Rare surgery only case

Missed canal Hyperaemic distals NHS and dreadful teeth Occlusal interferences Unable to find MM canal Cracked tooth Necrotic retreat Necrosis and pulpal Deep apical split Broken left incisor Single implant Broken files Periodontitis & Endo Race shaping	Laser with fistula Rosenberg's technique Carious exposure Tougher than molar Endo and Perio ML joined with MB Apical ledges Split root 9 year recall Weeping lesion Three furs Bleach and treat Alveolar fracture Root resorption	Role of sandblasting 3 rooted molar Dental douche Internal resorption Titanium implants Lesion on mesial root Wide open apices Treatment and root anatomy Search for MB2 Lateral canal Post space in P canal Molar with long roots TF use limitations Tobacco chewing ravages	Additional orifice Crack and pulpal floor Marginal ridges Deeply buried implant Ag Posts Resorption repair Lesion on MB root Buccal query Funky case Direct pulp capping Irreversible pulpitis Serious pathosis MSDO and Endo tx Retreatment CBCT

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Rare surgery only case - Courtesy ROOTS

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From: Terry Pannkuk
To: ROOTS
Sent: Thursday, February 11, 2010 7:20 AM
Subject: [roots] Rare Surgery - Only Case

This MB root was hacked up so bad with a separated instrument around a curve that I decided to get a CBCT
and evaluate whether I really needed to retreat the DB and P first or not.  I decided not to figuring I could
always do it later if I was wrong.  There wasn't much to be gained attempting to retreat the MB conventionally
since it had a history of MTA obturation (didn't look like a good decision to go through it), so I performed a
rare case of "Surg First".  I think the CBCT definitely helped determine a clinical decision that would have
been different without it in this case.   Like the European Guidelines, I think we owe it to our patients to be
discriminating and make sure the CBCT is likely to have value before prescribing it - Terry

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