Tooth #30 : Irreversible pulpitis

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Tooth #30 : Irreversible pulpitis - Courtesy ROOTS

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From: Fred Barnett
To: ROOTS
Sent: Sunday, November 08, 2009 7:06 AM
Subject: [roots] [EinsteinResidents] #30

from one of my 2nd yr residents.... Fred

Irreversible pulpitis case over three visits.
The toughest such case I've done in my short career....plenty more to come I'm sure!
Pt was making me sweat buckets all the way...high maintenance, wondering why it was taking me so long. Maybe she has a point....
Coronal flaring with rotaries and apical instrumentation in mesials with hand files #6-30 - Bilal

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 Radioluscency Lateral incisor Obturation 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