I started my access smaller, but enlarged it slightly because the referral wants a post space. Dx symptomatic irreversible pulpitis after pulp exposure through the buccal caries. Placed bonded composite as an orifice barrier over the mesial canals and the buccal wall. Would've been great to do the buildup (w/o a post).
I'm a gluten for punishment 😂 I had a root canal today and the local wore off...I've never ever had this much pain ever from a root canal! Worst freaking pain ever..omg😢😢😢😢😢 Glad I have ice cream and good drugs! I can barely touch my tooth. Hopefully will only be sore for a few days. It was a back tooth and he was applying a lot of pressure. #rootcanaltreatment#worstpainever
Tough SIP/SAP diagnosis 🧐🔎... Tooth tested slightly sensitive to cold but non-lingering. Vague percussion sensitivity. EPT and CBCT was inconclusive. The patient's chief complaint was throbbing sensitivity to hot, so I isolated the teeth individually with a rubber dam and put hot water in a Monoject to dispense onto the teeth. Bingo! 🔥Lots of pulp stones in the chamber and hyperemic pulp in the distal canals.
I expected to do the case as single visit root canal treatment. The interesting challenge when you do endodontic is sometimes you find surprises. I finished this case in 7 visits. Most time I was trying to find the path in the mesio buccal canal and the mesio lingual. Negotiation phase is the most challenging phase while you’re doing endodontic treatment in the after mumification or after LSTR or in the tooth with the calcified canals. After you got glide path surely you could enjoy the preparation, shaping, cleaning and obturating the canals ☺️ First mandibular molar, spontaneous pain, respond to cold. The ledge was corrected using C-Pilot File from #VDW and D-Finder file from #Mani . The preparation using MTwo System untill #30 /.05. Obturation with resin based sealer and gutta percha. The tooth restoration is composite crown because the ortodontist need to bond buccal tube on the tooth. #microendodontics#rct#rootcanaltreatment#endodontic#endodontist#endodontics#endodontista#endodontia#endodontie#endodontista#endodontik#endodontisIndonesia#endodontis#kenapaendo#doktergigi#indonesiabisa
We’ve been doing a lot of root canals lately. 😳 // Let’s make a deal RN to fix teeth while it’s still an easy fix. It’s such a misconception that “if it’s not hurting, then it doesn’t need fixed.” Dr. Stephens @shelblynnstephens will be covering this on the story today!
Unfortunately some teeth can't be saved. This tooth presented with a draining infection buccally and the referring dentists suspected a perio-endo lesion. A parallax x-ray shows the tooth has a vertical root fracture so no matter how well the tooth is disinfected, bacteria will re-infect the space... it's not often we recommend teeth need to be removed but with vertical fractures there are few other options. #dentistry#dentist#endodontics#rootcanaltreatment#rootcanal#newcastle