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Necrotic central incisor with internal resorption - Courtesy ROOTS

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From: Maarten Meire
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
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