 #mesiobuccalroot #mb1 #uppermolars #endodontics #instateeth #dentaleducation #rootcanalretreatment #dentist #dental #dentalstudent #endodontist #endo #endodonticcase
M4 handpiece in action...
Oscillatory movements, auxiliary in the treatment of calcified or difficult access canals. As well as to "Bypass" separate instruments.
Contra ángulo M4 en acción...
Movimientos oscilatorios, auxiliar en el tratamiento de conductos calcificados o de difícil acceso. Así como para hacer “Bypass” en instrumentos separados.
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#endo #endodoncia #endodontics #endodontic #rootcanal #rootcanalretreatment #dentist #dentistry #dentista #odontologia #odontologo #odontologiaespecializada
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