This case was referred by another practitioner who attempted to locate the canal, but couldn’t find it. The practitioner had perforated palatally in an effort to search for the canal. The perforation was supra-crestal and was sealed with Glass Ionomer. When viewed under the microscope, one can clearly see the calcified portion of what used […]
This Mandibular second molar started off as 3 canals merging into 2 and finally exiting as a single portal of exit.
This patient was from The U.S. I re-treated a lateral incisor tooth of his while he was in Bangalore. He then went back to U.S. I received a mail from him two years later saying that the tooth we did was hurting. I thought that maybe, the lesion had recurred. I referred him to an […]
This patient presented with a large lesion associated with a previously endo treated central Incisor with a open apex. The adjacent lateral tested non-vital. I did Endo on the lateral incisor. In the central, I decided to pack Calcium hydroxide till the lesion shrank in size before obturating with MTA. The plan was to keep […]
This was a case which was started by another clinican. A Naso-palatine cyst was mis-diagnosed as lesion of endodontic origin. The clinician opened up two central incisors, broke an instrument in one, couldn’t locate the canal (nearly perforated) and then referred the case.
This patient had a lesion involving three teeth in the mandibular anterior region. He was seen by multiple clinicians and all of them had advised endo on 3 teeth followed by surgery. I treated just the one tooth which tested non-vital. I placed Long-term calcium hydroxide (6 months) to see some evidence of healing before […]
This is a “garden variety” endo. The best time to refer a case to an endodontist with a microscope is before the pulp has been touched. That way, the endodontist can control how much of tooth structure is removed to complete the endo. In this case, I had to chase all the cracks before restoring
I initially thought of treating only the necrotic dens in this case because the tooth responded to heat and cold indicating that the apical lesion was probably from the dens. But, after the initial visits, the patient had persistent pain. So, I opened up both the canals, one of which was very hyperemic. I put […]
I initially prepared this lecture in 2009 and delivered it for the first time in Meenakshi Ammal dental college, Chennai. Since then, I’ve modifed it a few times and presented it in Roots Chennai and The Endomasters 2014.
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