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CAP Chronic Apical Periodontitis - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been credited
for the individual posts where they are. - Photos courtesy of Kenneth S Serota -
From: Dr. Ken Serota
Sent: Thursday, August 31, 2006 9:25 PM
Subject: [roots] CAP Chronic Apical Periodontitis

After an interim treatment period of calcium hydroxide insertion, 
the debrided and disinfected canals were obturated using thermo-
softened gutta-percha and resin sealer.  The floor of the chamber and
orifice interface of dentin and gutta-percha were covered with calcium 
hydroxide to prevent recontamination. You will need to refresh the axial 
dentin and bond the chamber prior to fabricating the post/core complex.
All procedures are performed using a range of 4.5 to 16x magnification.  
BioPure MTAD was used as the final irrigant. CLP will be necessary in 
order to restore the tooth on sound margins - Kenneth S. Serota, 

Aloha Ken - I like when you post cases. We're all trying to be like Sashi. What's up with the "calcium hydroxide" on the floor of the chamber and gutta percha to prevent recontamination? - Jason Decay at the gingival margin......CLP needed, I don't bond in those cases. ........might obscure areas of decay ........I leave Ca(OH)2 in the orifices ....light cure temp material in the chamber floor and temp and call the DDS immediately and advise them that time is of the essence, no delay...... ....I've gotten caught were even though I ask them to remove any flash et al of the Purple Permaflo, did not happen.......just an extra step to not leave open space. NOW IF JOHN BERNHARD OF UPI would develop those little sponges with the CHX dispenser we've talked about forever.........different scales of excellence..........I might not be able to bond a dime to Pannkuk's butt, but I know a few bondodontists who could.............hell with all that hair anything would stick - K

Toughest root canal

Retricted mouth opening

Deep decay

Upper second molar

Open sinus lift

Implant after extraction

Implant # 20

Implant # 30

Irreversible pulpitis

2 step necrotic case


Lesion on MB

Endo perio case

Surgery or implant

Silver point removal

Series of cases

SS reamers and files

Single visit RCT

Ortho resorption

Apico retreatment

Apical perforation

Funky canine

Crown preparation

Two tough molars

Epiphany recall

To squirt or not

Core distal end

MTA miracles

Pain with LR

Instrument removal

3 canals upper Bi

Acute pain

Dental decay

Calcified chamber

Mandibular first molar

Ultrasonic activation


TF and patency

Interim dressing

Huge lesion

Tough distal canal

Debris in pulp chamber

Access and success

Restricted mouth opening

Broken drill fragment

MB2 or lateral

Gutta percha cases

Another calcified

Big Perf

Canals and exit

Dam abuse

Amalgam replacement

Simple MTA case

MTA barrier

Restoration with simile

Immediate implant

Traumatic accident

Lesion on D root

Extract / Implant

Carious exposure