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5 canaled molar
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another molar
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Freak case
huge lateral canal
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5 year recall
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  perforation of t pulp chamber #31


The opinions within this web page are not ours. Authors have been credited for the individual posts where they are. - www.rxroots.com photographs courtesy: Ilya Mer
From: Ilya Mer
To: ROOTS
Sent: Thursday, October 02, 2008 9:59 PM
Subject: [roots] perforation of t pulp chamber #31

Can anybody give me advice? The patient has got problems with tooth #31 last 7 years.
There is permanent swelling and fistula. Residual structures are enough to do build-up
by cast post and PFM crown. This is a treatment plan of referral. I have my doubt about
sealing ability of small amount MTA in shallow pulp chamber. Debridement and shaping
has been done, irrigation NaOCl, calcium hydroxide, temporary filling. I have to make a
decision in two weeks. Has anybody idea how to do build up and close the perforation?

Hi Ilya, is there a communication to oral cavity? If yes you better flap it, do a good hemostasis and close the perforation with a composite. If there is noc communication just do MTA repair with or without a barriere depending on the defect in the periodontium. - Jörg

Nice curves in mesial canal
Apical periodontits
Type III dens case
5 canaled molar
necrosis periradicular..
Triple paste pulpectomy
Endo cases - Marcia
"C" shaped canal anatomy
Psycho molar
routine case
straight lingual
Doomed tooth
another molar
Tooth #36
Instrument removal
Tooth #27
Mark Dreyer cases
Troughing case
6 year recall
9 clinical cases
Flareup after best treatment
Fred Barnett cases
Cases by Marga Ree
Glenn Van As cases
Sashi Nallapati cases
Cases by Jorg
Terry Pannkuk cases
New dental products II
New dental products
Difficult retreatment
Canal anatomy 46
Freak case
huge lateral canal
Separate MB canal
Crown infraction
5 year recall
Palatal canals
TF retreatment
Fiber cone
Bio race cases