Author: Siju Jacob

Endodontist
Written by Siju Jacob

Deep Pulp Chamber

This was a case where there was a large cervical caries leading to pulpitis. The pulp chamber was calcified and the floor was quite deep. Fortunately, the microscope makes these cases a bit more predictable.

Written by Siju Jacob

Middle Mesial Redux + article

This is a garden variety middle-mesial canal i tretaed in 2009. The crown done by the referral was a bummer. Patient came back a year later with discomfort. The periapical lesion had healed, but the crown had an open margin leading to food impaction. I suggested changing the crown. Liviu Steier requested that I convert […]

Written by Siju Jacob

Molar Re-treatment (from the archives)

This is a case from 12 years ago. I re-treated all the canals including the distal which had a metal post. At, the one-year recall, the mesial root seems to have healed well. Today, I would probably have left the distal root alone and not over-enlarged those mesial canals.

Written by Siju Jacob

Silver cone Retrieval

This is a case from the old archives. I used to get a lot of these before 2010. I don’t see many silver cones anymore. I used to use this as a teaching case for how to remove silver cones.

Written by Siju Jacob

Middle-Mesial canal

This was an old case i discovered on my comp. I treated this case in 2006. It is probably a good case to demonstrate the location of the middle mesial canal.Strangely, the first thing that I thought when I saw this case today was, “Did this really benefit the patient? There wasn’t any lesion and […]

Written by Siju Jacob

Apexification

This was one of the first apexification cases i did. I started this case before i purchased a microscope (and I wasn’t using MTA at that time). I packed the canal with a thick Iodoform + Calcium hydroxide (Metapex). By the time the patient came back after a year, I had a microscope and it […]

Written by Siju Jacob

Deep division: Maxillary second molar

We often see maxillary second molars, which, at first glance seem to have just 2 canals, one Buccal and one palatal. A closer examination of the Buccal canal will often reveal bifurcation into two canals, DB and MB. Here is one such case.