Dens invaginatus – surgical management

This case was done in single visit. The patient was the brother of an Endodontist and flew in from Hyderabad for treatment. I did the orthograde endo followed by immediate apical surgery. In the orthograde part, I filled the Dens tract and the canal. I then raised a flap, resected the apical part to expose […]

Perforation repair: Slides +Article

These were some of the first cases of perforation repair that i was able to document under the microscope. For me, it was such a joy to be able to precisely differentiate between perorations and canals and to predictably do what i wanted to do rather than rely on guesswork. These two cases were converted […]

Apexogenesis + Partial Endo

This young patient first came to me with a pulpal exposure in a grossly decayed mandibular second molar. The root formation wasn’t completed and restorative prognosis too wasn’t great. The pulp in the chamber was very inflamed. So, I cleaned up the pulp in the chamber and left the pulp in the canals as it […]

Pre-implant Endodontics

This was a 15 year old girl with a large peri-apical lesion in relation to the the left mandibular first molar. The tooth had a guarded restorative prognosis. The goal of endo in this case was to hold the tooth for a longer period before placing implants and also get some bone to fill in […]

Internal resorption

The internal resorption in this case was quite aggressive, but not perforating externally. It is always fascinating to see how much of tooth destruction happens in these cases. Even after cleaning up the soft tooth structure, the underlying hard dentine keeps flaking away and continues to have “bleeding points”. Munce burs are quite useful in […]