Case 1

Removing Silver points and re-treatment LL5

First image shows that tooth was previously accessed with unsuccessful attempt to remove the silver points. The following images show two silver points were removed from the canal and tooth was obturated.

Case 2

Previously failed root canal treatment with persistence symptoms after one year of initial RCT and a buccal sinus tract. During re-treatment, missed MB2 canal was located and obturated.

Case 3

Pt was referred by his GDP with difficulty of locating the canals on UL6. Upon examination UL5 did not respond to cold test and electric pulp test and was diagnosed with necrosis. Therefore, treatment plan: RCT UL5 and UL6.

Previous access was modified and outlines were corrected, canals were located and UL6 was obturated with BC-Sealer and F3 GP points.

Attempted to access UL5, however after proceeding 10 mm, canal could not be located due to the calcification. The decision was made to take a CBCT to prevent procedural errors such as perforation and also comparing the access to the canal location. 

CBCT shows that UL5 has one canal, calcified on the coronal third, the canal is patent to the apex. It also shows that access is on a right direction to reach to the patent part of the canal.

Another 2 mm on a same direction was proceeded inside the canal, using diamond coated Piezo Ultrasonic tip. After locating the canal, proceeded to RCT steps and tooth was obturated.

Case 4

Patient was presented with symptoms of irreversible pulpitis on UR6. In the initial X-Ray a pulp stone was identified in the pulp chamber. Following access cavity preparation, it was visualised under the microscope that distal and mesial canal orifices were blocked by the pulp stone. Pulp stone was removed using the vibration of Piezo and root canal treatment was completed.

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Raziyeh Moballeghi (@moballeghi_endo) • Instagram photos and videos