Necrotic central incisor with internal resorption

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Necrotic central incisor with internal resorption - Courtesy ROOTS

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From: Maarten Meire
To: ROOTS
Sent: Monday, August 10, 2009 1:04 AM
Subject: [roots] Internal resorption

Attached is a necrotic central incisor with internal resorption that I root canal treated.
History of AAA and palpable swelling in buccal fold. A lot of pus upon access and continuous
drainage of fluid after cl&sh. Ready to pack after 6 weeks of CaOH2. No signs/symptoms at 8m recall.
Healing seems to be in progress... - Maarten

Hi Maarten! Beautiful work. Just 1 question: how did you obturate? MTA? Warm guttapercha?- Bart

Hello Bart, Only good old gutta percha here! I fitted a standard gutta percha cone using the chloroform dip
technique. I then cut the apical 4-5mm (RC part apical to the resorption space) of this cone, attached it to a
hedström file and placed (with sealer of course) it to working length. I applied some heat and condensed it
vertically. The rest of the canal was obturated with Obtura using small increments, vertically condensed - Maarten

Excellent technique and result!! - Fred

Wow, nice job.  My partner has one of these and is going to try it good luck - Guy

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 Fracture 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 Fluorosis 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