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Calcified case : dark color dentin

From: Venkat To: ROOTS Sent: Saturday, July 26, 2008 2:51 PM Subject: [roots] Calcified case H/O Trauma Asymptomatic . Pt was concerned about discoloration. RD wanted me to complete RCT so he could proceed with Bleaching. Canal was patent after I reached the middle third. As I started access cavity prep I could see a distinct dark color dentin compared to the surrounding white or bright dentin. I used the Munce burs to follow the subtle change in colour. This took a while as I could identify the colour only when the dentin was bone dry. So the routine was drill - flush -dry-drill. - Venkat

Amazing case and documentation Venkat, Which material did you use as coronal seal over guta and which bleaching protocol? - Nuria from Spain Thanks Nuria, I used GIC for 2mm coronal plug over GP Bleaching protocol is sodium perborate with water. placed a sandy mix into the chamber and temp seal with cavit. repeat the same if more change in colour is required. final restoration with composite. LIT says to use ascorbate (reducing agent) after the bleaching for better bonding or wait 2 weeks before the final composite. Will post a case with bleaching sequence soon.- Venkat did u use sodium hypochlorite to irrigate and RC Help in this case..?? - Joseph Joy Yes I did use 5% Hypo joseph

Protaper flaring

6 yr old Empress

Cvek pulpotomy

Middle mesial

Endo misdiagnosis

MTA retrofill

Resin core

BW importance

Bicuspid tooth

Necrotic #8 treatment

Finding MB2 / MB3

Deep in a canal

Broken file retrieval

Molar cases

Pushed over apex

MB2 and palatal canal

Long lower third

Veneer cases

CT Implant surgury

Weird Anatomy

Apical trifurcation

Canal and Ultrasonics

Cotton stuffed chamber

Pulp floor sandblasting

Silver point removal

Difficult acute curve

Marked swelling

5 canaled premolar

Sealer overextension

Complex anatomy

Secondary caries

Zygomatic arch

Confluent mesials

LL 1st molar (#19)

Shaping vs Cleaning

First bicuspid

In Vivo mesial view

Inaccesible canals

Premolar 45

Ortho and implant


Lateral incisor


Churning irrigant

Cold lateral

Tipped to lingual

Acute pulpitis images

Middle distal canal

Silver point

Crown preparation

Epiphany healing

Weird anatomy

Dual Xenon

Looking for MB2

Upper molar resorption

Acute apical abcess

Finding MB2

Gingival inflammation

Irreversible pulpitis

AG BU ortho band

TF Files

using TF files

Broken bur

Warm technique

Restorative prognosis

Tooth # 20 and #30

Apical third

3 canal premolar

Severe curvature

Interesting anatomy

Chamber floor

Zirconia crown

Dycal matrix

Cracked tooth

Tooth structure loss

Multiplanar curves