08 Feb Tooth 26: Endo-Resto Continuum
Performed by: dr Stevan Kopanja
Abstract:
Female patient, 27 years old, came to my office with chief complaint on pain during biting and swelling. There was history of direct pulp capping by previous dentist almost 1 year ago. Treatment was performed in 3 visits. First visit: removal of previous restoration, conservative access, instrumentation of 4 canals [BM, BM2, BD, P], desinfection, calcium-hydroxide dressing. Second visit: after couple weeks sinus track was not present, all symptoms were gone,and obturation was done using AH+ sealer and gutta percha. In third visit we made final restoration: direct composite filling.
Orifices and chamber was closed with glass-ionomer cement, and final restoration was made with Filtek Ultimate composite.
#1 pre operative retroalveolar radiograph #2 pre operative: fistula and buccal swelling
#3 removal of previous composite restoration
#4 conservative endodontic access, identification of BM2 canal
#5 obturation, AH+ and gutta percha
#6 radiograph control #7 radiograph control
#8 sandblasting of chamber
#9 glass-ionomer cement over orifices
#10 hyperchromatic dentin
#11 cusp-by-cusp reconstruction
#12 cusp-by-cusp reconstruction
#13 cusp-by-cusp reconstruction
#14 finishing of composite restoration
#15 final restoration
#16 final restoration
#17 bucal fornix
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