ProEndo Forum

ProEndo Forum

Welcome to the friendly root canal forum.

This forum is open to discuss day-to-day root treatments. Let's talk about clinical difficulties and how to resolve them.

I like to share my strategies with you so that you can obtain consistent excellent results.

Or write in to discuss or ask any advice on any subject in Endodontics.

 

Anyone will tell you that toothache is one of the worst and most powerful pains we could suffer.  When it hits, there is not much else that you can concentrate on.

Toothache or dental pain is caused from inflammation (swellling) to the pulp or nerve tissue inside a hard shell- the tooth.  The swelling has no where to go and so the quality, intensity and duration of pain may range from a little to extreme.  Below is an x-ray of upper teeth.

toothache unlocalised

 

I have come across a number of lower second molar teeth which exhibit a fused single root.  These teeth may also have a complex arrangement of root canals. The final case depicted in this case demonstrates four canals.  The x-ray below depicts the distal canals with gutta percha filling and a file in the mesial canal to length.

lower second molar

In one word: leakage!  This may due to caries, cracks, perforations, coronal leakage, apical leakage, missed canals and incomplete fills.

Have a look at the x-ray below of one of my completed root treatments.  What do you think?  I think it is a good example of well filled molar tooth.  Don't you?

molar root treatment

I am proud to announce that I am short listed for the Dentistry Awards 2011. 

I have put a lot of effort in creating this website and I hope it will act as a good advocate for excellency in dentistry.  I have tried to meet the needs of both lay-person and the professionals in the kind and ammount of information that is presented in the website.

I  have reached my personal goal in being short listed for the Dentistry Awards 2011.  Even if I don't win, you can be sure that it will not diminish my enthusiasm one bit.  I hope more people will "click on" and discover some interesting bits of useful information. 

Enjoy!  And wish me Good Luck!

dentistry_awards_logo_2011

Lower first premolars abound with diverse and complex anatomy formations that may be missed on first radiographic observation.  In fact, sometimes, the complex arrangement may only be visible once root canal treatment has been initiated.  Clues in the x-ray may be seen when an imbalance of symmetry is evident, as in the case associated with this blog. 

x-ray of a lower first premolar

Mr X presented with a large swelling buccal to tooth no.11.  His gum was tender to palpation.  The tooth was slightly mobile.  There was no periodontal pocketing associated.  An x-ray reveals a large lesion associated to his central incisor.  The tooth has been poorly root treated.  The root filling is of adequate length but is poorly compacted with voids.

xray image of poor root canal treatment 

What does it mean to be a specialist in root canal treatment in Manchester?  I've seen the standard of root treatment in the UK and have read that standard generalist root treatment offers about 92-96% success.  So what is my role?

 

The Root Canal Treatment Diaries

Dr D Entist refers me nervous patient, Mr X Amine.  Lots of missing, decayed and broken down teeth.  Wants me to save his upper left molar.  I think needs to get some serious oral hygiene training.  Phoaw!! Glad to be using my rubber dam! 

ed1

  • Checked:  
  • Palpated gums - no swelling seen or felt
  • Periodontal status - no pocketing
  • Percuss- TTP
  • Mobility- not mobile
  • Occlusal- no occlusal high spots
  • Vitality testing- non-vital
  • X-ray- very deep filling.· Probable exposure.· Periapical widening of periodontal ligament.· Remnants of roots in situ.·

I have recently completed a root treatment on a lower incisor which has a buccal apical fenestration. The root treatment was completed or obturated with MTA due to the apical resorption with concurrent apical foramen widening and also since the patient will have apical surgery to correct the defect. The MTA has excellent sealing properties and is able to seal even under controlled 'soft' apical pressure. I have coronally lined the MTA with glass ionomer and temporarily sealed the access in case the tooth may require internal bleaching in the future. I will review this case after 6 months to follow up the healing.

I welcome any questions

incisor

Welcome to the friendly root canal forum.Smile

This forum is open to discuss day-to-day root treatments. Let's talk about clinical difficulties and how to resolve them.

I like to share my strategies with you so that you can obtain consistent excellent results.

Or write in to discuss or ask any advice on any subject in Endodontics.

The techniques and procedures in this forum are intended to be suggestions only. Any licensed practitioner reviewing this material must make his or her own professional decisions concerning specific treatment or techniques. Dr Gary Zolty is not responsible for any damages or other liabilities (including attorney's fees) resulting, or claimed to result in whole or in part from actual or alleged problems arising out of the use of this material. Dr Gary Zolty receive no compensation whatsoever from any manufacturer, or seminar group mentioned or recommended in this forum. No person or manufacturer may use any endorsements of products or services mentioned in this forum without expressed written permission from Dr Gary Zolty

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