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Asymptomatic Apical Periodontitis

From: RafaŽl Michiels
Sent: Tuesday, September 06, 2011 3:20 AM
Subject: [roots] Time for a case.

This was a case from this week.
Asymptomatic Apical Periodontitis on a previously treated molar. 
Tooth is scheduled for a metal post/core
and crown afterwards by the referring dentist.

Hence the cotton pellet. Since it is not always certain that the 
patient returns to his dentist in time, I prefer to place some 
Permaflo Purple composite on the orificia. This way I know that 
at least the canals are sealed.

Cleaning: NaOCl 5%, CA 10%, Alc 70% + CHX 0,5%, PUI
Shaping: Protaper, Profiles and handfiles
Obturation: Warm vertical condensation

Kind regards -  RafaŽl

Nice case Rafael! Do you have a favoured way for removing GP? I often struggle with the apical third. - Nik

K 3 lightspeed

Crown replacement

Root reinforcement

Vertical root fracture

Periodontal pocket

Cox crapification

Cold sensitivity

Buccal sinus

Nikon 995

Distal canals

Second mesial canal

Narrow escape


Severe curvatures

Unusual resorption

Huge pulpstone

Molar access

Perforation repair

Maxillary molars

Protaper shaping

Pulsing pain

Apical periodontitis

Mesial middle

Isthmus protocol

Fragment beyond apex

Apical trifurcation

Jammed K file

Mesial canals

Irreversible pulpitis

Bicuspid abscess

Sideways molar

Red Dye allergy

Small mirrors

Calcified molar

Extraction and implants

Calcificated central

Internal resorption

Bone lucency

Porcelain inlay

Bone allograft