This is a routine clinical case of a mandibular premolar with 2 canals. Also attached is a small article I wrote in which I included this case and some other similar cases as well. Here is the pdf of the Article:
This is a case from 2006. Sometimes, when you look at these cases, we realize how much our treatment philosophies have changed over the years. This tooth was asymptomatic and the endo done several years ago. So, what benefit did me doing the re-endo have? Other than being a better “process centered outcome”, from a […]
This patient presented with a lesion in between the second pre-molar and first molar. The second pre-molar tested non-vital. In the caoh radiograph taken after the first session, You can see the calcium hydroxide going through a lateral canal into the lateral lesion. I however, couldn’t get sealer into the the lateral canal during the […]
This patient had a large lesion in the right maxillary anterior region. The lateral Incisor tested vital. I decided to re-treat only the central Incisor. Despite several calcium hydroxide changes spread over 2 months, there was persistent drainage of pus. Instead of opting for the more radical option of endo on the lateral and immediate […]
This case seemed to be responding well to conventional treatment. There wasn’t any drainage, so I obturated. The patient kept getting pain in the labial surface. So, we decided to do de-compression. The tooth reponded well to decompression and we saw very good healing at 6-months post de-compression. I saw this patient again 2 years […]
In the past, when we attempted Re-treatment, we used to re-treat all the canals. For the past 4-5 years, I’ve been doing mostly selective Re-treatment ie: treat only those roots or canals which need something to be done. Michael Trudeau calls it “Titrated Treatment”. Some of my friends call it “Image guided Treatment (IGT)”.This patient […]
Re-treatment due to missed Mb2 is probably the most commonly referred procedure that I do. And almost every time, I leave the other canals alone. in this case, the referral did endo and placed a new crown, after which the patient had pain followed by a sinus tract. G.p cone tracing of the sinus tract […]
The one thing that has changed over the past few years is that I have become comfortable with skinny shapes. Earlier, we used to strive to achieve those classic “Schilder shapes”. Off late, I’m okay in some cases to end with even a 2% taper. This case is an example
This patient had Endo and crown done a few months ago. While doing the endo, the previous clinician had informed him that she had fractured an instrument and that she couldn’t remove it because it had gone slightly beyond the apex. The mesial canals seemed well-filled. So, I Re-treated only the Distal. Fortunately, the distal […]
In the past, when we attempted Re-treatment, we used to re-treat all the canals. For the past 4-5 years, I’ve been doing mostly selective Re-treatment ie: treat only those roots or canals which need something to be done. Michael Trudeau calls it “Titrated Treatment”. Some of my friends on TDO call it “Image guided Treatment […]
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