Case of the week part 11

C-shape canal is not very common system. Most often We can ring it in lower second molars. In this case " : " version is present. Only two canals have an anatomical apex (one located medially and one distally), but between them is long isthmus. Rotary files can shape only main canals, rest should be chemically disinfected. Ultrasonic activation of sodium hypochlorite and warm gutta percha obturation are essential for me in that kind of anatomy. What is your "tips and tricks" with C-shape?

Overlay reconstruction

Reconstruction of missing tooth structure after RCT is also very important part of treatment. Indirect composite overlay is one of the best option. It covers all cusps and occlusal surface, and have more conservative approach than PFM crown. In this case it was cemented on dual cure composite cement.

Preparing for 2 days lecture

Last check up of presentation and stuff i need for 2 days hands on course of advance endodontics in magnification. Szczecin I am coming soon!

Case of the week part 10

Another nice healing. Two visits treatment with calcium hydroxide dressing. Canal shaped with Big Apical Files (Poldent) to size 50.04. Half year recall to check if surgery (apicoectomy) is needed. Patient doesn't feel any pain for percussion or palpation. Seems good to me :)

Restoration part 2

Tooth 17, vital case, huge caries on buccal surface. Unfortunately i have lost pre operative picture, so the first on the left is just after dentine restoration. Then enamel composite and a little bit too much staining i think ;) On the right is after final polishing. Hope You will enjoy!

Another movie about quick ultrasonic broken file removal.

During ultrasonic removal of a broken file You have to work in dry conditions. Otherwise You can not see broken part of instrument. Ultrasonic tip without water cooling is getting hot. That is the reason why assistant should blow air from three in one syringe. That air is cooling the tooth and removing dentine debris from Your working field. 

Case of the week part 9

Last week i had a patient with interesting anatomy of lower first premolar. She came to my office with RVG (first on the left). You can see broken lentulo spiral (red arrow) and missed canal (green arrow). Middle RVG is after my first appointment - i shaped missed canal and try to remove lentulo. After 1,5 hour "fighting" i gave up and dressed canals with calcium hydroxide. Right RVG is just after second appointment with removed lentulo and filled canals. Hope You enjoy!